Delusional Disorder 91
Mixed type: This subtype applies when no one delusional theme predominates.
Unspecified type: This subtype applies when the dominant delusional belief cannot
be clearly determined or is not described in the specific types (e.g., referential delu-
sions without a prominent persecutory or grandiose component). 
Specify if:
With bizarre content:  Delusions are deemed bizarre if they are clearly implausible, not
understandable, and not derived from ordinary li fe experiences (e.g., an individual’s be-
lief that a stranger has removed his or her internal organs and replaced them with some-
one else’s organs without leaving any wounds or scars).
Specify if:
The following course specifiers are only to be used after a 1-year duration of the disorder:
First episode, currentl y in acute episode:  First manifestation of the disorder meet-
ing the defining diagnostic symptom and time criteria. An acute episode is a time pe-
riod in which the symptom criteria are fulfilled.
First episode, currently in partial remission:  Partial remission  is a time period dur-
ing which an improvement after a previous episode is maintained and in which the de-
fining criteria of the disorder are only partially fulfilled.
First episode, currently in full remission:  Full remission  is a period of time after a
previous episode during which no disorder-specific symptoms are present.
Multiple episodes, curr ently in acute episode
Multiple episodes, currently in partial remission
Multiple episodes, currently in full remission
Continuous:  Symptoms fulfilling the diagnostic symptom criteria of the disorder are
remaining for the majority of the illness course, with subthreshold symptom periods be-
ing very brief relative to the overall course.
Unspecified
Specify current severity:
Severity is rated by a quantitative assessment of the primary symptoms of psychosis,