Table of Contents
Disclaimer: The diagnostic worksheets provided by the Mindful Ecotherapy Center are intended for informational and educational purposes only. They are not intended to provide a diagnosis, constitute medical or mental health advice, or serve as a substitute for a comprehensive evaluation and diagnosis by a qualified mental health professional.
Completing a worksheet does not establish or confirm a diagnosis. If you have questions or concerns about your mental health, or if you are uncertain about how to interpret the information provided, please seek advice from a qualified mental health professional. When in doubt, seek professional guidance.
Anxiety Disorders
Anxiety disorders are characterized by excessive fear, anxiety, or related behavioral disturbances that interfere with daily functioning, relationships, or well-being. This category includes conditions such as generalized anxiety disorder, panic disorder, specific phobias, social anxiety disorder, and separation anxiety disorder. The Diagnostic Worksheets for Anxiety Disorders provide structured criteria to help organize presenting symptoms, duration, severity, functional impairment, and differential diagnoses among the various anxiety-related conditions.
Separation Anxiety Disorder
Selective Mutism
Specific Phobia
Social Anxiety Disorder (Social Phobia)
Panic Disorder
Agoraphobia
Substance/Medication-Induced Anxiety Disorder
Anxiety Disorder Due to Another Medical Condition
Other Specified Anxiety Disorder
Unspecified Anxiety Disorder
Depressive Disorders
Depressive disorders involve persistent disturbances in mood, motivation, cognition, and behavior that can significantly affect functioning and quality of life. Major depressive disorder, persistent depressive disorder, and related conditions are distinguished by patterns of symptoms, duration, severity, and impairment. The Diagnostic Worksheets for Depressive Disorders help clinicians systematically review depressive symptoms while considering differential diagnoses, including bipolar disorders, trauma-related conditions, anxiety disorders, substance-related conditions, and medical causes.
Disruptive Mood Dysregulation Disorder
With specified severity and psychotic features
With specified remission status
Persistent Depressive Disorder (Dysthymia)
Premenstrual Dysphoric Disorder
Substance/Medication-Induced Depressive Disorder
Depressive Disorder Due to Another Medical Condition
Other Specified Depressive Disorder
Bipolar and Related Disorders
Bipolar and related disorders involve significant disturbances in mood characterized by episodes of mania, hypomania, and/or depression. Accurate assessment requires careful attention to changes in mood, energy, activity, sleep, cognition, impulsivity, and functioning over time. The Diagnostic Worksheets for Bipolar and Related Disorders provide a structured way to document mood episodes and differentiate bipolar conditions from major depressive disorder, ADHD, substance-induced conditions, personality disorders, and other possible explanations.
Bipolar I Disorder
Bipolar II Disorder
Cyclothymic Disorder
Substance/Medication-Induced Bipolar and Related Disorder
Bipolar and Related Disorder Due to Another Medical Condition
Other Specified Bipolar and Related Disorder
Unspecified Bipolar and Related Disorder
Disruptive, Impulse-Control, and Conduct Disorders
Disruptive, impulse-control, and conduct disorders involve difficulties regulating behavior and emotions in ways that may violate the rights of others or conflict with societal norms and expectations. Conditions include oppositional defiant disorder, conduct disorder, and intermittent explosive disorder. The Diagnostic Worksheets for Disruptive, Impulse-Control, and Conduct Disorders help assess behavioral patterns, frequency, developmental context, impairment, and differential diagnoses such as ADHD, trauma-related disorders, mood disorders, and substance-related conditions.
Oppositional Defiant Disorder
Intermittent Explosive Disorder
Conduct Disorder
Pyromania
Kleptomania
Other Specified Disruptive, Impulse-Control, and Conduct Disorder
Unspecified Disruptive, Impulse-Control, and Conduct Disorder
Dissociative Disorders
Dissociative disorders involve disruptions in the normal integration of consciousness, memory, identity, emotion, perception, body representation, or behavior. Conditions include dissociative identity disorder, dissociative amnesia, and depersonalization/derealization disorder. The Diagnostic Worksheets for Dissociative Disorders help identify dissociative symptoms, their frequency and impact, associated trauma or stressors, and differential diagnoses involving neurological, substance-related, psychotic, and trauma-related conditions.
Dissociative Identity Disorder
Dissociative Amnesia
With dissociative fugue
Depersonalization/Derealization Disorder
Other Specified Dissociative Disorder
Unspecified Dissociative Disorder
Elimination Disorders
Elimination disorders involve inappropriate elimination of urine or feces beyond what would be developmentally expected and can result in emotional, social, and functional difficulties. The primary conditions include enuresis and encopresis. The Diagnostic Worksheets for Elimination Disorders help assess symptom patterns, developmental considerations, frequency, duration, impairment, and possible medical or psychological explanations.
Enuresis
Encopresis
Other Specified Elimination Disorder
Unspecified Elimination Disorder
Feeding and Eating Disorders
Feeding and eating disorders involve persistent disturbances in eating behavior or related thoughts and behaviors that impair physical health or psychological functioning. Conditions include anorexia nervosa, bulimia nervosa, binge-eating disorder, avoidant/restrictive food intake disorder, and other specified feeding or eating disorders. The Diagnostic Worksheets for Feeding and Eating Disorders help organize eating patterns, body-image concerns, compensatory behaviors, nutritional consequences, severity, and differential diagnosis.
Pica
Rumination Disorder
Avoidant/Restrictive Food Intake Disorder (ARFID)
Anorexia Nervosa
Bulimia Nervosa
Binge-Eating Disorder
Other Specified Feeding or Eating Disorder (OSFED)
Unspecified Feeding or Eating Disorder (UFED)
Gender Dysphoria
Gender dysphoria involves clinically significant distress or impairment associated with incongruence between experienced or expressed gender and assigned sex, rather than simply having a particular gender identity. Assessment focuses on the nature, persistence, and clinical impact of distress. The Diagnostic Worksheets for Gender Dysphoria provide a structured framework for evaluating diagnostic criteria while emphasizing respect for the person’s identity and distinguishing gender diversity from clinically significant distress.
Gender Dysphoria in Children
Gender Dysphoria in Adolescents and Adults
Other Specified Gender Dysphoria
Unspecified Gender Dysphoria
Note: Gender dysphoria is diagnosed based on clinically significant distress or impairment associated with gender incongruence, not simply because someone is transgender or gender diverse.
Neurocognitive Disorders
Neurocognitive disorders involve acquired declines in cognitive functioning that represent a change from a person’s previous level of ability. Domains may include attention, executive functioning, learning and memory, language, perceptual-motor skills, and social cognition. The Diagnostic Worksheets for Neurocognitive Disorders help document cognitive changes, functional impairment, onset and progression, and potential causes while supporting differential consideration of conditions such as delirium, dementia, depression, medication effects, and medical disorders.
Delirium
Delirium Due to Another Medical Condition
Substance Intoxication Delirium
Substance Withdrawal Delirium
Medication-Induced Delirium
Delirium Due to Multiple Etiologies
Other Specified Delirium
Unspecified Delirium
Major Neurocognitive Disorder
Major NCD Due to Alzheimer’s Disease
Major NCD With Lewy Bodies
Major NCD Due to Parkinson’s Disease
Major NCD Due to Frontotemporal Lobar Degeneration
Major NCD Due to Traumatic Brain Injury
Major NCD Due to HIV Infection
Major NCD Due to Prion Disease
Major NCD Due to Huntington’s Disease
Major NCD Due to Another Medical Condition
Major NCD Due to Multiple Etiologies
Substance/Medication-Induced Major NCD
Other Specified Major NCD
Unspecified Major NCD
Mild Neurocognitive Disorder
Mild NCD Due to Alzheimer’s Disease
Mild NCD With Lewy Bodies
Mild NCD Due to Parkinson’s Disease
Mild NCD Due to Frontotemporal Lobar Degeneration
Mild NCD Due to Traumatic Brain Injury
Mild NCD Due to HIV Infection
Mild NCD Due to Prion Disease
Mild NCD Due to Huntington’s Disease
Mild NCD Due to Another Medical Condition
Mild NCD Due to Multiple Etiologies
Substance/Medication-Induced Mild NCD
Other Specified Mild NCD
Unspecified Mild NCD
Neurodevelopmental Disorders
Neurodevelopmental disorders originate during the developmental period and can affect cognition, communication, learning, behavior, attention, and social functioning. This category includes conditions such as autism spectrum disorder, attention-deficit/hyperactivity disorder, intellectual disability, communication disorders, and specific learning disorders. The Diagnostic Worksheets for Neurodevelopmental Disorders provide structured consideration of developmental history, symptom presentation across settings, functional impairment, and differential diagnoses.
Intellectual Disability (Intellectual Developmental Disorder)
Global Developmental Delay
Unspecified Intellectual Disability (Intellectual Developmental Disorder)
Autism Spectrum Disorder
Attention-Deficit/Hyperactivity Disorder (ADHD)
Specific Learning Disorder
With impairment in reading
With impairment in written expression
With impairment in mathematics
Communication Disorders
Language Disorder
Speech Sound Disorder
Childhood-Onset Fluency Disorder (Stuttering)
Social (Pragmatic) Communication Disorder
Unspecified Communication Disorder
Motor Disorders
Developmental Coordination Disorder
Stereotypic Movement Disorder
Tic Disorders
Tourette’s Disorder
Persistent (Chronic) Motor or Vocal Tic Disorder
Provisional Tic Disorder
Other Specified Tic Disorder
Unspecified Tic Disorder
Other Specified Neurodevelopmental Disorder
Unspecified Neurodevelopmental Disorder
Obsessive-Compulsive and Related Disorders
Obsessive-compulsive and related disorders are characterized by persistent intrusive thoughts, urges, or images and/or repetitive behaviors or mental acts, along with related patterns such as difficulty discarding possessions or preoccupation with perceived physical defects. Conditions include obsessive-compulsive disorder, body dysmorphic disorder, hoarding disorder, trichotillomania, and excoriation disorder. The Diagnostic Worksheets for Obsessive-Compulsive and Related Disorders help distinguish these conditions from anxiety, psychotic, eating, and other related disorders.
Obsessive-Compulsive Disorder (OCD)
Body Dysmorphic Disorder
Hoarding Disorder
Trichotillomania (Hair-Pulling Disorder)
Excoriation (Skin-Picking) Disorder
Substance/Medication-Induced Obsessive-Compulsive and Related Disorder
Obsessive-Compulsive and Related Disorder Due to Another Medical Condition
Other Specified Obsessive-Compulsive and Related Disorder
Unspecified Obsessive-Compulsive and Related Disorder
Paraphilic Disorders
Paraphilic disorders involve atypical patterns of sexual interest that become clinically significant when they cause substantial distress or impairment or involve harm, risk of harm, or nonconsenting persons. The distinction between an atypical sexual interest and a diagnosable disorder is important. The Diagnostic Worksheets for Paraphilic Disorders help clinicians carefully assess diagnostic criteria, consent, distress, impairment, risk, and differential diagnoses while maintaining appropriate ethical and clinical boundaries.
Voyeuristic Disorder
Exhibitionistic Disorder
Frotteuristic Disorder
Sexual Masochism Disorder
Sexual Sadism Disorder
Pedophilic Disorder
Fetishistic Disorder
Transvestic Disorder
Other Specified Paraphilic Disorder
Unspecified Paraphilic Disorder
Personality Disorders
Personality disorders involve enduring patterns of thinking, feeling, relating, and behaving that differ substantially from cultural expectations and create persistent difficulties in interpersonal relationships, self-image, emotional regulation, or functioning. The category includes conditions such as borderline, narcissistic, avoidant, obsessive-compulsive, antisocial, and other personality disorders. The Diagnostic Worksheets for Personality Disorders help clinicians examine long-term patterns rather than isolated symptoms and consider differential diagnoses and overlapping features among personality disorders.
Cluster A
Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder
Cluster B
Antisocial Personality Disorder
Histrionic Personality Disorder
Narcissistic Personality Disorder
Cluster C
Avoidant Personality Disorder
Dependent Personality Disorder
Obsessive-Compulsive Personality Disorder
Schizophrenia Spectrum and Other Psychotic Disorders
Schizophrenia spectrum and other psychotic disorders involve disturbances in perception, thought, cognition, behavior, and reality testing. Symptoms may include delusions, hallucinations, disorganized thinking or behavior, and negative symptoms. The Diagnostic Worksheets for Schizophrenia Spectrum and Other Psychotic Disorders help organize psychotic symptoms, their duration and course, functional impact, and important differential diagnoses, including mood disorders with psychotic features, substance-induced psychosis, and medical conditions.
Schizotypal (Personality) Disorder
Delusional Disorder
Brief Psychotic Disorder
Schizophreniform Disorder
Schizophrenia
Schizoaffective Disorder
Substance/Medication-Induced Psychotic Disorder
Psychotic Disorder Due to Another Medical Condition
Catatonia Associated With Another Mental Disorder (Catatonia Specifier)
Catatonic Disorder Due to Another Medical Condition
Unspecified Catatonia
Other Specified Schizophrenia Spectrum and Other Psychotic Disorder
Unspecified Schizophrenia Spectrum and Other Psychotic Disorder
Sleep-Wake Disorders
Sleep-wake disorders involve disturbances in the quantity, quality, timing, or regulation of sleep that cause significant distress or impairment. Examples include insomnia disorder, hypersomnolence disorder, narcolepsy, parasomnias, and circadian rhythm sleep-wake disorders. The Diagnostic Worksheets for Sleep-Wake Disorders help assess sleep patterns, daytime consequences, duration, contributing factors, and differential diagnoses, including medical conditions, medications, substances, and other mental disorders.
Other Specified Insomnia Disorder
Unspecified Insomnia Disorder
Narcolepsy
Breathing-Related Sleep Disorders
Obstructive Sleep Apnea Hypopnea
Central Sleep Apnea
Sleep-Related Hypoventilation
Circadian Rhythm Sleep-Wake Disorders
Delayed Sleep Phase Type
Advanced Sleep Phase Type
Irregular Sleep-Wake Type
Non-24-Hour Sleep-Wake Type
Shift Work Type
Unspecified Type
Non-Rapid Eye Movement (NREM) Sleep Arousal Disorders
Sleepwalking Type
Sleep Terror Type
Nightmare Disorder
Rapid Eye Movement (REM) Sleep Behavior Disorder
Restless Legs Syndrome
Substance/Medication-Induced Sleep Disorder
Other Specified Insomnia Disorder
Unspecified Insomnia Disorder
Other Specified Hypersomnolence Disorder
Unspecified Hypersomnolence Disorder
Other Specified Sleep-Wake Disorder
Unspecified Sleep-Wake Disorder
Somatic Symptom and Related Disorders
Somatic symptom and related disorders involve significant distress, impairment, or maladaptive thoughts and behaviors associated with physical symptoms or health concerns. Conditions include somatic symptom disorder, illness anxiety disorder, conversion disorder, and factitious disorder. The Diagnostic Worksheets for Somatic Symptom and Related Disorders help distinguish clinically significant symptom-related patterns from appropriate concern about genuine medical conditions while considering psychological, behavioral, and medical factors.
Somatic Symptom Disorder
Illness Anxiety Disorder
Conversion Disorder (Functional Neurological Symptom Disorder)
Psychological Factors Affecting Other Medical Conditions
Factitious Disorder
Factitious Disorder Imposed on Self
Factitious Disorder Imposed on Another
Other Specified Somatic Symptom and Related Disorder
Unspecified Somatic Symptom and Related Disorder
Substance-Related and Addictive Disorders
Substance-related and addictive disorders involve problematic patterns of substance use or certain behavioral addictions that lead to clinically significant impairment or distress. Assessment considers impaired control, social consequences, risky use, tolerance, withdrawal, craving, and continued behavior despite negative consequences. The Diagnostic Worksheets for Substance-Related and Addictive Disorders help organize patterns of use, severity, functional consequences, withdrawal and tolerance, and differential diagnoses.
Stimulant-Related Disorders
Stimulant Use Disorder
Stimulant Intoxication
Stimulant Withdrawal
Other Stimulant-Induced Disorders
Unspecified Stimulant-Related Disorder
Tobacco-Related Disorders
Tobacco Use Disorder
Tobacco Withdrawal
Other Tobacco-Induced Disorders
Unspecified Tobacco-Related Disorder
Other (or Unknown) Substance-Related Disorders
Other (or Unknown) Substance Use Disorder
Other (or Unknown) Substance Intoxication
Other (or Unknown) Substance Withdrawal
Other (or Unknown) Substance-Induced Disorders
Unspecified Other (or Unknown) Substance-Related Disorder
Gambling Disorder
Gambling Disorder is the DSM-5-TR’s behavioral addiction and is included under Substance-Related and Addictive Disorders.
Trauma- and Stressor-Related Disorders
Trauma- and stressor-related disorders develop in response to traumatic or stressful experiences and may involve intrusive memories, avoidance, negative changes in cognition and mood, hyperarousal, dissociation, or difficulties adjusting to stressful events. This category includes posttraumatic stress disorder, acute stress disorder, and adjustment disorders, with complex PTSD recognized separately in the ICD-11. The Diagnostic Worksheets for Trauma- and Stressor-Related Disorders help organize trauma exposure, symptom patterns, duration, impairment, and differential diagnosis.
Reactive Attachment Disorder
Disinhibited Social Engagement Disorder
Acute Stress Disorder
Adjustment Disorders
Adjustment Disorder With Depressed Mood
Adjustment Disorder With Anxiety
Adjustment Disorder With Mixed Anxiety and Depressed Mood
Adjustment Disorder With Disturbance of Conduct
Adjustment Disorder With Mixed Disturbance of Emotions and Conduct
Adjustment Disorder, Unspecified
Other Specified Trauma- and Stressor-Related Disorder
Unspecified Trauma- and Stressor-Related Disorder
Other Conditions That May Be a Focus of Clinical Attention
The DSM-5-TR also includes conditions and problems that may be relevant to clinical assessment without necessarily constituting a mental disorder. These may involve relational problems, occupational or educational difficulties, psychosocial stressors, history of trauma, nonadherence to treatment, and other circumstances affecting health and functioning. The Diagnostic Worksheets for Conditions That May Be a Focus of Clinical Attention help clinicians document these important contextual factors so that assessment considers the whole person and their environment rather than focusing exclusively on psychiatric diagnoses.
Abuse and Neglect Assessment
Relational Problems Assessment
Educational Problems Assessment
Occupational Problems Assessment
Housing and Homelessness Assessment
Economic and Financial Problems Assessment
Social Environment and Social Isolation Assessment
Crime, Legal Problems, and Victimization Assessment
Health-Care Access and Treatment Barriers Assessment
Personal History and Trauma Assessment
Bereavement and Grief Assessment
Life-Transition and Phase-of-Life Assessment
Religious, Spiritual, and Moral Problems Assessment
Antisocial Behavior Assessment
Medical Treatment Adherence Assessment
Psychosocial and Environmental Stressors Assessment
Health, Lifestyle, and Behavioral Factors Assessment
Other Conditions Affecting Clinical Functioning Assessment
