Mental Disorders Guide - Letra C

Caffeine withdrawal

Caffeine abstinência is a clinically significant cluster of symptoms, behaviours and/or physiological features, varying in degree of severity and duration, that occurs upon cessation or reduction of uso of caffeine (typically in the form of coffee, caffeinated drinks, or as an ingredient in certain over-the-counter medications) in individuals who have used caffeine for a prolonged period or in large amounts. Presenting features of Caffeine abstinência may include headache, marked fatigue or drowsiness, irritability, depressed or dysphoric mood, nausea or vomiting, and difficulty concentrating.

Caffeine intoxication

Caffeine intoxicação is a clinically significant transient condition that develops during or shortly after the consumption of caffeine that is characterised by disturbances in consciousness, cognition, perception, affect, behaviour, or coordination. These disturbances are caused by the known pharmacological effects of caffeine and their intensity is closely related to the amount of caffeine consumed. They are time-limited and abate as caffeine is cleared from the body. Presenting features may include restlessness, anxiety, excitement, insomnia, flushed face, tachycardia, diuresis, gastrointestinal disturbances, muscle twitching, psychomotor agitation, perspiration or chills, and nausea or vomiting. Cardiac arrhythmias may occur. Disturbances typical of intoxicação tend to occur at relatively higher doses (e.g., > 1 g per day). Very high doses of caffeine (e.g., > 5 g) can result in respiratory distress or seizures and can be fatal.

Caffeine-induced anxiety disorder

Caffeine-induced anxiety transtorno is characterised by anxiety symptoms (e.g., apprehension or worry, fear, physiological symptoms of excessive autonomic arousal, avoidance behaviour) that develop during or soon after intoxicação com or abstinência from caffeine. The intensity or duration of the symptoms is substantially in excess of anxiety symptoms that are characteristic of Caffeine intoxicação or Caffeine abstinência. The amount and duration of caffeine uso must be capable of producing anxiety symptoms. The symptoms are not better explained by a primary mental transtorno (e.g., an Anxiety and fear-related transtorno, a Depressive transtorno com prominent anxiety symptoms), as might be the case if the anxiety symptoms preceded the onset of the caffeine uso, if the symptoms persist for a substantial period of time after cessation of the caffeine uso or abstinência, or if there is other evidence of a pre-existing primary mental transtorno com anxiety symptoms (e.g., a history of prior episodes not associated com caffeine uso).

Cannabis withdrawal

Cannabis abstinência is a clinically significant cluster of symptoms, behaviours and/or physiological features, varying in degree of severity and duration, that occurs upon cessation or reduction of uso of cannabis in individuals who have developed Cannabis dependência or have used cannabis for a prolonged period or in large amounts. Presenting features of Cannabis abstinência may include irritability, anger or aggressive behaviour, shakiness, insomnia, restlessness, anxiety, depressed or dysphoric mood, decreased appetite and weight loss, headache, sweating or chills, abdominal cramps and muscle aches.

Cannabis dependence

Cannabis dependência is a transtorno of regulation of cannabis uso arising from repeated or continuous uso of cannabis. The characteristic feature is a strong internal drive to uso cannabis, which is manifested by impaired ability to control uso, increasing priority given to uso over other activities and persistence of uso despite harm or negative consequences. These experiences are often accompanied by a subjective sensation of urge or craving to uso cannabis. Physiological features of dependência may also be present, including tolerance to the effects of cannabis, abstinência symptoms following cessation or reduction in uso of cannabis, or repeated uso of cannabis or pharmacologically similar substances to prevent or alleviate abstinência symptoms. The features of dependência are usually evident over a period of at least 12 months but the diagnosis may be made if cannabis uso is continuous (daily or almost daily) for at least 3 months.

Cannabis dependence, current use

atual cannabis dependência com uso of cannabis within the past month.

Cannabis dependence, early full remission

After a diagnosis of cannabis dependência, and often following a treatment episódio or other intervention (including self-help intervention), the individual has been abstinent from cannabis during a period lasting between 1 and 12 months.

Cannabis dependence, sustained full remission

After a diagnosis of cannabis dependência, and often following a treatment episódio or other intervention (including self-intervention), the person has been abstinent from cannabis for 12 months or longer.

Cannabis dependence, sustained partial remission

After a diagnosis of cannabis dependência, and often following a treatment episódio or other intervention (including self-help intervention), there is a significant reduction in cannabis consumption for more than 12 months, such that even though cannabis uso has occurred during this period, the definitional requirements for dependência have not been met.

Cannabis intoxication

Cannabis intoxicação is a clinically significant transient condition that develops during or shortly after the consumption of cannabis that is characterised by disturbances in consciousness, cognition, perception, affect, behaviour, or coordination. These disturbances are caused by the known pharmacological effects of cannabis and their intensity is closely related to the amount of cannabis consumed. They are time-limited and abate as cannabis is cleared from the body. Presenting features may include inappropriate euphoria, impaired attention, impaired judgment, perceptual alterations (such as the sensation of floating, altered perception of time), changes in sociability, increased appetite, anxiety, intensification of ordinary experiences, impaired short-term memory, and sluggishness. Physical signs include conjunctival injection (red or bloodshot eyes) and tachycardia.

Cannabis-induced anxiety disorder

Cannabis-induced anxiety transtorno is characterised by anxiety symptoms (e.g., apprehension or worry, fear, physiological symptoms of excessive autonomic arousal, avoidance behaviour) that develop during or soon after intoxicação com or abstinência from cannabis. The intensity or duration of the symptoms is substantially in excess of anxiety symptoms that are characteristic of Cannabis intoxicação or Cannabis abstinência. The amount and duration of cannabis uso must be capable of producing anxiety symptoms. The symptoms are not better explained by a primary mental transtorno (e.g., an Anxiety and Fear-Related transtorno, a Depressive transtorno com prominent anxiety symptoms), as might be the case if the anxiety symptoms preceded the onset of the cannabis uso, if the symptoms persist for a substantial period of time after cessation of the cannabis uso or abstinência, or if there is other evidence of a pre-existing primary mental transtorno com anxiety symptoms (e.g., a history of prior episodes not associated com cannabis uso).

Cannabis-induced delirium

Cannabis-induced Delirium is characterised by an acute state of disturbed attention and awareness com specific features of Delirium that develops during or soon after substance intoxicação or abstinência or during the uso of cannabis. The amount and duration of cannabis uso must be capable of producing Delirium. The symptoms are not better explained by a primary mental transtorno, by uso of or abstinência from a different substance, or by another health condition that is not classified under Mental, behavioural and Transtornos do neurodesenvolvimento.

Cannabis-induced mood disorder

Cannabis-induced mood transtorno is characterised by mood symptoms (e.g., depressed or elevated mood, decreased engagement in pleasurable activities, increased or decreased energy levels) that develop during or soon after intoxicação com or abstinência from cannabis. The intensity or duration of the symptoms is substantially in excess of mood disturbances that are characteristic of Cannabis intoxicação or Cannabis abstinência. The amount and duration of cannabis uso must be capable of producing mood symptoms. The symptoms are not better explained by a primary mental transtorno (e.g., a Depressive transtorno, a Bipolar transtorno, Transtorno esquizoafetivo), as might be the case if the mood symptoms preceded the onset of the cannabis uso, if the symptoms persist for a substantial period of time after cessation of the cannabis uso or abstinência, or if there is other evidence of a pre-existing primary mental transtorno com mood symptoms (e.g., a history of prior episodes not associated com cannabis uso).

Cannabis-induced psychotic disorder

Cannabis-induced psychotic transtorno is characterised by psychotic symptoms (e.g. delusions, hallucinations, disorganised thinking, grossly disorganised behaviour) that develop during or soon after intoxicação com or abstinência from cannabis. The intensity or duration of the symptoms is substantially in excess of psychotic-like disturbances of perception, cognition, or behaviour that are characteristic of Cannabis intoxicação or Cannabis abstinência. The amount and duration of cannabis uso must be capable of producing psychotic symptoms. The symptoms are not better explained by a primary mental transtorno (e.g. Esquizofrenia, a Mood transtorno com psychotic symptoms), as might be the case if the psychotic symptoms preceded the onset of the cannabis uso, if the symptoms persist for a substantial period of time after cessation of the cannabis uso or abstinência, or if there is other evidence of a pre-existing primary mental transtorno com psychotic symptoms (e.g. a history of prior episodes not associated com cannabis uso).

Catatonia associated with another mental disorder

Catatonia associated com another mental transtorno is a syndrome of primarily psychomotor disturbances, characterized by the co-occurrence of several symptoms of decreased, increased, or abnormal psychomotor activity, which occurs in the context of another mental transtorno, such as Esquizofrenia ou outros transtornos psicóticos primários, Transtornos de humor, and Transtornos do neurodesenvolvimento, especially Transtorno do espectro autista.

Catatonia induced by substances or medications

Catatonia induced by substances or medications is a syndrome of primarily psychomotor disturbances, characterized by the co-occurrence of several symptoms of decreased, increased, or abnormal psychomotor activity, which develops during or soon after intoxicação or abstinência from certain psychoactive substances, including phencyclidine (PCP), cannabis, hallucinogens such as mescaline or LSD, cocaine and MDMA or related drugs, or during the uso of certain psychoactive and non-psychoactive medications (e.g. antipsychotic medications, benzodiazepines, steroids, disulfiram, ciprofloxacin).

Certain multiple specified psychoactive substances-induced mental or behavioural disorders

Certain other specified psychoactive substance-induced mental or behavioural disorders

Certain specified alcohol-induced mental or behavioural disorders

Certain specified caffeine-induced mental or behavioural disorders

Certain specified cannabis-induced mental or behavioural disorders

Certain specified cocaine-induced mental or behavioural disorders

Certain specified dissociative drug-induced mental or behavioural disorders, including ketamine and phencyclidine [PCP]

Certain specified hallucinogen-induced mental or behavioural disorders

Certain specified MDMA or related drug-induced mental or behavioural disorders, including MDA

Certain specified opioid-induced mental or behavioural disorders

Certain specified sedatives, hypnotics or anxiolytic-induced mental or behavioural disorders

Certain specified stimulant-induced mental or behavioural disorders including amphetamines, methamphetamine or methcathinone

Certain specified synthetic cannabinoids-induced mental or behavioural disorders

Certain specified synthetic cathinone-induced mental or behavioural disorders

Certain specified volatile inhalants-induced mental or behavioural disorders

Certain unknown or unspecified psychoactive substance-induced mental or behavioural disorders

Cocaine withdrawal

Cocaine abstinência is a clinically significant cluster of symptoms, behaviours and/or physiological features, varying in degree of severity and duration, that occurs upon cessation or reduction of uso of cocaine in individuals who have developed Cocaine dependência or have used cocaine for a prolonged period or in large amounts. Presenting features of Cocaine abstinência may include dysphoric mood, irritability, fatigue, psychomotor retardation, vivid unpleasant dreams, insomnia or hypersomnia, increased appetite, anxiety, psychomotor agitation or retardation, and craving for cocaine.

Cocaine dependence

Cocaine dependência is a transtorno of regulation of cocaine uso arising from repeated or continuous uso of cocaine. The characteristic feature is a strong internal drive to uso cocaine, which is manifested by impaired ability to control uso, increasing priority given to uso over other activities and persistence of uso despite harm or negative consequences. These experiences are often accompanied by a subjective sensation of urge or craving to uso cocaine. Physiological features of dependência may also be present, including tolerance to the effects of cocaine, abstinência symptoms following cessation or reduction in uso of cocaine, or repeated uso of cocaine or pharmacologically similar substances to prevent or alleviate abstinência symptoms. The features of dependência are usually evident over a period of at least 12 months but the diagnosis may be made if cocaine uso is continuous (daily or almost daily) for at least 3 months.

Cocaine dependence, current use

atual cocaine dependência com cocaine uso within the past month.

Cocaine dependence, early full remission

After a diagnosis of Cocaine dependência, and often following a treatment episódio or other intervention (including self-help intervention), the individual has been abstinent from cocaine during a period lasting between 1 and 12 months.

Cocaine dependence, sustained full remission

After a diagnosis of cocaine dependência, and often following a treatment episódio or other intervention (including self-intervention), the person has been abstinent from cocaine for 12 months or longer.

Cocaine dependence, sustained partial remission

After a diagnosis of Cocaine dependência, and often following a treatment episódio or other intervention (including self-help intervention), there is a significant reduction in cocaine consumption for more than 12 months, such that even though cocaine uso has occurred during this period, the definitional requirements for dependência have not been met.

Cocaine intoxication

Cocaine intoxicação is a clinically significant transient condition that develops during or shortly after the consumption of cocaine that is characterised by disturbances in consciousness, cognition, perception, affect, behaviour, or coordination. These disturbances are caused by the known pharmacological effects of cocaine and their intensity is closely related to the amount of cocaine consumed. They are time-limited and abate as cocaine is cleared from the body. Presenting features may include inappropriate euphoria, anxiety, anger, impaired attention, hypervigilance, psychomotor agitation, paranoid ideation (sometimes of delusional intensity), auditory hallucinations, confusion, and changes in sociability. Perspiration or chills, nausea or vomiting, and palpitations and chest pain may be experienced. Physical signs may include tachycardia, elevated blood pressure, and pupillary dilatation. In rare instances, usually in grave intoxicação, cocaine uso can result in seizures, muscle weakness, dyskinesia, or dystonia.

Cocaine-induced anxiety disorder

Cocaine-induced anxiety transtorno is characterised by anxiety symptoms (e.g., apprehension or worry, fear, physiological symptoms of excessive autonomic arousal, avoidance behaviour) that develop during or soon after intoxicação com or abstinência from cocaine. The intensity or duration of the symptoms is substantially in excess of anxiety symptoms that are characteristic of Cocaine intoxicação or Cocaine abstinência. The amount and duration of cocaine uso must be capable of producing anxiety symptoms. The symptoms are not better explained by a primary mental transtorno (e.g., an Anxiety and fear-related transtorno, a Depressive transtorno com prominent anxiety symptoms), as might be the case if the anxiety symptoms preceded the onset of the cocaine uso, if the symptoms persist for a substantial period of time after cessation of the cocaine uso or abstinência, or if there is other evidence of a pre-existing primary mental transtorno com anxiety symptoms (e.g., a history of prior episodes not associated com cocaine uso).

Cocaine-induced delirium

Cocaine-induced Delirium is characterised by an acute state of disturbed attention and awareness com specific features of Delirium that develops during or soon after substance intoxicação or abstinência or during the uso of cocaine. The amount and duration of cocaine uso must be capable of producing Delirium. The symptoms are not better explained by a primary mental transtorno, by uso of or abstinência from a different substance, or by another health condition that is not classified under Mental, behavioural, and Transtornos do neurodesenvolvimento.

Cocaine-induced impulse control disorder

Cocaine-induced impulse control transtorno is characterised by persistently repeated behaviours in which there is recurrent failure to resist an impulse, drive, or urge to perform an act that is rewarding to the person, at least in the short-term, despite longer-term harm either to the individual or to others (e.g., fire setting or stealing sem apparent motive, repetitive sexual behaviour, aggressive outbursts) that develop during or soon after intoxicação com or abstinência from cocaine. The intensity or duration of the symptoms is substantially in excess of disturbances of impulse control that are characteristic of Cocaine intoxicação or Cocaine abstinência. The amount and duration of cocaine uso must be capable of producing disturbances of impulse control. The symptoms are not better explained by a primary mental transtorno (e.g., an Impulse control transtorno, a transtorno due to addictive behaviours), as might be the case if the impulse control disturbances preceded the onset of the cocaine uso, if the symptoms persist for a substantial period of time after cessation of the cocaine uso or abstinência, or if there is other evidence of a pre-existing primary mental transtorno com impulse control symptoms (e.g., a history of prior episodes not associated com cocaine uso).

Cocaine-induced mood disorder

Cocaine-induced mood transtorno is characterised by mood symptoms (e.g., depressed or elevated mood, decreased engagement in pleasurable activities, increased or decreased energy levels) that develop during or soon after intoxicação com or abstinência from cocaine. The intensity or duration of the symptoms is substantially in excess of mood disturbances that are characteristic of Cocaine intoxicação or Cocaine abstinência. The amount and duration of cocaine uso must be capable of producing mood symptoms. The symptoms are not better explained by a primary mental transtorno (e.g., a Depressive transtorno, a Bipolar transtorno, Transtorno esquizoafetivo), as might be the case if the mood symptoms preceded the onset of the cocaine uso, if the symptoms persist for a substantial period of time after cessation of the cocaine uso or abstinência, or if there is other evidence of a pre-existing primary mental transtorno com mood symptoms (e.g., a history of prior episodes not associated com cocaine uso).

Cocaine-induced obsessive-compulsive or related disorder

Cocaine-induced obsessive-compulsive or related transtorno is characterised by either repetitive intrusive thoughts or preoccupations, normally associated com anxiety and typically accompanied by repetitive behaviours performed in response, or by recurrent and habitual actions directed at the integument (e.g., hair pulling, skin picking) that develop during or soon after intoxicação com or abstinência from cocaine. The intensity or duration of the symptoms is substantially in excess of analogous disturbances that are characteristic of Cocaine intoxicação or Cocaine abstinência. The amount and duration of cocaine uso must be capable of producing obsessive-compulsive or related symptoms. The symptoms are not better explained by a primary mental transtorno (in particular an Obsessive-compulsive or related transtorno), as might be the case if the symptoms preceded the onset of the cocaine uso, if the symptoms persist for a substantial period of time after cessation of the cocaine uso or abstinência, or if there is other evidence of a pre-existing primary mental transtorno com obsessive-compulsive or related symptoms (e.g., a history of prior episodes not associated com cocaine uso).

Cocaine-induced psychotic disorder

Cocaine-induced psychotic transtorno is characterised by psychotic symptoms (e.g. delusions, hallucinations, disorganised thinking, grossly disorganised behaviour) that develop during or soon after intoxicação com or abstinência from cocaine. The intensity or duration of the symptoms is substantially in excess of psychotic-like disturbances of perception, cognition, or behaviour that are characteristic of Cocaine intoxicação or Cocaine abstinência. The amount and duration of cocaine uso must be capable of producing psychotic symptoms. The symptoms are not better explained by a primary mental transtorno (e.g. Esquizofrenia, a Mood transtorno com psychotic symptoms), as might be the case if the psychotic symptoms preceded the onset of the cocaine uso, if the symptoms persist for a substantial period of time after cessation of the cocaine uso or abstinência, or if there is other evidence of a pre-existing primary mental transtorno com psychotic symptoms (e.g. a history of prior episodes not associated com cocaine uso).

Cocaine-induced psychotic disorder with delusions

Cocaine-induced psychotic transtorno com delusions is characterised by the by the presence of delusions that are judged to be the direct consequence of cocaine uso. Neither hallucinations nor other psychotic symptoms are present. The symptoms do not occur exclusively during hypnogogic or hypnopompic states, are not better accounted for by another mental and behavioural transtorno (e.g., Esquizofrenia), and are not due to another transtorno or disease classified elsewhere (e.g., epilepsies com visual symptoms).

Cocaine-induced psychotic disorder with hallucinations

Cocaine-induced psychotic transtorno com hallucinations is characterised by the presence of hallucinations that are judged to be the direct consequence of cocaine uso. Neither delusions nor other psychotic symptoms are present. The symptoms do not occur exclusively during hypnogogic or hypnopompic states, are not better accounted for by another mental and behavioural transtorno (e.g., Esquizofrenia), and are not due to another transtorno or disease classified elsewhere (e.g., epilepsies com visual symptoms).

Cocaine-induced psychotic disorder with mixed psychotic symptoms

Cocaine-induced psychotic transtorno com mixed psychotic symptoms is characterised by the presence of multiple psychotic symptoms, primarily hallucinations and delusions, when these are judged to be the direct consequence of cocaine uso. The symptoms do not occur exclusively during hypnogogic or hypnopompic states, are not better accounted for by another mental and behavioural transtorno (e.g., Esquizofrenia), and are not due to another transtorno or disease classified elsewhere (e.g., epilepsies com visual symptoms).

Coercive sexual sadism disorder

Coercive sexual sadism transtorno is characterised by a sustained, focused and intense padrão of sexual arousal—as manifested by persistent sexual thoughts, fantasies, urges or behaviours—that involves the infliction of physical or psychological suffering on a non-consenting person. In addition, in order for Coercive Sexual Sadism transtorno to be diagnosed, the individual must have acted on these thoughts, fantasies or urges or be markedly distressed by them. Coercive Sexual Sadism transtorno specifically excludes consensual sexual sadism and masochism.

Cognitive symptoms in primary psychotic disorders

Cognitive symptoms in primary psychotic transtornos refer to cognitive impairment in any of the following domains: speed of processing, attention/concentration, orientation, judgment, abstraction, verbal or visual learning, and working memory. The cognitive impairment is not attributable to a neurodevelopmental transtorno, a Delirium or other neurocognitive transtorno, or the direct effects of a substance or medication on the central nervous system, including abstinência effects. Ideally, uso of this category should be based on the results of locally validated, standardized neuropsychological assessments, although such measures may not be available in all settings. The rating should be made based on the severity of cognitive symptoms during the past week.

Compulsive sexual behaviour disorder

Compulsive sexual behaviour transtorno is characterised by a persistent padrão of failure to control intense, repetitive sexual impulses or urges resulting in repetitive sexual behaviour. Symptoms may include repetitive sexual activities becoming a central focus of the person’s life to the point of neglecting health and personal care or other interests, activities and responsibilities; numerous unsuccessful efforts to significantly reduce repetitive sexual behaviour; and continued repetitive sexual behaviour despite adverse consequences or deriving little or no satisfaction from it. The padrão of failure to control intense, sexual impulses or urges and resulting repetitive sexual behaviour is manifested over an extended period of time (e.g., 6 months or more), and causes marked distress or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. Distress that is entirely related to moral judgments and disapproval about sexual impulses, urges, or behaviours is not sufficient to meet this requirement.

Conduct-dissocial disorder

Conduct-dissocial transtorno is characterised by a repetitive and persistent padrão of behaviour in which the basic rights of others or major age-appropriate societal norms, rules, or laws are violated such as aggression towards people or animals; destruction of property; deceitfulness or theft; and serious violations of rules. The behaviour padrão is of sufficient severity to result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning. To be diagnosed, the behaviour padrão must be enduring over a significant period of time (e.g., 12 months or more). Isolated dissocial or criminal acts are thus not in themselves grounds for the diagnosis.

Conduct-dissocial disorder, adolescent onset

Conduct-dissocial transtorno, adolescent onset is characterised by a repetitive and persistent padrão of behaviour in which the basic rights of others or major age-appropriate societal norms, rules, or laws are violated such as aggression towards people or animals; destruction of property; deceitfulness or theft; and serious violations of rules. No features of the transtorno are present during childhood prior to adolescence (e.g., before 10 years of age). To be diagnosed, the behaviour padrão must be enduring over a significant period of time (e.g., 12 months or more). Isolated dissocial or criminal acts are thus not in themselves grounds for the diagnosis.

Conduct-dissocial disorder, adolescent onset with limited prosocial emotions

All definitional requirements for conduct-dissocial transtorno, adolescent onset are met. In addition, the individual exhibits characteristics that are sometimes referred to as ‘callous and unemotional’. These characteristics include a lack of empathy or sensitivity to the feelings of others and a lack of concern for others’ distress; a lack of remorse, shame or guilt over their own behaviour (unless prompted by being apprehended), a relative indifference to the probability of punishment; a lack of concern over poor performance in school or work; and limited expression of emotions, particularly positive or loving feelings toward others, or only doing so in ways that seem shallow, insincere, or instrumental.

Conduct-dissocial disorder, adolescent onset with typical prosocial emotions

All definitional requirements for conduct-dissocial transtorno, adolescent onset are met. The individual does not exhibit characteristics referred to as ‘callous and unemotional’, such as lack of empathy or sensitivity to the feelings of others and a lack of concern for others’ distress.

Conduct-dissocial disorder, childhood onset

Conduct-dissocial transtorno, childhood onset is characterised by a repetitive and persistent padrão of behaviour in which the basic rights of others or major age-appropriate societal norms, rules, or laws are violated such as aggression towards people or animals; destruction of property; deceitfulness or theft; and serious violations of rules. To be diagnosed, features of the transtorno must be present during childhood prior to adolescence (e.g., before 10 years of age) and the behaviour padrão must be enduring over a significant period of time (e.g., 12 months or more). Isolated dissocial or criminal acts are thus not in themselves grounds for the diagnosis.

Conduct-dissocial disorder, childhood onset with limited prosocial emotions

Meets all definitional requirements for Conduct-dissocial transtorno, childhood onset. In addition, the individual exhibits characteristics that are sometimes referred to as ‘callous and unemotional’. These characteristics include a lack of empathy or sensitivity to the feelings of others and a lack of concern for others’ distress; a lack of remorse, shame or guilt over their own behaviour (unless prompted by being apprehended), a relative indifference to the probability of punishment; a lack of concern over poor performance in school or work; and limited expression of emotions, particularly positive or loving feelings toward others, or only doing so in ways that seem shallow, insincere, or instrumental.

Conduct-dissocial disorder, childhood onset with typical prosocial emotions

All definitional requirements for conduct-dissocial transtorno, childhood onset are met. The individual does not exhibit characteristics referred to as ‘callous and unemotional’, such as lack of empathy or sensitivity to the feelings of others and a lack of concern for others’ distress.