Comparison of SSD, BDD, BDS, BSS in classification systems

Post #338 Shortlink:

The World Health Organization (WHO) released the next edition of the International Classification of Diseases (ICD-11) on June 18.

WHO news release.

ICD-11 for Mortality and Morbidity Statistics (ICD-11 MMS) version 2018 is an “advance preview” that will allow countries to plan for implementation, prepare translations and begin training health professionals.

No countries will be ready to transition from ICD-10 to ICD-11 for several years. The new edition is scheduled to be presented at the World Health Assembly (WHA) in May 2019 for adoption by Member States, but WHA endorsement won’t come into effect until January 1, 2022.

After that date, Member States can begin using the new edition for data reporting but there is no mandatory implementation date and for a period of time, the WHO will be collecting data recorded using both ICD-10 and the new ICD-11 code sets.

I’ll be posting key links and information on the release of this “advance preview” in future posts. In the meantime, here’s the current schedule:


Bodily distress disorder

For the main edition of ICD-11, most of ICD-10’s Somatoform disorders and Neurasthenia have been replaced with a single new diagnostic category called Bodily distress disorder [1].

The Bodily distress disorder term was added to the ICD-11 drafting platform in early 2012 and has been the only disorder construct under consideration for the main edition of ICD-11 [2][3].



We are still seeing a good deal of confusion between ICD-11’s defining of Bodily distress disorder (BDD) and Per Fink’s Bodily distress syndrome (BDS) disorder construct [4][5].

To assist stakeholders in navigating the complexities of nomenclature and classification, Dx Revision Watch and Mary Dimmock have prepared a document comparing the key features of:

DSM-5’s Somatic symptom disorder (SSD)

ICD-11’s Bodily distress disorder (BDD)

Fink et al. (2010) Bodily distress syndrome (BSD)

Bodily stress syndrome (BSS), as proposed for the ICD-11 PHC


You can download a copy of the comparison table and notes, here:

Comparison of SSD, BDD, BDS, BSS in classification systems

Version 1 | July 2018

Download PDF

Click to access comparison-of-ssd-bdd-bds-bss-in-classification-systems-v1.pdf



1 Creed F, Gureje O. Emerging themes in the revision of the classification of somatoform disorders. Int Rev Psychiatry. 2012 Dec;24(6):556-67. doi: 10.3109/09540261.2012.741063. [PMID: 23244611]

2 Gureje O, Reed GM. Bodily distress disorder in ICD-11: problems and prospects. World Psychiatry. 2016 Oct;15(3):291-292. doi: 10.1002/wps.20353. [PMID: 27717252]

3 ICD-11 for Mortality and Morbidity Statistics (ICD-11 MMS) 2018 Release, Version for preparing implementation. Accessed July 20, 2018

4 Fink P, Schröder A. One single diagnosis, bodily distress syndrome, succeeded to capture 10 diagnostic categories of functional somatic syndromes and somatoform disorders. J Psychosom Res. 2010 May;68(5):415-26. [PMID: 20403500]

5 Syndromes of bodily distress or functional somatic syndromes – Where are we heading. Lecture on the occasion of receiving the Alison Creed award 2017, Fink, Per. Journal of Psychosomatic Research, Volume 97, 127 – 130
Lecture slides:


New Theme for Dx Revision Watch: WordPress Enterprise Theme

Post #274 Shortlink:

Image belgianchocolate Creative Commons

Regular visitors to this site may have noticed a recent change in the WordPress theme from Truly Minimal to WordPress Enterprise Theme.

I have made a number of modifications to the default Enterprise Theme CSS (Cascading Style Sheets). Additional modifications may be effected as I become more acquainted with the CSS for this particular theme.

For users who are running Enterprise Theme and who may be interested in the customization, the current CSS modifications for this site are set out on this page, with examples of further basic CSS modifications to the theme:

About > CSS modifications

image credit | belgianchocolate | creative commons

Site design in transition

Post #236 Shortlink:
Image belgianchocolate Creative CommonsFor some time now, this site has run on WordPress theme ‘Garland’ with the Custom Design CSS upgrade. It’s time for a change.

Over the coming weeks I’ll be sampling a couple of other themes – this is WordPress ‘Truly Minimal.’

The site will be in a state of flux while I settle on a new template and customize it to better suit my content. So the appearance of the site, the font colours, leading, background and the way that quotes display may change from day to day.

With the publication of DSM-5 imminent, I shall also be taking some time over the coming months to attend to site housekeeping, updating tab pages and archiving older material.

WordPress themes are optimized for FireFox. If viewing in IE 8, 9 or 10, please view in IE Compatibility Mode or use Firefox or Chrome. Depending on OS and browser and settings, the fonts used for the site header and post headings in this theme (Droid Sans and Droid Serif) may be rendered better by IE 10 than by Firefox or Chrome.

image credit | belgianchocolate | creative commons

New domain for Dx Revision Watch and new Twitter address

New domain for Dx Revision Watch and new Twitter address

Post #199 Shortlink:

Please note the domain for this site has changed to

Previous links to posts and pages are being mapped across to this domain but you may like to update Bookmarks and update links to the Home Page on websites and blogs.

The Twitter page associated with this site has also changed from



These are voluntary changes and not related to the threats of legal action issued on behalf of American Psychiatric Publishing, A Division of American Psychiatric Association, which forced a domain and site name change, last December [1].

1] Media coverage: American Psychiatric Association (APA) “cease and desist” v DSM-5 Watch website; Legal information and resources for bloggers and site owners

WordPress glitch when viewed in Internet Explorer IE8 and IE9

WordPress glitch when viewed in Internet Explorer IE8 and IE9

Post #192 Shortlink:

Update at July 16: WordPress has now fixed these issues with Garland theme.

This site (and ME agenda site) run on the WordPress theme (template) Garland with the Custom Design upgrade which means I can modify Garland theme’s CSS.

On Thursday or Friday, WordPress implemented changes to some blog templates that enabled “infinite scrolling” – a site wide change being applied to WordPress themes that are suitable for its implementation.

Instead of displaying (in my case) the ten most recent posts, with the need to click for the next ten posts, “infinite scroll” automatically loads more posts.

I have deselected for this feature – I don’t like it and I don’t want it – so you won’t see many changes to the way in which the site functions.

You will see a button at the end of the tenth post for Load more posts and a link for Older posts and Newer posts. You can continue to access archived posts from the monthly Archive links in the right hand column.

There should be no problem when viewing the site in Chrome or Firefox. But there is currently a problem with Internet Explorer 8 and 9 (IE8 and IE9) which may be related to these recent changes or may be a separate issue.

This issue is affecting users of Garland theme and possibly some other themes.

If you are viewing this site in Internet Explorer 8 or 9 you are likely to see the following issues:

The site title Dx Revision Watch may be slow to load, may not load at all or unless the page is refreshed.

You may see no links at the bottom of the tenth post for Older posts and Newer posts though you should see a button for Load more posts.

Down the right hand column, the Search box, Twitter feed, Recent Posts, Links, Archives and Meta are all displaying over in the left side column, and right at the bottom of the page, so you’ll need to scroll right down to locate these.

The default font for posts on this site is Verdana. Occasionally, a post has been uploaded in Georgia and this may display for you in a larger font size than intended, for example this post Somatic Symptom Disorder criteria could capture millions more under mental health diagnosis.

Unfortunately WordPress Support appears to be closed until Monday, July 23, so this may take some time to get sorted. I have moved the Twitter feed over to the left column.

In the meantime, if you have Chrome or Firefox browsers loaded please consider using these.

Links for WordPress users seeking more information

WordPress Support notice about “infinite scroll”:

Blogger timethief:

Blogger wordpress tips:

(A very useful site for users on themes, html, formatting, tweaks and workarounds.)

WordPress Forums:

%d bloggers like this: