Quality of Nurture Problem

Diagnostic code: V61.20
Adapted from DSM-PC. Refer to DSM-PC for further description.

Description of Symptoms

• Inadequate supervision, cognitive stimulation, or emotional nurturing
• Inflexible rules
• Harsh or highly inconsistent discipline

Child Neglect/Abuse

Diagnostic code: 995.5x
Adapted from DSM-PC. Refer to DSM-PC and DSM-IV/DSM-IV-TR for further description.

Description of Symptoms

• Neglect (may be physical or emotional)
  • Failure to provide basic physical or medical care or nurturing
  • Failure to keep child or adolescent safe
• Abuse (may be physical, sexual, or emotional)
  • Adult’s actions result in direct harm to child or adolescent
• Factitious illness by proxy (see Munchausen Syndrome by Proxy)
  • A caregiver (usually the mother) pretends an infant or child is ill or causes the infant or child to become ill¹

References

1. Schreier, H. A., & Libow, J. A. (1994). Munchausen by proxy syndrome: A modern pediatric challenge. Journal of Pediatrics, 125 (6, Pt. 2), S110-S115.