Stereotypic Movement Disorder

A. Repetitive, seemingly driven, and apparently purposeless motor behavior (e.g., hand shaking or waving, body rocking, head banging, self-biting, hitting own body).

B. The repetitive motor behavior interferes with social, academic, or other activities and may result in self-injury.

C. Onset is in the early developmental period. D. The repetitive motor behavior is not attributable to the physiological effects of a sub­stance or neurological condition and is not better explained by another neurodevel­opmental or mental disorder (e.g., trichotillomania [hair-pulling disorder], obsessive­ compulsive disorder).

Specify if: With self-injurious behavior (or behavior that would result in an injury if preventive measures were not used) Without self-injurious behavior

Specify if: Associated with a known medical or genetic condition, neurodevelopmental dis­ order, or environmental factor (e.g., Lesch-Nyhan syndrome, intellectual disability [intellectual developmental disorder], intrauterine alcohol exposure)

 

78 Neurodevelopmental Disorders

Coding note: Use additional code to identify the associated medical or genetic condition, or neurodevelopmental disorder.

Specify current severity: Mild: Symptoms are easily suppressed by sensory stimulus or distraction. Moderate: Symptoms require explicit protective measures and behavioral modification. Severe: Continuous monitoring and protective measures are required to prevent seri­ ous injury.

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