Changes from ICD-10 to ICD-11 and future directions in psychiatric classification .

This article provides a brief overview of the changes from to regarding the classification of mental, behavioral, or neurodevelopmental disorders. These changes include a new chapter structure, new diagnostic categories, changes in diagnostic criteria, and steps towards dimensionality. Additionally, we review evaluative field studies of , which provide preliminary evidence for higher reliability and clinical utility of compared with . Despite the extensive revision process, changes from to were relatively modest in that both systems are categorical, classifying mental phenomena based on self-reported or clinically observable symptoms. Other recent approaches to psychiatric nosology and classification (eg, neurobiology-based or hierarchical) are discussed. To meet the needs of different user groups, we propose expanding the stepwise approach to diagnosis introduced for some diagnostic categories in , which includes categorical and dimensional elements.
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