Serious Emotional Disturbance

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In U.S. healthcare, SED is an acronym for serious emotional disturbance.

1 Definition
2 Characteristics
3 SED diagnoses (and their DSM-IV codes)
- 3.1 SED diagnoses
- 3.2 Additional SED Diagnoses
4 References

[edit] Definition

Emotional Disturbance is one of thirteen disabilities outlined in the Individuals with Disabilities Education Act (IDEA). Section 1912(c) of the Public Health Service Act, as amended by Public Law 102-321 defines children with a serious emotional disturbance as those who

1) are from birth to age of majority,

2) have had a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria specified within the Diagnostic and Statistical Manual of Mental Disorders (DSM),

3) that has resulted in functional impairment which substantially interferes with, or limits, one or more major life activities.

According to the Center for Mental Health Services, functional impairment is defined as difficulties that substantially interfere with or limit role function in one or more major life activities. This may include an inability to eat, bathe, or dress oneself, or an inability to function effectively in social, family, or educational contexts.

[edit] Characteristics

The National Dissemination Center for Children with Disabilities (NICHCY) has identified the following characteristics and behaviors as typical of children with emotional disturbances:

Hyperactivity (short attention span, impulsiveness)
Aggression/self-injurious behavior (acting out, fighting)
Withdrawal (failure to initiate interaction with others, retreat from exchanges or social interaction, excessive fear or anxiety)
Immaturity (inappropriate crying, temper tantrums, poor coping skills)
Learning difficulties (academically performing below grade level) ^[1]

[edit] SED diagnoses (and their DSM-IV codes)

See DSM-IV Codes for a complete list of codes.

[edit] SED diagnoses

Schizophrenia (295.10, 295.20, 295.30, 295.60, 295.70, 295.90)
Other Psychotic Disorders (297.1, 298.9)
Bipolar Disorders (296.00, 296.01, 296.02, 296.03, 296.04, 296.05, 296.06, 296.40, 296.41, 296.42, 296.43, 296.44, 296.45, 296.46, 296.50, 296.51, 296.52, 296.53, 296.54, 296.55, 296.56, 296.60, 296.61, 296.62, 296.63, 296.64, 296.65, 296.66, 296.7, 296.80, 296.89)
Depressive Disorders (296.20, 296.21, 296.22, 296.23, 296.24, 296.25, 296.26, 296.30, 296.31, 296.32, 296.33, 296.34, 296.35, 296.36, 296.90, 300.4, 301.13, 311)
Anxiety Disorders (300.00, 300.01, 300.02, 300.21, 300.22, 300.3, 309.81)
Dissociative Identity Disorder (300.14)
Personality Disorders (301.0, 301.20, 301.22, 301.4, 301.50, 301.6, 301.81, 301.82, 301.83, 301.9)