Pattern and course
Onset, duration, frequency, severity, episode pattern and change from the person’s usual functioning.
ICD-11 DISORDER FAMILY
Persistent distressing bodily symptoms or disturbances in the experience of the body associated with excessive attention or impairment.
Reviewed 24 August 2026
Persistent distressing bodily symptoms or disturbances in the experience of the body associated with excessive attention or impairment. Symptoms are real; classification does not mean they are invented, and appropriate medical assessment remains important. A diagnosis is assigned only after a qualified assessment establishes the required pattern and considers exclusions, culture, development, physical health, medicines and substances.
This is a reader-friendly family map, not a substitute for the current WHO coding browser. “Other specified” and “unspecified” residual categories, course qualifiers and extension codes are not presented as self-assessment options.
Onset, duration, frequency, severity, episode pattern and change from the person’s usual functioning.
Development, culture, trauma, physical illness, sleep, medicines, substances and overlapping disorders.
Distress, daily functioning, strengths, support, safeguarding and immediate or longer-term risk.
ICD-11 gives health systems a shared language for clinical communication, service planning and health statistics. It can help a professional organise a complex presentation and consider recognised boundaries between conditions. It does not explain the whole person, determine prognosis, select one treatment automatically or replace an individual formulation.
People may have features from more than one family, meet requirements for more than one disorder, or experience clinically important symptoms without meeting a disorder threshold. A responsible assessment records uncertainty and reviews the formulation when new evidence appears.
The appropriate route depends on age, severity, urgency, physical health, safeguarding and local commissioning. It may begin with a GP, NHS Talking Therapies or a specialist mental-health, neurodevelopmental, eating-disorder, substance-use, perinatal, neurology or memory service. Independent assessment should use appropriately qualified professionals, clear consent, transparent fees and a plan for communication with NHS care where necessary.
iMetaWellness provides complementary wellbeing information and reflective support. It does not diagnose a mental disorder, select investigations, interpret results as a medical opinion, prescribe treatment or replace a GP, psychiatrist, psychologist, pharmacist or NHS service. A test is useful only when a qualified professional has a clear question and a plan for acting on the result.
If someone may act on suicidal thoughts, cannot remain safe, has severe confusion, new psychosis, collapse, seizure, chest pain or another immediate danger, call 999 or attend A&E. For urgent concerns that are not immediately life-threatening, contact NHS 111, the person’s GP, mental-health team or local crisis service.
We can help you organise observations, questions, routines and a concise summary for an appropriate professional. We do not order tests or confirm diagnoses.
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