Global Mental Health Academy courses cover the entire range of ICD-11 Mental, Behavioural and Neurodevelopmental Disorders. We offer introductory courses and advanced workshops and also develop customized training packages based on the needs of our collaborators and co-sponsors.
This training unit describes major changes to the structure of the ICD-11 classification of mental, behavioural and neurodevelopmental disorders as compared to the ICD-10. Innovations in the ICD-11 include the provision of consistent and systematically characterized information, the adoption of a lifespan approach, and culture-related guidance for each disorder. Dimensional approaches have been incorporated into the classification, particularly for personality disorders and primary psychotic disorders, in ways that are consistent with current evidence, are more compatible with recovery-based approaches, eliminate artificial comorbidity, and more effectively capture changes over time. The unit also covers new diagnostic categories included in the ICD-11 that describe populations with clinically important and distinctive features that had previously gone unrecognized as well as specific treatment needs that would otherwise likely go unmet.
Faculty
Upcoming Courses
ICD-11 CDDR
Neurodevelopmental disorders are defined as behavioural and cognitive disorders arising during the developmental period that involve significant difficulties in the acquisition and execution of specific intellectual, motor, language or social functions. This training unit focuses, in particular, on disorders of intellectual development, autism spectrum disorder and developmental learning disorder. This includes an assessment system based on behavioural indicators of intellectual and adaptive behaviour functioning that may be used when individually administered standardized and appropriately normed standardized tests are not available.
Faculty
Upcoming Courses
ICD-11 CDDR
Schizophrenia and other primary psychotic disorders are characterized by significant impairments in reality testing, and alterations in behaviour as manifested in symptoms such as delusions, hallucinations, formal thought disorder (typically manifested as disorganized speech) and disorganized behaviour. In addition to covering the ICD-11 diagnostic requirements for these disorders, this training unit teaches participants how to use a new system of course specifiers and symptom domain specifiers that have replaced the ICD-10 subtypes of schizophrenia. These provide a more valid approach to determining treatment goals and are more consistent with recovery-based approaches.
Faculty
Wolfgang GaebelEN
Ricardo Arturo Saracco ÁlvarezES
Jared W. KeeleyEN
Upcoming Courses
ICD-11 CDDR
Mood disorders is a superordinate grouping of bipolar disorders and depressive disorders. This training unit focuses on how mood disorders are defined according to particular types of mood episodes and their pattern over time. Depressive disorders are characterized by depressive mood (e.g., sad, irritable, empty) or loss of pleasure accompanied by other cognitive, behavioural, or neurovegetative symptoms that significantly affect the individual’s ability to function. Bipolar disorders are defined by manic, mixed or hypomanic episodes or symptoms, typically alternating with periods of depressive symptoms. The training unit also teaches participants how to use a variety of specifiers available for characterizing the clinical presentation.
Faculty
Mario MajEN
José Luis Ayuso-MateosEN / ES
Subho ChakrabartiEN
Upcoming Courses
ICD-11 CDDR
Anxiety and fear-related disorders are characterized by excessive fear and anxiety and related behavioural disturbances, with symptoms severe enough to result in significant distress or impairment in functioning. This training unit describes how the ICD-11 brings together disorders with anxiety or fear as the primary clinical feature, including those that were classified as childhood disorders in the ICD-10. This training unit teaches participants how to identify each anxiety or fear-related disorder according to its focus of apprehension, that is, the stimulus reported by the individual as triggering his or her anxiety, excessive physiological arousal and maladaptive behavioural responses.
Faculty
Cary KoganEN
Humberto NicoliniES
Upcoming Courses
ICD-11 CDDR
The disorders in the obsessive-compulsive and related disorders grouping are characterized by repetitive unwanted thoughts and related repetitive behaviours as the primary clinical feature. The training unit describes the rationale and evidence for creating a grouping of obsessive-compulsive and related disorders distinct from anxiety and fear-related disorders, despite phenomenological overlap, and educates participants about the diagnostic requirements and differential diagnoses for each disorder. Body dysmorphic disorder, olfactory reference disorder, and hoarding disorder are new categories in ICD-11 that have been included in this grouping, along with OCD and hypochondriasis (health anxiety disorder). A subgrouping of body-focused repetitive behaviour disorders includes trichotillomania (hair-pulling disorder) and excoriation (skin-picking) disorder.
Faculty
Cary KoganEN
Humberto NicoliniES
Y.C. Janardhan Reddy EN
Upcoming Courses
ICD-11 CDDR
Disorders specifically associated with stress are directly related to exposure to a stressful or traumatic event, or to a series of such events or adverse experiences. For each of the disorders in this grouping, an identifiable stressor is a necessary, though not sufficient, causal factor. This training unit describes important conceptual updates included in the ICD-11 as well as the new categories of complex PTSD and prolonged grief disorder. Adjustment disorder is defined on the basis of the core feature of preoccupation with a life stressor or its consequences. This training unit teaches participants how to distinguish disorders specifically associated with stress from non-pathological reactions to severe stress as well as from various other mental disorders that can arise as a reaction to stressors.
Faculty
Marylene CloitreEN
Rebeca Robles GarcíaES
Jared W. KeeleyEN
Upcoming Courses
ICD-11 CDDR
Dissociative disorders are characterized by involuntary disruption or discontinuity in the normal integration of one or more of the following: identity, sensations, perceptions, affects, thoughts, memories, control over bodily movements or behaviour. The ICD-11 dissociative disorders grouping has been substantially reorganized and simplified, to reflect recent empirical findings and to enhance clinical utility. This training unit teaches participants about the diagnostic requirements and differential diagnoses for dissociative neurological symptom disorder (previously called conversion disorder), dissociative amnesia, trance and possession trance disorders, dissociative identity disorder (previously called multiple personality disorder), and depersonalization and derealization disorder. Participants also learn to use the new category of partial dissociative identity disorder, in which non-dominant personality states do not recurrently take executive control of the individual’s consciousness and functioning.
Faculty
Upcoming Courses
ICD-11 CDDR
Feeding and eating disorders involve abnormal eating or feeding behaviours that are not better accounted for by another medical condition, and are not developmentally appropriate or culturally sanctioned. The ICD-11 grouping of feeding and eating disorders integrates feeding disorders of childhood, in recognition of the interconnectedness of these disorders across the lifespan and reflecting evidence that these disorders can apply across a broader range of ages. This training unit teaches participants about updated conceptualizations of anorexia nervosa and bulimia nervosa, which eliminates the need for ICD-10 “atypical” categories. It will also focus on how to diagnose the new entities of binge eating disorder and avoidant/restrictive food intake disorder. In addition to better reflecting current evidence and practice, these changes are intended to reduce the use of unspecified residual categories.
Faculty
Kathleen M. PikeEN
María Magdalena Ocampo ReglaES
Palmiero MonteleoneEN
Upcoming Courses
ICD-11 CDDR
Disorders of bodily distress and bodily experience are characterized by disturbances in the person’s experience of their body, including the disorder of bodily distress and the new category of body integrity dysphoria. The ICD-11 disorder of bodily distress replaces the ICD-10 somatoform disorders, and is characterized by the presence of bodily symptoms that are distressing to the individual and excessive attention directed toward the symptoms, which may be manifest by repeated contact with health care providers. This course teaches participants to assess bodily distress disorder along a continuum of severity depending on its impact on functioning.
Faculty
Upcoming Courses
ICD-11 CDDR
Disorders due to substance use include disorders that result from a single occasion or repeated use of substances that have psychoactive properties, including certain medications. Disorders related to 14 classes or groups of psychoactive substances that have important clinical and public health consequences are included. This training unit describes how the ICD-11 grouping of disorders due to substance use was designed to support a range of prevention and intervention strategies. For example, participants learn how to use the diagnosis of single episode of harmful substance use as a basis for early intervention and prevention of escalation of use and harm, whereas the diagnoses of harmful pattern of substance use and substance dependence suggest the need for increasingly intensive interventions.
Faculty
John B. SaundersEN
Hugo González CantúES
Atul AmbekarEN
Upcoming Courses
ICD-11 CDDR
Disorders due to addictive behaviours are recognizable and clinically significant syndromes associated with distress or interference with personal functions that develop as a result of repetitive and reward-seeking behaviours. This training unit focuses on gambling disorder and the new category of gaming disorder. Participants learn about how to diagnose these disorders, their commonalities and differences with disorders due to substance use, and other behaviours that may be conceptualized as functioning in a similar manner based on being initially pleasurable followed by progression to loss of hedonic value and need for increased use. This training unit also covers compulsive sexual behaviour disorder, which is classified as an impulse control disorder but has common features with disorders due to addictive behaviours.
Faculty
Jesús Castro CalvoES
Naomi A. FinebergEN
Susana Jiménez MurciaES
Upcoming Courses
ICD-11 CDDR
Disorders Due to Addictive Behaviours; Impulse Control Disorders
Disruptive behaviour and dissocial disorders are characterized by persistent behaviour problems that range from markedly and persistently defiant, disobedient, provocative or spiteful behaviours to those that persistently violate the basic rights of others or major age-appropriate societal norms, rules, or laws. Onset of disruptive and dissocial disorders is commonly, though not always, during childhood. This training unit covers the assessment and diagnosis of oppositional defiant disorder and conduct dissocial disorder using the ICD-11, including teaching participants to use available specifiers that characterize subtypes of these disorders with important prognostic implications. This includes a specifier indicating the presence of chronic irritability/anger for oppositional defiant disorder, a specifier indicating child or adolescent onset for conduct-dissocial disorder, and a specifier for limited prosocial emotions (sometimes referred to as psychopathy) that may be used with either category. Attention deficit hyperactivity disorder, which is classified as a neurodevelopmental disorder, is also covered in this training unit due to comorbidity and overlapping features.
Faculty
Spencer C. EvansEN
Francisco Rafael de la PeñaES
Upcoming Courses
ICD-11 CDDR
Disruptive Behaviour and Dissocial Disorders; Neurodevelopmental Disorders
Personality refers to an individual’s characteristic way of behaving and experiencing life, and of perceiving and interpreting themselves, other people, events and situations. Personality disorder is a marked disturbance in personality functioning, which is nearly always associated with considerable personal and social disruption. This training unit focuses on the ICD-11 dimensional classification of personality disorder, one of the greatest innovations in the ICD-11. The participants learn to evaluate the severity of an individual case of personality disturbance as well as the presence of five characteristic maladaptive personality traits domains– negative affectivity; detachment; dissociality; disinhibition; and anankastia. The course also describes the improvements in validity and clinical utility as compared to the specific personality disorders in ICD-10.
Faculty
Michaela SwalesEN
Iván Arango de MontisES
Pratap SharanEN
Jared W. KeeleyEN
Upcoming Courses
ICD-11 CDDR
Neurocognitive disorders are characterized by primary clinical deficits in neurocognitive functioning that are acquired rather than developmental. Neurocognitive functioning specifically refers to neurologically-based cognitive skills and abilities believed to be directly related to brain functioning, including but not limited to attention/concentration, memory, language, visual spatial/perceptual skills, processing speed and executive functioning (e.g. problem solving, judgment). This training unit teaches participants how the ICD-11 permits documentation of the cognitive, behavioural and emotional components of neurocognitive disorders as well as their underlying causes, which can include medical conditions classified elsewhere, substances or medications, or multiple etiological factors. This training unit teaches participants to use the considerably expanded range of recognized types of dementia. Participants learn about the evaluation of dementia severity and the use of specifiers for behavioural or psychological disturbances in dementia.
Faculty
Juan Francisco Flores VázquezEN / ES
