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Language Disorders

overview of language disorders - definition and classification based on ICD-10 Language disorders- definition and classification based on DSM-5

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Gowher Nazir
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71 views

Language Disorders

overview of language disorders - definition and classification based on ICD-10 Language disorders- definition and classification based on DSM-5

Uploaded by

Gowher Nazir
Copyright
© © All Rights Reserved
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Overview of

Language
disorders- •Presented by:
•Gowher nazir

definition and Speech-Language Pathologist and


Audiologist

classification based
on ICD & DSM
ICD-10: the tenth International Classification
of Diseases (ICD-10) produced by the World
Health Organization (WHO)

DSM-5 : The Diagnostic and Statistical


Manual of Mental Disorders (DSM-5) produced
by the American Psychiatric Association (APA)

04/18/2023 Sample Footer Text 2


• F80 Specific developmental disorders of
speech and language
• F80.0 Specific speech articulation disorder
• F80.1 Expressive language disorder
Classification • F80.2 Receptive language disorder
• F8O.3 Acquired aphasia with epilepsy
as per ICD-10 [Landau - Kieffner syndrome]
• F80.8 Other developmental disorders of
speech and language
• F80.9 Developmental disorder of speech and
language, unspecified

04/18/2023 Sample Footer Text 3


DEFINITIONS AS PER ICD-10
• F80.1 Expressive language disorder

• A specific developmental disorder in which the child's ability to use expressive spoken language is markedly
below the appropriate level for his or her mental age, but in which language comprehension is within normal
limits. There may or may not be abnormalities in articulation.
• Includes: developmental dysphasia or aphasia, expressive type
• Excludes: acquired aphasia with epilepsy (F80.3)
• developmental aphasia or dysphasia, receptive type (F80.2)
• dysphasia and aphasia NOS (R47.0)
• elective mutism (F94.0)
• mental retardation (F70 - F79)
• pervasive developmental disorders (F84.-)
Diagnostic Criteria for
Expressive Language
Disorder: ICD-10

• Symptoms:
• Expressive language skills, as assessed on standardized
tests, below the 2 standard-deviation limit for the child‘s age.
• Discrepancy:
• Receptive language standardized test scores within 2
standard deviations of the mean for the child’s age.
• F80.2 Receptive language disorder
• A specific developmental disorder in which the child's
understanding of language is below the appropriate level for his or
her mental age. In almost all cases, expressive language is
markedly disturbed and abnormalities in word-sound production
are common.
• Includes: congenital auditory imperception
• developmental aphasia or dysphasia, receptive type
• developmental Wernicke's aphasia
• word deafness
• Excludes: acquired aphasia with epilepsy (F8O.3)
• autism (F84.0, F84.1)
• dysphasia and aphasia, NOS (R47.0) or expressive type (F80.1)
• elective mutism (F94.0)
• language delay due to deafness (H90-H91)
• mental retardation (F70-F79)
Diagnostic criteria for
Receptive Language
Disorder: ICD-10

• Symptoms:
• Receptive language skills, as
assessed on standardized tests, below
the 2 standard deviation limit for the
child’s age.
• Discrepancy:
• Receptive language skills at least 1
standard deviation below nonverbal
IQ as assessed on a standardized test.
• F80.3 Acquired aphasia with epilepsy [Landau -
Kleffner syndrome]

• A disorder in which the child, having previously made


normal progress in language development, loses both
receptive and expressive language skills but retains general
intelligence.

• The etiology of the condition is not known but the clinical


characteristics suggest the possibility of an inflammatory
encephalitic process.

• Excludes: acquired aphasia due to cerebral trauma, tumor


or other

• known disease process

• autism (F84.0, F84.1)

• other disintegrative disorder of childhood (F84.3)


• Communication Disorders (41)

• 315.32 (F80.2) Language Disorder (42)

• 315.39 (F80.0) Speech Sound Disorder (44)

• 315.35 (F80.81) Childhood-Onset Fluency Disorder


(Stuttering) (45)
CLASSIFICATION
AS PER DSM-5 • Note: Later-onset cases are diagnosed as 307.0 (F98.5)
adult-onset fluency

• disorder.

• 315.39 (F80.89) Social (Pragmatic) Communication


Disorder (47)

• 307.9 (F80.9) Unspecified Communication Disorder (49)


• Language disorder is a neurodevelopment condition with onset during
childhood development. More specifically, classified as a communication
disorder, the core diagnostic features of language disorder are difficulties
in the acquisition and use of language due to deficits in the comprehension
or production of vocabulary, sentence structure, and discourse. The

DEFINITION language deficits are evident in spoken communication, written

AS PER
communication, or sign language.

• Diagnostic Criteria for Language Disorder: DSM-5


DSM-5(2013) DSM-5 Language Disorder (315.39):

1. Reduced vocabulary (word knowledge and use).

2. Limited sentence structure (ability to put words and word endings together
to form sentences based on the rules of grammar and morphology).

3. Impairments in discourse (ability to use vocabulary and connect sentences


to explain or describe a topic or series of events or have a conversation).
Discrepancy n/a ( not available )
• Impairment:
• [Language abilities are substantially and quantifiably below those expected
for age,] resulting in functional limitations in effective communication, social
participation, academic achievement, or occupational performance,
individually or in any combination.

Onset of symptoms is in the early developmental period.


• Exclusions:
• The difficulties are not attributable to hearing or other sensory impairment,
motor dysfunction, or another medical or neurological condition and is not
better explained by intellectual disability (intellectual developmental
disorder) or global developmental delay.
Thank you

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