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Psychological disorders from A to Z
The disorders in the DSM-5-TR, the reference manual for mental health, explained in plain language. For each one you'll find what it is, the most common signs, practical tips, an online test where we have one, and free resources.
109 disorders
A
Acute stress disorderTrauma and stress
PTSD-like symptoms (intrusive memories, avoidance, alertness, sense of unreality) between three days and one month after the trauma.
Common signs
- Relives the event
- Feels dazed or disconnected
- Can't sleep or relax
Tips
- Look for safety, rest and close support
- Don't force yourself to talk about it if you don't want to
- Get help if it doesn't improve within a few weeks
Adjustment disorderTrauma and stress
Emotional distress or disproportionate changes in behaviour due to a stressful event (separation, dismissal, move, illness), beginning within the next three months.
Common signs
- Anxiety or sadness after a change
- Difficulty keeping up with routine
- Irritability or feeling stuck
Tips
- Separate what you can change from what you can't
- Keep basic sleep and eating routines
- Brief therapy usually works very well
AgoraphobiaAnxiety
Fear of situations from which it would be difficult to escape or get help if anxiety occurs: public transportation, open or closed spaces, crowds or going out alone.
Common signs
- Avoids transport, queues or shopping centres
- Needs to be accompanied
- Life keeps shrinking
Tips
- Build a ladder of situations and climb it step by step
- Gradually rely less on having someone with you
- If it's hard to go out, start with online therapy
Alcohol use disorderAddictions
Pattern of alcohol use that causes problems: drinking more than intended, failed attempts to control it, intense craving, tolerance or abstinence.
Common signs
- Drinks more than intended
- Finds it hard to cut down or stop
- Problems with health, work or family
Tips
- If you drink heavily, never stop suddenly: withdrawal can be dangerous, get medical advice first
- Keep track of how much and when you drink
- Seek professional support and self-help groups
Anorexia nervosaEating disorders
Intake restriction leading to significantly low weight, with intense fear of gaining weight and an altered perception of one's own body. It's a serious disorder with effective treatment.
Common signs
- Severe food restriction
- Intense fear of gaining weight
- Distorted body image
Tips
- Seek specialist help as soon as possible
- Involve the family in treatment
- Don't comment on weight or appearance
Antisocial personality disorderPersonality
Pattern of disregard and violation of the rights of others, impulsiveness and lack of remorse, since adolescence.
Common signs
- Breaking rules and laws
- Deceit and impulsivity
- Lack of remorse
Tips
- Specialist intervention
- Also treat any addictions
- If you are experiencing violence, ask for help
Anxiety disorder caused by illness (hypochondria)Somatic symptoms
Persistent worry about having or developing a serious illness, with mild or no symptoms, and checking or avoiding the doctor.
Common signs
- Fear of being seriously ill
- Checking the body or searching online
- Tests only reassure for a short while
Tips
- Limit checking and searching for information
- Learn to tolerate uncertainty
- Cognitive behavioural therapy is very effective
Attention-deficit/hyperactivity disorder (ADHD)Neurodevelopmental
Persistent pattern of inattention, hyperactivity or impulsivity that begins in childhood and affects studies, work or relationships. In adults it is usually seen as disorganization, forgetfulness, procrastination and inner restlessness.
Common signs
- Forgetfulness, absent-mindedness and difficulty getting organised
- Impulsivity and impatience
- Constant physical or mental restlessness
Tips
- Put your memory outside your head: diary, alarms and visible lists
- Break big tasks into 10- to 20-minute steps
- Ask for an ADHD assessment to consider treatment
Autism spectrum disorder (ASD)Neurodevelopmental
Persistent differences in communication and social interaction, along with intense interests, repetitive behaviors or sensory sensitivity. It's a spectrum: each person needs different supports, and many adults are diagnosed late.
Common signs
- Difficulty reading unspoken social cues
- Need for routine and very intense interests
- Over- or under-sensitivity to noise, light or textures
Tips
- A specialist assessment helps you understand yourself and ask for adjustments
- Respect and plan your sensory rest times
- Use visual schedules and prepare for changes in advance
Avoidant personality disorderPersonality
Social inhibition, feelings of inferiority and hypersensitivity to criticism, which lead to avoiding relationships even if desired.
Common signs
- Fear of rejection and criticism
- Avoids relationships and challenges
- Feels inferior
Tips
- Gradual exposure to social situations
- Work on self-criticism
- Cognitive behavioural therapy is effective
Avoidant/restrictive food intake disorder (ARFID)Eating disorders
Restriction of food due to disinterest, aversion to textures or odors or fear of choking or vomiting, without concern for weight. It can cause weight loss or deficiencies.
Common signs
- Eats very few foods
- Fear of choking or vomiting
- Low weight or growth problems
Tips
- Medical and nutritional assessment
- Gradual exposure to new foods
- Meals without pressure or punishment
B
Binge-eating disorderEating disorders
Episodes of eating too much in a short time with a sense of loss of control, followed by guilt or discomfort, without compensatory behaviors.
Common signs
- Eats a lot and very fast
- Eats when not hungry or in secret
- Guilt and shame afterwards
Tips
- Set regular mealtimes
- Tell physical hunger apart from emotional hunger
- Find other ways to soothe your emotions
Bipolar I disorderBipolar and related
It is characterized by at least one episode of mania: days of euphoria or intense irritability, high energy, little need for sleep, and risky behaviors. It usually alternates with depressive episodes.
Common signs
- Euphoria or irritability for days
- Sleeps very little without getting tired
- Impulsive spending, projects or behaviour
Tips
- Psychiatric treatment is key; don't stop it when you feel well
- Keep regular sleep times
- Identify your warning signs with the people around you
Bipolar II disorderBipolar and related
Major depressive episodes alternating with hypomania: phases of more energy and activity, less intense than mania. Depressions are usually the heaviest.
Common signs
- Recurrent depressions
- Periods of more energy, less sleep and more activity
- Mood changes that others notice
Tips
- Ask for an assessment: it is often mistaken for depression
- Keep a mood and sleep diary
- Combine medical treatment and psychotherapy
Body dysmorphic disorderObsessive-compulsive and related
Intense preoccupation with one or more physical defects that others hardly notice, with repetitive behaviors such as looking in the mirror, comparing oneself, or camouflaging oneself.
Common signs
- Checking the mirror a lot or avoiding it
- Comparing oneself and asking for opinions
- Seeking repeated cosmetic procedures
Tips
- Gradually cut down on checking
- Be wary of cosmetic fixes as an answer to the distress
- Cognitive behavioural therapy is effective
Borderline personality disorder (BPD)Personality
Instability in emotions, relationships and self-image, with fear of abandonment, impulsivity and a sense of emptiness. Effective treatments exist.
Common signs
- Very intense, changeable emotions
- Intense fear of abandonment
- Impulsivity and a sense of emptiness
Tips
- Dialectical behaviour therapy and other specialist therapies are effective
- Practise distress tolerance skills
- If at any point you think about harming yourself, call 024 or 112. You don't have to go through this alone.
Brief psychotic disorderSchizophrenia spectrum and psychosis
Sudden onset of psychotic symptoms lasting between one day and one month, with complete return to previous functioning. Sometimes it's triggered by intense stress or postpartum.
Common signs
- Sudden onset of confusion, delusions or hallucinations
- Very disorganised behaviour
- Often follows a very stressful event
Tips
- Go to A&E or call 112 if there is any risk
- After recovering, have follow-up with mental health services
- Work on managing stress to prevent relapse
Bulimia nervosaEating disorders
Episodes of binge eating followed by behaviors to compensate (vomiting, laxatives, fasting or excessive exercise), and a self-esteem highly tied to weight.
Common signs
- Binges with loss of control
- Vomiting, laxatives or exercise to compensate
- Shame and secrecy
Tips
- Regular meals: avoid long fasts
- Seek specialist treatment
- Work on the emotions behind it
C
Caffeine use: intoxication and withdrawalAddictions
Excess caffeine can lead to intoxication (nervousness, insomnia, tachycardia) and abrupt withdrawal, withdrawal (headache, fatigue, irritability).
Common signs
- Nervousness, palpitations or insomnia
- Headache when going without it
- High intake of coffee or energy drinks
Tips
- Cut down gradually to avoid withdrawal
- Avoid caffeine in the afternoon
- Be careful with energy drinks
Cannabis use disorderAddictions
Cannabis use that causes loss of control, problems in daily life or withdrawal symptoms (irritability, insomnia). It increases the risk of psychosis.
Common signs
- Daily or hard-to-control use
- Lack of motivation and memory problems
- Irritability and insomnia when stopping
Tips
- Cut down in a planned way
- Find other ways to relax and sleep
- Get help if there is anxiety or psychotic symptoms
CatatoniaSchizophrenia spectrum and psychosis
Severe movement and response impairment: the person may remain motionless, speechless, adopt fixed postures, or show aimless agitation. It can appear in psychiatric or medical disorders and requires urgent attention.
Common signs
- Immobility or lack of response
- Not speaking or eating
- Fixed postures or repeated movements
Tips
- It is a medical emergency: call 112
- It can be treated effectively in hospital
- Stay with the person and keep them safe
Conduct disorderImpulse control and conduct
Persistent pattern in children or adolescents of behaviour that violates the rights of others or important norms: aggression, destruction, theft or escape.
Common signs
- Aggression towards people or animals
- Lying, stealing or destruction
- Running away or truancy
Tips
- Early intervention with the family and school
- Supervision and firm limits with warmth
- See a child and adolescent psychologist
Coordination developmental disorderNeurodevelopmental
Motor clumsiness and difficulty learning skills that require coordination (tying laces, writing, sports), which interferes with daily and school life.
Common signs
- Clumsiness, frequent falls or bumps
- Hard-to-read handwriting and slow writing
- Avoids sport and movement games
Tips
- Assessment by a physiotherapist or occupational therapist
- Practise specific skills in short steps
- Praise effort, not just the result
Free resources
Cyclothymic disorderBipolar and related
For at least two years, frequent oscillations between hypomanic and mild depressive symptoms, without reaching full episodes.
Common signs
- Frequent ups and downs in mood
- Spells of euphoria and of feeling low
- Feeling unstable
Tips
- Track your mood to spot patterns
- Keep sleep and activity routines
- Get help to prevent bigger episodes
D
Delayed ejaculationSexual dysfunctions
Marked delay or absence of ejaculation in most sexual encounters, with discomfort.
Common signs
- Great difficulty ejaculating
- Frustration in the relationship
- May be related to medication
Tips
- Medical and medication review
- Take the pressure off the goal
- Sex therapy
Delirium (acute confusional state)Neurocognitive
Sudden and fluctuating alteration of attention and awareness, with disorientation, caused by a medical condition, infection, drugs or substances. It's a medical emergency.
Common signs
- Confusion that comes on over hours or days
- Worse in the afternoon or at night
- Drowsiness or agitation
Tips
- Seek urgent medical attention
- Reorient calmly: date, place, people
- Daylight during the day and rest at night
Delusional disorderSchizophrenia spectrum and psychosis
Presence of one or more delusional thoughts (of persecution, jealousy, illness, etc.) for at least a month, without other major symptoms of psychosis. Outside of that subject, the person usually functions normally.
Common signs
- Firm conviction in something unrealistic
- Great distress or conflict over that idea
- The rest of life seems unaffected
Tips
- Don't argue about the idea: validate the emotion behind it
- Encourage them to seek help for the distress it causes
- Therapy and medical treatment can help
Dependent personality disorderPersonality
Excessive need for others to take care of you, with submissive behavior and fear of separation or making decisions alone.
Common signs
- Finds it hard to decide without advice
- Fear of being alone
- Accepts things they don't want so as not to lose someone
Tips
- Make small decisions on your own
- Work on self-esteem and boundaries
- Therapy for emotional dependence
Depersonalisation/derealisation disorderDissociative
Persistent feeling of being out of one's own body or that the environment is unreal, as in a dream, maintaining awareness that it is not.
Common signs
- Feeling like an observer of oneself
- The world seems unreal or distant
- Sense of reality is kept
Tips
- Sensory grounding techniques
- Reduce anxiety and stress
- See a psychologist
Depression (major depressive disorder)Depressive
Low mood or loss of interest almost every day for at least two weeks, with changes in sleep, appetite, energy, concentration and self-image.
Common signs
- Sadness, emptiness or loss of interest
- Tiredness and changes in sleep and appetite
- Guilt, hopelessness or thoughts of death
Tips
- Get your day going with small pleasant or useful tasks, even if you don't feel like it
- Talk to someone you trust and ask for professional help
- If at any point you think about harming yourself, call 024 or 112. You don't have to go through this alone.
Disinhibited social engagement disorderTrauma and stress
Children with a history of neglect who relate to unfamiliar adults with excessive familiarity, without the caution expected.
Common signs
- Goes off with strangers without hesitating
- Excessive physical or verbal familiarity
- Doesn't check back with their caregiver
Tips
- A stable bond with caregivers
- Teach safety rules clearly
- Specialist intervention
Disorder of functional neurological symptoms (conversion)Somatic symptoms
Real neurological symptoms (weakness, tremor, seizures, loss of sensation or vision) that are not explained by a neurological disease but by a malfunction of the nervous system.
Common signs
- Weakness, tremors or seizures
- Tests show no damage
- Gets worse with stress
Tips
- Ask the neurologist for a clear explanation
- Combined physiotherapy and psychotherapy
- Gradually return to activity
Free resources
Disorder of the circadian rhythm of sleep-wakeSleep-wake
Mismatch between the biological clock and the necessary schedules (phase delay, shift work, jet lag), causing insomnia or drowsiness.
Common signs
- Falls asleep and wakes up very late
- Problems with rotating shifts
- Sleepiness during working hours
Tips
- Daylight in the morning and little light at night
- Fixed times, at weekends too
- See a sleep clinic
Disruptive mood dysregulation disorderDepressive
Diagnosis of childhood (6 to 18 years) with intense and frequent, disproportionate tantrums, and an irritable mood almost every day.
Common signs
- Outbursts of rage several times a week
- Constant irritability between outbursts
- Problems at home and at school
Tips
- See a child psychologist
- Guidance for the family: calm, clear limits and preparing ahead
- Teach them to recognise and name anger
Dissociative amnesiaDissociative
Inability to recall important personal information, usually related to a traumatic or stressful event, not explained by normal forgetting.
Common signs
- Forgetting important periods or events
- Linked to traumatic experiences
- Distress about the gaps
Tips
- Rule out medical causes
- Trauma-focused therapy
- Don't force the memory
Dissociative identity disorderDissociative
Presence of two or more distinct identity states, with memory gaps in daily life. It is usually associated with severe and repeated childhood trauma.
Common signs
- Significant memory gaps
- Feeling there are different parts of oneself
- Sudden changes in behaviour
Tips
- Seek specialist trauma therapy
- Stabilisation is the first step
- Keep a record to help you remember
Drug use disorder (cocaine and amphetamines)Addictions
Use of cocaine, amphetamines or other stimulants with loss of control, intense craving and consequences on physical and mental health.
Common signs
- Increasing use
- Anxiety, insomnia or paranoia
- Severe crash after using
Tips
- Seek specialist addiction help
- Identify risky people and places
- Urgent care if there is chest pain or intense paranoia
E
EncopresisElimination
Repeated stool discharge in inappropriate places from the age of four years. It's often associated with constipation.
Common signs
- Soiling underwear
- Frequent constipation
- Shame and hiding it
Tips
- See the paediatrician about constipation
- Toilet routines after meals
- Positive reinforcement and no punishment
Free resources
EnuresisElimination
Repeated urination in bed or on clothing from the age of five, involuntarily or intentionally.
Common signs
- Wetting the bed several times a week
- Shame or avoiding sleeping away from home
- No medical cause to explain it
Tips
- Rule out medical causes with the paediatrician
- Enuresis alarm and positive reinforcement
- Never punish or ridicule
Free resources
Erectile disorderSexual dysfunctions
Persistent difficulty getting or maintaining an erection sufficient for sexual activity, for at least six months and with discomfort.
Common signs
- Difficulty getting or keeping an erection
- Anxiety about sexual encounters
- Avoiding intimacy
Tips
- Medical check-up: there may be physical causes
- Take the pressure off performance
- Sex and couples therapy helps
Exorcism disorder (scratching the skin)Obsessive-compulsive and related
Scratching or pinching the skin repeatedly to the point of injury, with failed attempts to stop.
Common signs
- Wounds or marks from picking
- Does it when tense or bored
- Tries to hide it
Tips
- Habit reversal training
- Keep your hands busy
- Look after your skin to reduce the urge
F
Factitious disorderSomatic symptoms
Inventing, causing or exaggerating physical or psychological symptoms in oneself or another person, without obvious external benefit.
Common signs
- Inconsistent medical histories
- Many hospital admissions
- Symptoms that don't fit the test results
Tips
- A professional approach without confrontation
- Long-term psychological treatment
- If a child is affected, inform child protection services
Female orgasmic disorderSexual dysfunctions
Persistent difficulty reaching orgasm, or lower intensity, in most sexual intercourse, with discomfort.
Common signs
- Difficulty reaching orgasm
- Frustration or lack of interest
- Anxiety about sexual encounters
Tips
- Get to know your body and what gives you pleasure
- Open communication with your partner
- Sex therapy
G
Gambling disorderAddictions
Persistent and problematic gambling behaviour (gambling, online casino, slot machines) with need to play more, attempts to make up for lost money and financial and family problems.
Common signs
- Gambles more and more money or time
- Tries to win back losses
- Lies or gets into debt
Tips
- Self-exclude from gambling (in Spain, the national gambling self-exclusion register)
- Put someone you trust in charge of the money
- Seek treatment and support groups
Gender dysphoriaGender dysphoria
Significant discomfort due to the difference between the gender the person feels and the one assigned at birth. It's not an identity disorder: what's being treated is discomfort.
Common signs
- Distress with the body or the assigned role
- Wishing to be treated according to one's identity
- Anxiety or sadness due to rejection
Tips
- An environment that respects your identity protects your mental health
- Look for experienced, respectful professionals
- Psychological support if there is anxiety or depression
Generalised anxiety disorder (GAD)Anxiety
Excessive and difficult to control worrying about many issues (health, work, family, money) for months, with stress, fatigue, irritability and sleep problems.
Common signs
- Constant worry about everything
- Muscle tension and tiredness
- Difficulty sleeping and concentrating
Tips
- Set aside a daily "worry time" and postpone the rest
- Tell solvable problems apart from unsolvable ones
- Practise relaxation and mindfulness
Genito-pelvic pain/penetration disorderSexual dysfunctions
Intense pain, fear or muscle tension before penetration, which makes it difficult or prevents it (including former vaginismus).
Common signs
- Pain during sex
- Involuntary muscle contraction
- Fear and avoidance
Tips
- Gynaecological and pelvic floor physiotherapy assessment
- Gradual exposure without pressure
- Sex therapy
Global developmental delayNeurodevelopmental
Diagnosis for children under five years of age who do not reach the expected milestones in several areas (motor, language, social, cognitive) and who cannot yet be reliably assessed. It requires follow-up and reassessment later.
Common signs
- Late to sit, walk or talk
- Little play or interaction for their age
- Difficulties in several areas at once
Tips
- See the paediatrician and ask for early intervention as soon as possible
- Encourage language by talking to them, reading and naming what you're doing
- Keep a note of progress and questions to share with professionals
H
Hallucinogen use disorderAddictions
Problematic use of substances such as LSD, psilocybin or MDMA, which causes problems or discomfort. Some people suffer persistent perceptual disturbances after consumption.
Common signs
- Repeated use despite problems
- Visual disturbances that persist
- Anxiety or panic after using
Tips
- Avoid using, especially if there is a history of psychosis
- Seek help if the effects persist
- Talk to professionals without fear of being judged
Histrionic personality disorderPersonality
Excessive emotionality and constant attention seeking, with relationships that feel more intimate than they are.
Common signs
- Needs to be the centre of attention
- Changeable, theatrical emotions
- Very easily influenced
Tips
- Therapy to work on self-esteem
- Look for validation from stable sources
- Explore what need lies behind it
Hoarding disorderObsessive-compulsive and related
Persistent difficulty getting rid of objects, even if they are of no value, because of the need to keep them. The accumulation even prevents the use of the spaces of the house.
Common signs
- Keeping useless items
- Intense distress when throwing things away
- Rooms that can't be used
Tips
- Start with a small area and decide on the spot
- Apply the "one in, one out" rule
- Seek non-judgemental help; confrontation doesn't work
Hypersomnolence disorderSleep-wake
Excessive drowsiness despite sleeping at least seven hours: involuntary napping, very long sleep or difficulty waking up completely.
Common signs
- Excessive daytime sleepiness
- Waking up is very hard
- Naps that aren't refreshing
Tips
- See a sleep clinic
- Regular sleep times
- Don't drive if you feel sleepy
I
Inhalant use disorderAddictions
Inhaling glue, solvents or gases to produce psychoactive effects. It is especially dangerous in adolescents because of brain damage and the risk of sudden death.
Common signs
- Smell of chemicals
- Dizziness, confusion or slurred speech
- Irritation in the nose and mouth
Tips
- Urgent medical attention if there are symptoms
- Keep the products out of reach
- Intervention with the young person and the family
InsomniaSleep-wake
Difficulty starting or maintaining sleep, or waking up too early, at least three nights a week for three months, with tiredness or discomfort during the day.
Common signs
- Takes a long time to fall asleep or wakes up a lot
- Tiredness and irritability during the day
- Worrying about not sleeping
Tips
- Always get up at the same time
- Use the bed only for sleeping; if you can't sleep, get up and come back when sleepy
- Cognitive behavioural therapy for insomnia is the treatment of choice
Intellectual disabilityNeurodevelopmental
Limitations in intellectual functioning (thinking, planning, learning) and adaptation to daily life, which appear during development. Its degree (mild, moderate, severe or profound) is mainly defined by the supports the person needs.
Common signs
- Delay in developmental milestones and school learning
- Difficulty understanding rules, money or time
- Needs support for everyday independence
Tips
- Ask for a neuropsychological assessment to understand their profile of strengths and support needs
- Use short instructions, visual supports and stable routines
- Encourage independence with small steps and praise every achievement
Intermittent explosive disorderImpulse control and conduct
Repeated outbursts of disproportionate anger (verbal or physical) that the person cannot control and usually regrets.
Common signs
- Disproportionate outbursts of anger
- Damage to objects or others
- Guilt or shame afterwards
Tips
- Spot the early signs of anger
- Step away and breathe before responding
- Emotion regulation therapy
K
KleptomaniaImpulse control and conduct
Recurrent and irresistible urge to steal unneeded items, with prior stress and subsequent relief, often followed by guilt.
Common signs
- Stealing worthless or unneeded items
- Tension before and relief after
- Guilt and shame
Tips
- Cognitive behavioural therapy
- Avoid risky situations
- Ask for help before there are legal consequences
L
Language disorderNeurodevelopmental
Persistent difficulties in acquiring and using language (vocabulary, grammar, constructing sentences or understanding) well below what is expected for age, not explained by hearing loss or other condition.
Common signs
- Small vocabulary and short or jumbled sentences
- Difficulty telling what happened
- Trouble following long instructions
Tips
- Assessment by a speech therapist and, if needed, a neuropsychologist
- Expand their sentences: if they say "dog", answer "yes, a big dog"
- Give them time to express themselves and avoid constantly correcting
Free resources
M
Major neurocognitive disorder (dementia)Neurocognitive
Major impairment of memory or other functions (language, orientation, planning) that interferes with autonomy. It may be due to Alzheimer's, vascular problems, Lewy bodies, and other causes.
Common signs
- Forgetfulness that affects daily life
- Disorientation
- Changes in behaviour or personality
Tips
- Neuropsychological and neurological assessment
- Cognitive stimulation and stable routines
- Look after the carer too
Mild neurocognitive disorder (mild cognitive decline)Neurocognitive
Mild loss of memory or other abilities, greater than expected by age, which does not prevent autonomy. It should be evaluated and followed up.
Common signs
- More frequent forgetfulness
- Has trouble finding words
- Needs more effort to get organised
Tips
- A baseline neuropsychological assessment
- Physical exercise, social life and mental activity
- Keep an eye on blood pressure, blood sugar and sleep
N
Narcissistic personality disorderPersonality
A pattern of grandiosity, need for admiration and lack of empathy, which often hides a fragile self-esteem.
Common signs
- Feeling special
- Need for admiration
- Reacts badly to criticism
Tips
- Long-term therapy
- Work on empathy and self-esteem
- If you live with someone like this, look after your boundaries
NarcolepsySleep-wake
Irresistible sleep attacks during the day, often with cataplexy (sudden loss of muscle tone with intense emotions). It's a neurological disorder.
Common signs
- Sleep attacks during the day
- Muscle weakness when laughing or emotional
- Sleep paralysis or hallucinations when falling asleep
Tips
- Diagnosis at a sleep clinic
- Scheduled naps
- Psychological support to adjust
Nightmare disorderSleep-wake
Frequent and distressing nightmares, which wake the person up and leave him uncomfortable or afraid to sleep.
Common signs
- Repeated nightmares
- Waking up afraid
- Tiredness from being afraid to sleep
Tips
- Imagery rehearsal technique: rewrite the ending of the nightmare
- Reduce stress before bed
- If they are linked to trauma, seek help
O
Obsessive-compulsive disorder (OCD)Obsessive-compulsive and related
Obsessions (intrusive thoughts or images that generate distress) and compulsions (rituals to calm it: checking, washing, sorting, going over mentally) that consume time and discomfort.
Common signs
- Frightening intrusive thoughts
- Repeated rituals to calm anxiety
- Need to make sure or ask over and over
Tips
- The treatment of choice is exposure and response prevention
- Delay the ritual a few more minutes each time
- Ask the people around you not to take part in the rituals
Free resources
Obsessive-compulsive personality disorderPersonality
A preoccupation with order, perfectionism and control, which undermines flexibility and efficiency. It's different from OCD.
Common signs
- Perfectionism that stops tasks being finished
- Rigidity and need for control
- Excessive devotion to work
Tips
- Practise "good enough"
- Delegate tasks and accept they may be done differently
- Plan leisure time
Obstructive sleep apnoeaSleep-wake
Pauses in breathing during sleep due to airway obstruction, with snoring and daytime sleepiness. He has effective medical treatment.
Common signs
- Loud snoring and pauses in breathing
- Tiredness on waking
- Daytime sleepiness
Tips
- See your doctor or a sleep clinic
- Avoid alcohol in the evening
- Look after your weight and sleeping position
Opioid use disorderAddictions
Problematic use of heroin or opioid painkillers (such as codeine, tramadol or oxycodone), with tolerance, withdrawal and risk of overdose.
Common signs
- Needs increasingly higher doses
- Withdrawal symptoms when stopping
- Use outside medical prescription
Tips
- There are effective treatments: ask for medical help
- Don't mix with alcohol or sedatives
- In case of overdose, call 112
Oppositional defiant disorderImpulse control and conduct
Pattern of anger, irritability, arguments and defiance towards authority figures for at least six months, beyond the normal age.
Common signs
- Argues and defies rules
- Gets angry easily
- Blames others for their mistakes
Tips
- Clear, few and consistent rules
- Strongly reinforce positive behaviour
- Parent training programmes
Free resources
P
Panic disorderAnxiety
Unexpected and repeated panic attacks (palpitations, choking, dizziness, fear of dying or losing control) and constant worry about having them again.
Common signs
- Sudden attacks of intense fear
- Fear of bodily sensations
- Avoids places in case an attack happens
Tips
- Remember the attack is intense but not dangerous, and it passes on its own
- Breathe slowly: breathe out for longer than you breathe in
- Don't run away: staying teaches your body there is no danger
Paranoid personality disorderPersonality
Widespread distrust and suspicion: tendency to interpret others' intentions as malicious.
Common signs
- Distrusts others for no reason
- Holds grudges
- Finds it hard to trust anyone
Tips
- Therapy built on a trusting relationship
- Check interpretations against facts
- Work on the anxiety behind it
Paraphilic disordersParaphilic
Intense and persistent sexual interest that causes discomfort to the person or involves harm or risk to others, or lack of consent. They have specialized psychological treatment.
Common signs
- Fantasies or urges that cause distress
- Behaviour that affects others
- Guilt or fear of losing control
Tips
- Ask for professional help before acting
- Specialist therapy is confidential
- If someone is at risk, call 112
Perinatal and postpartum depressionDepressive
Depression that occurs during pregnancy or after childbirth. It's common, it doesn't depend on being a good or bad mother, and it has treatment.
Common signs
- Sadness or crying that doesn't ease after the first few weeks
- Feeling overwhelmed or guilty
- Difficulty bonding with the baby
Tips
- Ask for help: you don't have to cope with everything
- Rest when you can and share out tasks
- If at any point you think about harming yourself, call 024 or 112. You don't have to go through this alone.
Persistent depressive disorder (dysthymia)Depressive
Mood down most of the day for at least two years, chronically. A person may think that "it's always been like this".
Common signs
- Low mood almost all the time
- Low self-esteem and little energy
- Pessimism and hopelessness
Tips
- It can be treated even if it has lasted years
- Plan meaningful activities every week
- Psychotherapy helps change thinking patterns
Persistent motor or vocal tic disorderNeurodevelopmental
Motor or vocal tics, but not both types, present for more than one year and with onset before the age of 18.
Common signs
- Repeated motor (or vocal) tics
- Worse with stress or tiredness
- Can be held back for a while, with effort
Tips
- Reduce stress and look after your sleep
- Ask about behavioural intervention for tics (CBIT)
- Get help if they cause distress or limitations
Free resources
PicaEating disorders
Persistent eating of non-food substances (earth, paper, ice, chalk) for at least one month, in an age-inappropriate manner.
Common signs
- Eats soil, paper or other substances
- May be linked to nutritional deficiencies
- Risk of poisoning or digestive problems
Tips
- Medical check-up to rule out deficiencies such as iron
- Supervise and remove risky objects
- Behavioural intervention
Free resources
Post-traumatic stress disorder (PTSD)Trauma and stress
After experiencing or witnessing a traumatic event, intrusive memories, nightmares, avoidance, constant alertness, and negative mood swings occur for more than a month.
Common signs
- Memories or nightmares that keep coming back
- Avoiding everything that reminds them of the event
- Startling easily, irritability and a sense of danger
Tips
- Trauma-focused therapies are effective
- Use grounding techniques: name 5 things you can see
- Keep routines and social support
Premature ejaculationSexual dysfunctions
Ejaculation that occurs very soon, usually within one minute after penetration, and before desired, with discomfort.
Common signs
- Very quick ejaculation
- Feeling of lack of control
- Frustration or avoidance
Tips
- Stop-start or squeeze techniques
- Talk openly with your partner
- See a sex therapist
Premenstrual dysphoric disorderDepressive
Intense emotional symptoms (irritability, sadness, anxiety, mood swings) in the week before menstruation, which improve a few days after onset and affect daily life.
Common signs
- Intense irritability or sadness before your period
- Anxiety or feeling out of control
- Improves when your period starts
Tips
- Track symptoms over two cycles
- See a gynaecologist and a psychologist
- Exercise, sleep and cutting down on caffeine and alcohol
Prolonged grief disorderTrauma and stress
After the death of a loved one, at least a year later (six months in children), intense longing, pain and difficulty in returning to life persist, beyond what is expected in their culture.
Common signs
- Intense, constant longing
- Disbelief or a sense of emptiness
- Can't get on with their life
Tips
- Grief has no deadline, but if it keeps you stuck, ask for help
- Allow yourself to remember and express what you feel
- Grief therapy helps rebuild the bond
Provisional tic disorderNeurodevelopmental
Motor or vocal tics lasting less than one year. They are common in childhood and often go away on their own.
Common signs
- Recent tics, less than a year old
- They come and go
- They increase with nerves or tiredness
Tips
- Don't pay attention to them or ask them to control them
- Keep routines and good rest
- Get help if they last or interfere
Free resources
Psychological factors that influence other medical conditionsSomatic symptoms
When psychological factors (stress, anxiety, avoidance, failure to follow treatment) worsen a physical illness, such as diabetes, hypertension or irritable bowel syndrome.
Common signs
- Stress makes the illness worse
- Difficulty following treatment
- Avoiding appointments or tests
Tips
- Coordination between the doctor and the psychologist
- Stress management techniques
- A realistic plan to stick to treatment
PyromaniaImpulse control and conduct
Deliberately and repeatedly starting fires, with tension before and relief or pleasure after, for no other reason than money or revenge.
Common signs
- Intense fascination with fire
- Deliberate fire-setting
- Relief after setting them
Tips
- Seek professional help immediately
- Remove lighters and sources of fire
- Specialist psychological intervention
R
Reactive attachment disorderTrauma and stress
It appears in children who have suffered neglect or lack of stable care: they hardly seek comfort from adults and show little emotional response.
Common signs
- Doesn't seek comfort when they need it
- Little expression of positive emotions
- Irritability or sadness for no apparent reason
Tips
- Needs stable, predictable caregivers
- Specialist intervention with the family
- Be patient: trust is built little by little
REM sleep behaviour disorderSleep-wake
Sudden movements during sleep in which the person "acts out" their dreams (hitting, kicking, shouting), with a risk of injury. Requires neurological assessment.
Common signs
- Punching or shouting while dreaming
- Remembers the dream if woken
- More common in people over 50
Tips
- Assessment by a neurologist or at a sleep clinic
- Make the area around the bed safe
- Report any other neurological symptom
Restless legs syndromeSleep-wake
Urgent need to move the legs, with uncomfortable sensations that appear at rest and at night and that are relieved by moving.
Common signs
- Uncomfortable legs at night
- Relief when walking or moving
- Difficulty falling asleep
Tips
- Medical check-up (review iron and medication)
- Stretching and moderate exercise
- Avoid caffeine and alcohol in the afternoon and evening
Rumination disorderEating disorders
Repeatedly regurgitating food after eating, to chew, swallow, or spit it out again, without a medical cause.
Common signs
- Repeated regurgitation after meals
- Weight loss
- Avoids eating in front of others
Tips
- Medical assessment
- Diaphragmatic breathing after meals
- Behavioural therapy
S
Schizoaffective disorderSchizophrenia spectrum and psychosis
It combines symptoms of schizophrenia with episodes of mood (depression or mania). It requires coordinated psychiatric and psychological treatment.
Common signs
- Psychotic symptoms
- Depressive or euphoric episodes
- Changes in day-to-day functioning
Tips
- Follow-up with psychiatry and psychology
- Learn to spot signs of relapse
- Regular sleep and activity routines
Schizoid personality disorderPersonality
Withdrawal from social relationships and limited emotional expression; preference for solitary activities.
Common signs
- Prefers to be alone
- Little interest in relationships
- Seems cold or distant
Tips
- Respect their social pace
- Therapy if there is distress or isolation
- Look for shared low-contact activities
SchizophreniaSchizophrenia spectrum and psychosis
Disorder affecting perception and thinking: delusions, hallucinations, disorganized speech and symptoms such as apathy or isolation may occur for at least six months. With treatment and support, many people lead full lives.
Common signs
- Hearing or seeing things others don't perceive
- Unusual beliefs that cannot be questioned
- Isolation, apathy and difficulty with self-care
Tips
- Seek mental health care as soon as possible: early intervention improves the outlook
- Stick to the prescribed treatment and check-ups
- Avoid cannabis and other drugs, which make symptoms worse
Schizophreniform disorderSchizophrenia spectrum and psychosis
Schizophrenia-like symptoms (delusions, hallucinations, disorganization) lasting between one and six months.
Common signs
- Sudden changes in the way of thinking or perceiving
- Mistrust or strange ideas
- Difficulty functioning day to day
Tips
- Urgent mental health consultation
- Support them without arguing about delusional ideas
- Avoid alcohol and drugs
Schizotypal personality disorderPersonality
Disturbance in close relationships, peculiar ideas or beliefs, unusual perceptions and eccentric behavior.
Common signs
- Magical or strange ideas
- Intense social anxiety
- Eccentric appearance or behaviour
Tips
- Mental health follow-up
- Work on social anxiety
- Avoid drugs
Sedative, hypnotic or anxiolytic use disorderAddictions
Problematic use of benzodiazepines or other drugs for sleep or anxiety, with tolerance and difficulty quitting.
Common signs
- Needs a higher dose for the same effect
- Anxiety or insomnia when cutting down
- Use without medical supervision
Tips
- Don't stop them suddenly: taper under medical guidance
- Learn alternatives for anxiety and sleep
- Cognitive behavioural therapy
Selective mutismAnxiety
Persistent inability to speak in certain social situations (e.g. school) although speaking normally in others. It's a form of anxiety, not disobedience.
Common signs
- Talks at home but not in class
- Freezes or stays still
- Communicates with gestures
Tips
- Don't pressure them to speak
- Gradual steps with the school's support
- See a child psychologist
Separation anxiety disorderAnxiety
Excessive fear or anxiety of separation from attachment people, with concern that something will happen to them. It can occur in children as well as adults.
Common signs
- Intense distress when separating
- Worry that something will happen to the other person
- Avoids sleeping alone or leaving home
Tips
- Brief, predictable goodbyes without dragging them out
- Gradual exposure to short separations
- Validate the fear and convey confidence
Sexual interest or arousal disorderSexual dysfunctions
Persistent lack of interest in or arousal during sexual activity, causing discomfort. In men, it's called hypoactive sexual desire.
Common signs
- Little interest in sex
- Few fantasies or little initiative
- Personal or relationship distress
Tips
- Review tiredness, stress, medication and hormones
- Make time for intimacy without pressure
- Sex or couples therapy
Sleepwalking and night terrorsSleep-wake
Partial awakenings from deep sleep with behaviors such as sleepwalking or episodes of screaming and intense fear, of which the person hardly remembers anything.
Common signs
- Walking or talking in sleep
- Screaming and terror without fully waking
- No memory of it the next day
Tips
- Make the surroundings safe (doors, windows, stairs)
- Don't try to wake them abruptly
- Keep regular sleep times and avoid lack of sleep
Social anxiety disorder (social phobia)Anxiety
An intense fear of being observed, evaluated, or ridiculed in social situations, leading to avoidance or great discomfort.
Common signs
- Fear of speaking in public or with strangers
- Blushing, trembling or sweating in front of others
- Avoids meetings, phone calls or eating in public
Tips
- Cut down on safety behaviours (looking at your phone, not speaking)
- Gradually expose yourself to feared situations
- Focus your attention outwards, on the conversation
Social communication disorder (pragmatic)Neurodevelopmental
Difficulties with social language use: adapting speech to context, respecting turns, understanding the implicit or jokes, without the restricted interests of autism.
Common signs
- Takes sentences literally
- Finds it hard to keep a back-and-forth conversation going
- Doesn't adapt how they speak to each person
Tips
- Explain social rules explicitly
- Practise conversations and turn-taking through games
- Assessment by a speech therapist or psychologist
Somatic symptom disorderSomatic symptoms
Physical symptoms that cause excessive worry, too much time spent on them, and great discomfort. The symptoms are real; it's about how you live them.
Common signs
- Constant worry about symptoms
- Repeated medical visits
- A lot of time spent focused on the body
Tips
- Agree on regular medical check-ups, not on demand
- Cut down on searching for information online
- Return to activities even if there are symptoms
Specific learning disorderNeurodevelopmental
Persistent difficulties in reading (dyslexia), writing (dysorthography) or mathematics (dyscalculia), far below what is expected despite adequate education and normal intelligence.
Common signs
- Slow reading or many errors
- Persistent spelling mistakes
- Difficulty with calculation and numbers
Tips
- Neuropsychological assessment with a report for the school
- Ask for adjustments: extra time, oral exams, support
- Boost self-esteem: difficulty isn't a lack of ability
Specific phobiaAnxiety
Intense and irrational fear of something concrete (animals, heights, blood, needles, flying, elevators) that leads to avoidance and limits daily life.
Common signs
- Immediate fear when faced with the trigger
- Active avoidance
- Recognises that the fear is excessive
Tips
- Gradual exposure is the most effective treatment
- Start with what scares you a little and move up step by step
- Breathe slowly and stay until the anxiety goes down
Speech sound disorderNeurodevelopmental
Persistent difficulty in producing speech sounds, which causes the child to be poorly understood or which affects their communication, beyond what is expected for their age.
Common signs
- Swaps or leaves out sounds ("tat" for "cat")
- People outside the family find them hard to understand
- Avoids speaking out of embarrassment
Tips
- See a speech therapist
- Say the word correctly back to them without making them repeat it
- Sound games, rhymes and songs at home
Free resources
Stereotypic movement disorderNeurodevelopmental
Repetitive and seemingly purposeless movements (swinging, flapping, hitting) that interfere with daily life or may cause injury.
Common signs
- Repeated rocking, flapping or spinning
- They increase with stress or excitement
- Sometimes hits or bites themselves
Tips
- If there is a risk of injury, seek help soon
- Identify which situations trigger them
- Don't punish: look for other ways to self-regulate
Free resources
Stuttering (fluidity disorder of childhood onset)Neurodevelopmental
Changes in speech fluency, such as repetition of syllables, prolongation of sounds, or blockages, which cause anxiety when speaking or limit communication.
Common signs
- Repeated syllables or prolonged sounds
- Tense blocks when starting to speak
- Avoids situations where they have to speak
Tips
- Listen calmly, without finishing their sentences or asking them to slow down
- See a speech therapist who specialises in fluency
- Work on speaking anxiety with psychological support
Substance or drug-induced psychotic disorderSchizophrenia spectrum and psychosis
Delusions or hallucinations caused by the use or withdrawal of a substance (cannabis, cocaine, amphetamines, alcohol) or by a medication.
Common signs
- Psychotic symptoms linked to substance use
- Paranoia or hallucinations after using
- They improve when the substance is stopped
Tips
- Seek urgent medical attention
- Stop the substance with professional help
- Treat the addiction to prevent new episodes
T
Technology addictionAddictions
Use of mobile phones, social networks or video games with loss of control and consequences on sleep, studies or relationships. The DSM-5-TR only lists Internet gambling disorder as an area of study.
Common signs
- Losing track of time spent online
- Irritability when unable to go online
- Neglecting other activities
Tips
- Set screen-free times, especially before bed
- Turn off notifications and keep your phone out of the bedroom
- Take up offline activities again
Tobacco use disorderAddictions
Nicotine addiction: daily use difficult to quit, intense craving and withdrawal symptoms upon withdrawal.
Common signs
- Smokes daily and finds it hard to stop
- Irritability or anxiety when not smoking
- Smokes despite health problems
Tips
- Pick a quit date and prepare for it
- Ask for treatment at your health centre
- Psychological therapy doubles the chances of success
Tourette's syndromeNeurodevelopmental
Multiple motor tics and at least one vocal tick for more than one year, beginning before age 18. They vary in intensity and usually improve in adulthood.
Common signs
- Blinking, grimacing or sudden movements
- Throat clearing, sounds or words
- An urge felt before the tic
Tips
- Avoid drawing attention to the tics
- Ask about behavioural intervention for tics (CBIT)
- Inform the school to prevent teasing
Free resources
Trichotillomania (hair-pulling)Obsessive-compulsive and related
Repeatedly pulling out hair (scalp, eyebrows, eyelashes) with failed attempts to stop, often to relieve tension or automatically.
Common signs
- Patches with less hair
- Does it without noticing or when tense
- Shame and hiding it
Tips
- Habit reversal training
- Identify high-risk times and places
- Use barriers: gloves, a cap, fidget toys
Free resources
This guide is for general information: it informs and guides, but cannot be used to diagnose. The names follow the DSM-5-TR classification (American Psychiatric Association, 2022); the texts were written by the Clínica Vivaldi team. The online tests are for guidance only.
Are you having a really hard time? If you're thinking of harming yourself, call 024 (free, 24 hours) or 112 if there is an emergency.
Do you recognise yourself in any of them?
Talking to a professional is the step that helps most. Book a first appointment with our team of psychologists, in person in Valencia or online from anywhere in Spain.