6C20.2

ICD-11 MMS 2026-01

Severe bodily distress disorder

Description

All definitional requirements of Bodily distress disorder are present. There is pervasive and persistent preoccupation with the symptoms and their consequences to the extent that these may become the focal point of the person’s life, typically resulting in extensive interactions with the health care system. The symptoms and associated distress and preoccupation cause serious impairment in personal, family, social, educational, occupational, or other important areas of functioning (e.g., unable to work, alienation of friends and family, abandonment of nearly all social and leisure activities). The person’s interests may become so narrow as to focus almost exclusively on his or her bodily symptoms and their negative consequences.

Index terms

  • Severe bodily distress disorder

Exclusions from above levels

  • 6B21 – Body dysmorphic disorder
  • 6B23 – Hypochondriasis
  • 6B25.0 – Hair pulling disorder
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  • 6B25.1 – Excoriation disorder
  • 8A05 – Tic disorders
  • 8A05.00 – Tourette syndrome
  • 8E49 – Myalgic encephalomyelitis
  • HA20 – Sexual pain-penetration disorder
  • http://id.who.int/icd/entity/108180424 – Dissociative disorders
  • http://id.who.int/icd/entity/160690465 – Sexual dysfunctions
  • http://id.who.int/icd/entity/411470068 – Gender incongruence
  • 6B60 – Dissociative neurological symptom disorder
  • http://id.who.int/icd/entity/1100199287 – Concern about body appearance
  • QE62 – Uncomplicated bereavement
  • QE84 – Acute stress reaction

Sibling codes

  • 6C20.0 – Mild bodily distress disorder
  • 6C20.1 – Moderate bodily distress disorder
  • 6C20.Z – Bodily distress disorder, unspecified

Foundation entity

Severe bodily distress disorder – http://id.who.int/icd/entity/1121638993

Part of: 6C20: Bodily distress disorder › 06: Mental, behavioural or neurodevelopmental disorders