ICDL Includes Sensory Processing Disorders in New Diagnostic Manual

The Interdisciplinary Council on Developmental and Learning Disorders has just released its first diagnostic guide, the Diagnostic Manual for Infancy and Early Childhood (ICDL-DMIC). The guide includes the first-ever diagnostic codes for Sensory Processing Disorders.

The ICDL-DMIC is "the first comprehensive, developmentally based classification system for neurodevelopmental, (including autistic spectrum) mental health, language, and learning disorders. The ICDL-DMIC opens a new era in our approach to social, emotional, language, regulatory-sensory processing and learning challenges," according to the ICDL website.

ICDL was founded by Dr. Stanley Greenspan, MD, who also was a founder of the Zero to Three organization in 1977. For the ICDL-DMIC, Greenspan worked with occupational therapists Lucy Jane Miller, PhD, OTR; Marie Anzalone, ScD, OTR; Sharon A. Cermak, EdD, OTR/L; Shelly J. Lane, PhD, OTR; and Beth Osten, MS, OTR/L, to develop the classification scheme for sensory processing disorders.

"We worked together for two years with Dr. Greenspan to come up with this diagnostic classification scheme, which includes definitions, an appendix which is a method of assessing, and a set of diagnostic codes," said Dr. Miller, founder and director of the KID Foundation.

Five years ago, the KID Foundation's board of directors set as an agenda the acknowledgement of sensory processing disorders in both the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and the International Classification of Diseases (ICD-9). As stepping stones to that effort, the foundation also sought inclusion in the ICDL-DMIC and in Zero to Three's Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (DC:0-3).

Therapists treating children with sensory processing disorders can now use a standard code along with one of the new ICDL codes.

For more information, visit ICDL online at and the KID Foundation at

New ICDL-DMIC Diagnostic Codes

200. Regulatory-Sensory Processing Disorder

Sensory Modulation Challenges (Type I)
201. Over-Responsive, Fearful, Anxious Pattern

202. Over-Responsive, Negative, and Stubborn Pattern

203. Under-Responsive, Self-Absorbed Pattern

203.1 Self-Absorbed and Difficult to Engage Type

203.2 Self-Absorbed and Creative Type

204. Active, Sensory Seeking Pattern

Sensory Discrimination Challenges (Type II) and Sensory-Based Motor Challenges (Type III)
205. Inattentive, Disorganized Pattern

205.1 With Sensory Discrimination Challenges

205.2 With Postural Control Challenges

205.3 With Dyspraxia

205.4 With Combinations of 205.1-205.3

206. Compromised School and/or Academic Performance Pattern

206.1 With Sensory Discrimination Challenges

206.2 With Postural Control Challenges

206.3 With Dyspraxia

206.4 With Combinations of 206.1-206.3

Contributing Sensory Discrimination and Sensory-Based Motor Challenges
207. Mixed Regulatory-Sensory Processing Patterns

207.1 Attentional Problems

207.2 Disruptive Behavioral Problems

207.3 Sleep Problems

207.4 Eating Problems

207.5 Elimination Problems

207.6 Elective Mutism

207.7 Mood Dysregulation, including Bipolar Patterns

207.8 Other Emotional and Behavioral Problems Related to Mixed

Regulatory-Sensory Processing Difficulties
207.9 Mixed Regulatory-Sensory Processing Difficulties where Behavioral or Emotional Problems Are Not Yet in Evidence

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