Listed are the top 10 most common psychiatric diagnoses, based on prevalence, clinical significance, and global impact. These disorders are listed with their DSM-5-TR classification, core features, symptoms, and typical treatment approaches
1. Major Depressive Disorder (MDD)
Category: Depressive Disorders
Prevalence: ~7% annually (U.S.)
Core Features: Persistent sadness or loss of interest
Symptoms:
Depressed mood most of the day
Anhedonia (loss of interest)
Sleep changes
Appetite/weight change
Fatigue
Feelings of worthlessness
Difficulty concentrating
Suicidal thoughts
Treatment:
SSRIs (e.g., fluoxetine)
Cognitive Behavioral Therapy (CBT)
Lifestyle interventions (exercise, sleep)
Electroconvulsive therapy (severe cases)
2. Generalized Anxiety Disorder (GAD)
Category: Anxiety Disorders
Prevalence: ~3% annually
Core Features: Excessive, uncontrollable worry for at least 6 months
Symptoms:
Restlessness
Fatigue
Difficulty concentrating
Irritability
Muscle tension
Sleep disturbance
Treatment:
CBT
SSRIs or SNRIs
Buspirone
Relaxation techniques and mindfulness
3. Bipolar I Disorder
Category: Bipolar and Related Disorders
Prevalence: ~1% lifetime
Core Features: At least one manic episode (may include depressive episodes)
Symptoms (Manic Episode):
Elevated or irritable mood
Increased energy/activity
Decreased need for sleep
Grandiosity
Pressured speech
Risky behavior
Treatment:
Mood stabilizers (e.g., lithium)
Antipsychotics
Psychoeducation
Therapy (e.g., family-focused)
4. Schizophrenia
Category: Schizophrenia Spectrum and Other Psychotic Disorders
Prevalence: ~1% lifetime
Core Features: Psychosis lasting ≥6 months, including delusions, hallucinations
Symptoms:
Positive: delusions, hallucinations, disorganized speech
Negative: flat affect, social withdrawal
Cognitive: poor executive function
Treatment:
Antipsychotics (e.g., risperidone)
Psychosocial interventions
Supported employment/housing
Cognitive remediation therapy
5. Obsessive-Compulsive Disorder (OCD)
Category: Obsessive-Compulsive and Related Disorders
Prevalence: ~1–2% annually
Core Features: Recurrent, intrusive thoughts (obsessions) and repetitive behaviors (compulsions)
Examples:
Obsessions: contamination, harm, symmetry
Compulsions: hand-washing, checking, counting
Treatment:
SSRIs (high doses)
Exposure and Response Prevention (ERP)
CBT
Deep brain stimulation (severe/refractory)
6. Post-Traumatic Stress Disorder (PTSD)
Category: Trauma- and Stressor-Related Disorders
Prevalence: ~3.5% annually
Core Features: Trauma exposure + intrusive memories, avoidance, hyperarousal
Symptoms:
Flashbacks/nightmares
Avoidance of reminders
Negative mood/cognition
Hypervigilance, exaggerated startle
Treatment:
Trauma-focused CBT
EMDR (Eye Movement Desensitization and Reprocessing)
SSRIs
Prazosin (for nightmares)
7. Attention-Deficit/Hyperactivity Disorder (ADHD)
Category: Neurodevelopmental Disorders
Prevalence: ~5% children, ~2.5% adults
Core Features: Inattention and/or hyperactivity-impulsivity before age 12
Symptoms:
Easily distracted
Fidgeting
Interrupting
Poor organization
Forgetfulness
Treatment:
Stimulants (e.g., methylphenidate)
Behavioral therapy
School accommodations
Parent training
8. Borderline Personality Disorder (BPD)
Category: Personality Disorders (Cluster B)
Prevalence: ~1.6% (up to 5.9% lifetime)
Core Features: Instability in interpersonal relationships, self-image, and affect
Symptoms:
Intense fear of abandonment
Emotional lability
Identity disturbance
Impulsivity
Self-harm or suicidal behavior
Treatment:
Dialectical Behavior Therapy (DBT)
Psychodynamic therapy
SSRIs (for mood symptoms)
Hospitalization (during crises)
9. Social Anxiety Disorder (Social Phobia)
Category: Anxiety Disorders
Prevalence: ~7% annually
Core Features: Fear of social or performance situations
Symptoms:
Avoidance of speaking, eating, or performing publicly
Fear of embarrassment or humiliation
Physical symptoms: blushing, sweating, trembling
Treatment:
CBT (exposure therapy)
SSRIs or SNRIs
Beta-blockers (for performance anxiety)
Social skills training
10. Substance Use Disorders (SUDs)
Category: Substance-Related and Addictive Disorders
Prevalence: ~8% annually (any SUD in the U.S.)
Core Features: Problematic use of a substance leading to impairment or distress
Substances:
Alcohol, opioids, cannabis, stimulants, etc.
Symptoms:
Craving
Loss of control
Tolerance/withdrawal
Continued use despite harm
Treatment:
Motivational Interviewing
Medication-assisted treatment (e.g., buprenorphine, naltrexone)
CBT
12-step programs (e.g., AA)