Neurobehavioral disorder associated with prenatal alcohol exposure was not included in DSM-IV. The proposed diagnostic guidelines allow this diagnosis regardless of the facial dysmorphology required to diagnose fetal alcohol syndrome (185). Many clinical experts support the diagnosis (186), and clinical need is suggested by substantial misdiagnosis, leading to unmet treatment need (186). However, more information is needed on this disorder before it can be included in the main diagnosis section of the manual.
