Personality change due to another medical condition

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Overview

Personality Change Due to Another Medical Condition

Differential Diagnosis

  • Another mental disorder due to another medical condition
  • Chronic medical conditions associated with pain and disability
  • Delirium or major neurocognitive disorder
  • Other mental disorders

Diagnostic Criteria

DSM-V Diagnostic Criteria for Personality Change Due to Another Medical Condition[1]

  • A.A persistent personality disturbance that represents a change from the individual’s previous characteristic personality pattern.


Note:In children, the disturbance involves a marked deviation from normal development or a significant change in the child’s usual behavior patterns, lasting at least

1 year.

AND

  • B.There is evidence from the history, physical examination, or laboratory findings that the disturbance is the direct patho physiological consequence of another medical condition.

AND

  • C.The disturbance is not better explained by another mental disorder (including another mental disorder due to another medical condition).

AND

  • D.The disturbance does not occur exclusively during the course of a delirium.

AND

  • E.The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Specify whether:

  • Labile type: If the predominant feature is affective lability.
  • Disinhibited type: If the predominant feature is poor impulse control as evidenced by sexual indiscretions, etc.
  • Aggressive type: If the predominant feature is aggressive behavior.
  • Apathetic type: If the predominant feature is marked apathy and indifference.
  • Paranoid type: If the predominant feature is suspiciousness or paranoid ideation.
  • Other type: If the presentation is not characterized by any of the above subtypes.
  • Combined type: If more than one feature predominates in the clinical picture.

References

  1. 1.0 1.1 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558. 

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