Personality change due to another medical condition: Difference between revisions
No edit summary |
|||
| Line 12: | Line 12: | ||
==Risk Factors== | ==Risk Factors== | ||
*Central nervous system neoplasms | |||
*Head trauma | |||
*Cerebrovascular disease | |||
*Huntington's disease | |||
*Epilepsy | |||
*Infectious conditions with central nervous system involvement (e.g., HIV), | |||
*Hypothyroidism, | |||
*Hypoadrenocorticism | |||
*Hyperadrenocorticism), and | |||
*Autoimmune conditions with central nervous system involvement (e.g., systemic lupus erythematosus)<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>. | |||
==Natural History, Complications and Prognosis== | ==Natural History, Complications and Prognosis== | ||
Revision as of 15:29, 28 October 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]
Overview
Differential Diagnosis
Epidemiology and Demographics
Prevalence
The prevalence of personality change due to another medical condition is unknown.[1]
Risk Factors
- Central nervous system neoplasms
- Head trauma
- Cerebrovascular disease
- Huntington's disease
- Epilepsy
- Infectious conditions with central nervous system involvement (e.g., HIV),
- Hypothyroidism,
- Hypoadrenocorticism
- Hyperadrenocorticism), and
- Autoimmune conditions with central nervous system involvement (e.g., systemic lupus erythematosus)[1].
Natural History, Complications and Prognosis
Diagnosis Criteria
DSM-V Diagnostic Criteria for Borderline Personality Disorder[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 pathophysiological 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.
OR
- Disinhibited type: If the predominant feature is poor impulse control as evidenced by sexual indiscretions, etc.
OR
- Aggressive type: If the predominant feature is aggressive behavior.
OR
- Apathetic type: If the predominant feature is marked apathy and indifference.
OR
- Paranoid type: If the predominant feature is suspiciousness or paranoid ideation.
OR
- Other type: If the presentation is not characterized by any of the above subtypes.
OR
- Combined type: If more than one feature predominates in the clinical picture.
OR
- Unspecified type
Coding note: Include the name of the other medical condition (e.g., 310.1 [F07.0] person ality change due to temporal lobe epilepsy). The other medical condition should be coded and listed separately immediately before the personality disorder due to another medical condition (e.g., 345.40 [G40.209] temporal lobe epilepsy; 310.1 [F07.0] personality change due to temporal lobe epilepsy).
References
- ↑ 1.0 1.1 1.2 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.