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] Ayesha Anwar, M.B.B.S[3]
Overview
Personality disorders present with symptoms which corresponds to other psychiatric illnesses as well. It makes imperative to employ the [DSM-5] criterion to make the diagnosis of PD. Additionally, many patients with PDs also suffer from co-morbid conditions like mood disorders, substance abuse and organic brain lesions which have overlapping symptoms and signs with PDs. This requires a complete long history including duration of symptoms and developmental history and essential investigations.
Personality Change Due to Another Medical Condition
Personality changes are also associated with other medical conditions, such as frontal lobe lesions. The lesions (tumors, abscess, granuloma, or cystic lesion) present with changes in personality. Substance use disorders like marijuana, alcohol, amphetamine or cannibis) also manifest personality changes. Old patients in hospitals or home may develop delirium and exhibit personality changes. Other conditions associated with personality changes include:
- Endocrine disorders like hypothyroidism.
- Long-term steroid use OR hypercortisolism.
- Familial disorder like Huntington disease.
- Automimmune disorders involving central nervous system like Systemic lupus erythematosus (SLE).
- CNS infections like Meningoencephalitis.
- Autoimmune immunodeficiency syndrome (AIDS) or HIV.
- Traumatic brain injuries like chronic sub-dural hematoma.
Differential Diagnosis
- Another mental disorder due to another medical condition
- Depressive disorder due to brain tumor
- Chronic medical conditions associated with pain and disability
- Delirium or major neurocognitive disorder
- Other mental disorders
- Other personality disorders
- Substance use disorders[1]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Personality Change Due to Another Medical Condition[1]
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1 year. AND
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AND
AND
Specify whether:
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References
- ↑ 1.0 1.1 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.