Personality change due to another medical condition: Difference between revisions

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__NOTOC__
#REDIRECT[[Personality disorder]]
{{SI}}
{{CMG}}; {{AE}} {{JH}}
 
==Overview==
 
==Differential Diagnosis==
*Severe head trauma
*Depressive disorder
*Brain tumor
*Unspecified stimulant-related disorder<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>
 
==Epidemiology and Demographics==
===Prevalence===
The prevalence of personality change due to another medical condition is unknown.<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>
 
==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==
Poor prognostic factors include:
*Substance use disorder
*Depressive personality disorder
*Brain tumor
 
==Diagnosis Criteria==
===DSM-V Diagnostic Personality change due to another medical condition<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>===
* A. A persistent personality disturbance that represents a change from the individual’s previous characteristic personality pattern.
 
<SMALL>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.</SMALL>
 
'''''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'''
 
<SMALL>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).<SMALL>
 
==References==
{{reflist|2}}

Revision as of 15:55, 28 October 2014