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DSM-IV: Personality Change Due to a General Medical Condition


Certain general medical conditions can produce persistent changes in personality characteristics.

Diagnostic criteria for 310.1 Personality Change Due to...[Indicate the General Medical Condition]
(cautionary statement)

These criteria are obsolete! Current criteria.

A. A persistent personality disturbance that represents a change from the individual's previous characteristic personality pattern. (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). 

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

C. The disturbance is not better accounted for by another mental disorder (including other Mental Disorders Due to a General Medical Condition). 

D. The disturbance does not occur exclusively during the course of a Delirium and does not meet criteria for a Dementia

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

Specify type: 

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 predominant feature is not one of the above, e.g., personality change associated with a seizure disorder 
Combined Type: if more than one feature predominates in the clinical picture 
Unspecified Type 
Coding note: Include the name of the general medical condition on Axis I, e.g., 310.1 Personality Change Due to Temporal Lobe Epilepsy; also code the general medical condition on Axis III

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

 


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