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DSM-IV-TR: 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)

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

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, Text Revision.  Copyright 2000 American Psychiatric Association

 Also: Organic Personality Disorder


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