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Personality change due to general medical condition

Personality change due to general medical condition. Answers, unless otherwise noted, are from DSM-IV-TR or from First and Tasman As of 23Oct07. Essential feature. Q. What is the essential feature of this disorder?. Essential feature.

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Personality change due to general medical condition

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  1. Personality change due togeneral medical condition Answers, unless otherwise noted, are from DSM-IV-TR or from First and Tasman As of 23Oct07.

  2. Essential feature Q. What is the essential feature of this disorder?

  3. Essential feature Ans. A persistent personality change judged to be secondary to physiological effects of a non-psychiatric medical condition. [Note “physiological,” so not a psychological reaction to having an illness like cancer. ICD-9-CM allows the use of “organic” but DSM-IV-TR prefers “general medical condition.”.]

  4. Frontal lobes Q. Injury to frontal lobes can lead to what personality changes?

  5. Frontal lobes Ans. [The following are overlapping, so your list may be quite shorter.] -- lack of judgment -- lack of for foresight -- facetiousness -- disinhibition -- inappropriate euphoria

  6. Right hemisphere injuries Q. Right hemisphere injuries can lead to what personality changes?

  7. Right hemisphere injuries Ans. -- unilateral spatial neglect* -- anosognosia* -- neurological defects *These two stick out as examiner’s foci. If you answer “neurological defects” a follow-up question could be hard to answer.

  8. Types of personality disorders resulting from a general medical illness Q. DSM-IV has five basic types [in addition to “other,” “combined” or “unspecified”]. What are the five?

  9. Types Ans. -- Labile type -- Disinhibited type -- Aggressive type -- Apathetic type -- Paranoid type

  10. Conditions Q. What non-psychiatric medical conditions does DSM-IV list with this Disorder?

  11. Conditions Ans. -- CNS neoplasms -- Head trauma -- Cerebrovascular events, e.g., strokes -- Huntington’s -- CNS infections, e.g., AIDS -- Autoimmune conditions, e.g., lupus

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