[Indicate the General Medical Condition]

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 presentation is not characterized by any

of the above subtypes

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

(see Appendix G for codes).