Psychiatry

02/01/2019

Other Personality Disorders

Personality Change Due to another Medical Condition

Diagnostic Criteria

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

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.

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

C) The disturbance is not better explained by another mental disorder (including another mental disorder due to another 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 whether:

Labile type: If the predominant feature is affective liability.

Disinherited 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

Medical Specialists

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Consultant Psychiatrist

Dr. Vijayakumar D.R

Dr. Vijayakumar D.R is a senior psychiatrist with more than 22 years of experience in handling mental health issues in India, Australia and the United Kingdom.

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Consultant Obstetrician and Gynaecologist

Dr. Madhu Shree Vijayakumar

Dr. Madhu Shree Vijayakumar, is an obstetrician and gynaecologist with about a decade experience in addressing women’s health problems from adolescence to post menopause.

02/01/2019

Obsessive-Compulsive Personality Disorder

Obsessive-Compulsive Personality Disorder

Diagnostic Criteria

A pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following:

Is preoccupied with details, rules, lists, order, or schedules to the extent that the major point of the activity is lost.
Shows perfectionism that interferes with task completion (e.g., unable to complete a project because his or her own overly strict standards are not met).
Is excessively devoted to work and productivity to the exclusion of leisure activities and friendships (not accounted for by obvious economic necessity).
Is over conscientious, scrupulous, and inflexible about matters of morality, ethics, or values (not accounted for by cultural or religious identification).
Is unable to discard worn-out or worthless objects even when they have no sentimental value.
Is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things.
Adopts a miserly spending style toward both self and others; money is viewed as something to be hoarded for future catastrophes.
Shows rigidity and stubbornness.