Sandbox/JRH: Difference between revisions
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==Natural History, Complications and Prognosis== | ==Natural History, Complications and Prognosis== | ||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
===DSM-V Diagnostic Criteria for Paranoid Personality Disorder<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>=== | |||
{{cquote| | |||
A. A pattern of amphetamine-type substance, cocaine, or other stimulant use leading to clinically significant impairment or distress, as manifested by at least two of the following, occurring within a 12-month period: | |||
The stimulant is often taken in larger amounts or over a longer period than was intended. | |||
There is a persistent desire or unsuccessful efforts to cut down or control stimulant use. | |||
A great deal of time is spent in activities necessary to obtain the stimulant, use the stimulant, or recover from its effects. | |||
Craving, or a strong desire or urge to use the stimulant. | |||
Recurrent stimulant use resulting in a failure to fulfill major role obligations at work, school, or home. | |||
Continued stimulant use despite having persistent or recurrent social or intepersonal problems caused or exacerbated by the effects of the stimulant. | |||
Important social, occupational, or recreational activities are given up or reduced because of stimulant use. | |||
Recurrent stimulant use in situations in which it is physically hazardous. | |||
Stimulant use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the stimulant. | |||
Tolerance, as defined by either of the following: | |||
a. A need for markedly increased amounts of the stimulant to achieve intoxication or desired effect. | |||
b. A markedly diminished effect with continued use of the same amount of the stimulant. | |||
<SMALL>Note: This criterion is not considered to be met for those taking stimulant medications solely under appropriate medical supervision, such as medications for attention-deficit/hyperactivity disorder or narcolepsy.</SMALL> | |||
11. Withdrawal, as manifested by either of the following: | |||
a. The characteristic withdrawal syndrome for the stimulant (refer to Criteria A and B of the criteria set for stimulant withdrawal, p. 569). | |||
b. The stimulant (or a closely related substance) is taken to relieve or avoid withdrawal symptoms. | |||
<SMALL>This criterion is not considered to be met for those taking stimulant medications solely under appropriate medical supervision, such as medications for attention-deficit hyperactivity disorder or narcolepsy.</SMALL> | |||
Specify if: | |||
: '''In early remission:''' After full criteria for stimulant use disorder were previously met, none of the criteria for stimulant use disorder have been met for at least 3 months but for less than 12 months (with the exception that Criterion A4, “Craving, or a strong desire or urge to use the stimulant,” may be met). | |||
: '''In sustained remission:''' After full criteria for stimulant use disorder were previously met, none of the criteria for stimulant use disorder have been met at any time during a period of 12 months or longer (with the exception that Criterion A4, “Craving, or a strong desire or urge to use the stimulant,” may be met). | |||
Specify if: | |||
: '''In a controlled environment:''' This additional specifier is used if the individual is in an environment where access to stimulants is restricted. | |||
Specify current severity: | |||
:* '''Mild:''' Presence of 2-3 symptoms. | |||
: Amphetamine-type substance | |||
: Cocaine | |||
: Other or unspecified stimulant | |||
:* Moderate: Presence of 4-5 symptoms. | |||
: Amphetamine-type substance | |||
: Cocaine | |||
: Other or unspecified stimulant | |||
:*Severe: Presence of 6 or more symptoms. | |||
: Amphetamine-type substance | |||
: Cocaine | |||
: Other or unspecified stimulant | |||
}} | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} |
Revision as of 15:45, 10 November 2014
1.- Substance/Medication-Induced Psychotic Disorder
Synonyms and keywords: Medication induced psychotic disorder; substance induced psychotic disorder; substance-medication induced psychotic disorder;
Differential Diagnosis
- Alcohol withdrawal
- Brief psychotic disorder
- Cannabis intoxication
- Delusional disorder
- Flashback hallucinations
- Intoxication with stimulants
- Phencyclidine
- Schizophrenia
- Schizoaffective disorder
- Schizophrenia spectrum
- Delusional disorder
- Opioid meperidine[1]
Epidemiology and Demographics
Prevalence
The prevalence of substance/medication-induced psychotic disorder is unknown of the overall population.[1]
Risk Factors
Natural History, Complications and Prognosis
Poor prognosis factors include:
- Depersonalization
- Flashbacks
- Hallucinations
- Marked anxiety
- Persecutory delusions[1]
Diagnostic Criteria
- A. Presence of one or both of the following symptoms:
- 1. Delusions
AND
- B. There is evidence from the history, physical examination, or laboratory findings of both (1) and (2):
- 1. The symptoms in Criterion A developed during or soon after substance intoxication or withdrawal or after exposure to a medication.
- 2. The involved substance/medication is capable of producing the symptoms in Criterion A.
AND
- C. The disturbance is not better explained by a psychotic disorder that is not substance/medication-induced. Such evidence of an independent psychotic disorder could include the following:
The symptoms preceded the onset of the substance/medication use; the symptoms persist for a substantial period of time (e.g., about 1 month) after the cessation of acute withdrawal or severe intoxication: or there is other evidence of an independent non-substance/medication-induced psychotic disorder (e.g., a history of recurrent non-substance/medication-related episodes).
AND
- D. The disturbance does not occur exclusively during the course of a delirium.
AND
- E. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Note: This diagnosis should be made instead of a diagnosis of substance intoxication or substance withdrawal only when the symptoms in Criterion A predominate in the clinical picture and when they are sufficiently severe to warrant clinical attention.
References
2.- Catatonia Associated With Another Mental Disorder (Catatonia Specifier)
Synonyms and keywords: Catatonia
Epidemiology and Demographics
Prevalence
The prevalence of catatonia associated with another mental disorder is unknown of the overall population.[1]
Risk Factors
- Bipolar disorders
- Depressive disorders
- Schizophrenia[1]
Natural History, Complications and Prognosis
Poor prognostic factors include:
- Bipolar disorder
- Depressive disorder
- Mental disorder
- Metabolic conditions
- Infectious conditions
- Psychotic disorder[1]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Catatonic Disorder Due to Another IVIedical Condition[1]
“ |
|
” |
References
3. Catatonic Disorder Due to Another Medical Condition
Differential Diagnosis
- Brief psychotic disorder
- Cerebrovascular disease
- Diabetic ketoacidosis
- Encephalitis
- Neoplasms
- Head trauma
- Hepatic encephalopathy
- Hypercalcemia
- Homocystinuria
- Schizoaffective disorder
- Schizophrenia
- Schizophreniform disorder
- Substance/medication-induced psychotic disorder[1]
Epidemiology and Demographics
Prevalence
The prevalence of catatonia associated with another medical disorder is unknown of the overall population.[1]
Risk Factors
Natural History, Complications and Prognosis
Poor prognostic factors are:
- Neuroleptic malignant syndrome
- Neuroleptic medication intake[1]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Paranoid Personality Disorder[1]
“ |
AND
AND
AND
AND
|
” |
References
4.- Sleep-Related Hypoventilation
Synonyms and keywords: Obesity hypoventilation disorder
Differential Diagnosis
- Lung diseases
- Skeletal malformations
- Neuromuscular disorders
- Sleep-related hypoxemia
- Obstructive sleep apnea hypopnea
- Central sleep apnea[1]
Epidemiology and Demographics
Prevalence
The prevalence of sleep-related hypoventilation is unknown of the overall population.[1]
Risk Factors
- Central nervous system depressants intake (e.g. benzodiazepines, opioid, alcohol)
- Hypothiroidism
- Neuromuscular or chest wall disorder
- Pulmonary disorder[1]
Natural History, Complications and Prognosis
Prognosis
Poor prognostic criteria include:
- Central nervous system depressants intake (e.g. benzodiazepines, opioid, alcohol)
- Hypothiroidism
- Neuromuscular or chest wall disorder
- Amyotrophic lateral sclerosis
- Spinal cord injury
- Diaphragmatic paralysis
- Myasthenia gravis
- Lambert-Eaton syndrome
- Toxic or metabolic myopathies
- Postpolio syndrome
- Char-cot-Marie-Tooth syndrome
- Pulmonary disorder[1]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Paranoid Personality Disorder[1]
“ |
(Note: In the absence of objective measurement of CO2, persistent low levels of hemoglobin oxygen saturation unassociated with apneic/hypopneic events may indicate hypoventilation.)
Specify whether:
Specify current severity:
|
” |
References
5.- Circadian Rhythm Sleep-Wake Disorders
Synonyms and keywords:
Differential Diagnosis
Epidemiology and Demographics
Prevalence
Risk Factors
Natural History, Complications and Prognosis
Diagnostic Criteria
References
6.- Non-Rapid Eye Movement Sleep Arousal Disorders
Synonyms and keywords: NREM sleep arousal disorder; sleep terror
Differential Diagnosis
- Alcohol-induced blackouts
- Breathing-related sleep disorders
- Dissociative amnesia, with dissociative fugue
- Sleep-related seizures
- Malingering or other voluntary behavior occurring during wakefulness
- Medication-induced complex behaviors
- REM sleep behavior disorder
- Night eating syndrome
- Nightmare disorder
- Panic disorder
- Parasomnia overlap syndrome[1]
Epidemiology and Demographics
Prevalence
The lifetime prevalence of non-rapid eye movement sleep arousal disorders is 10,000 to 30,000 per 100,000 (10% to 30%) among children. The lifetime prevalence of NREM sleep arousal disorder is 29,200 (29.2%) among adults.[1]
Risk Factors
- Sedative use,
- Sleep deprivation,
- Sleep-wake schedule disruptions
- Fatigue, and physical or emotional stress[1]
Natural History, Complications and Prognosis
=Prognosis
Poor prognostic factors include:
- Emotional stress
- Males during adulthood
- Fatigue
- Females during childhood
- Physical stress
- Sleep-wake schedule disruptions[1]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Paranoid Personality Disorder[1]
“ |
AND
AND
AND
AND
AND
Specify whether:
Specify if:
|
” |
References
7.- Other hallucinogen Use Disorder
Synonyms and keywords:
Differential Diagnosis
- Alcohol withdrawal
- Bipolar disorders
- Central nervous system tumors
- Depressive disorder
- Hypoglycemia
- Panic disorder
- Schizophrenia
- Sedative withdrawal
- Seizure disorder
- Stroke
- Ophthalmological disorder
- Other substance use disorders[1]
Risk Factors
- Alcohol intake
- Tobacco usage
- Cannabis usage
- Major depressive disorder[1]
Epidemiology and Demographics
Prevalence
The 12-month prevalence is 500 per 100,000 (0.5%) among 12- to 17-year-olds and 100 per 100,000 (0.1%) among adults age 18 and older in the United States.[1]
Risk Factors
- Younger age than 30-year-old
- Female gender[1]
Natural History, Complications and Prognosis
Diagnostic Criteria
A. A problematic pattern of hallucinogen (other than phencyclidine) use leading to clinically significant impairment or distress, as manifested by at least two of the following, occurring within a 12-month period:
- The hallucinogen is often taken in larger amounts or over a longer period than was intended.
- There is a persistent desire or unsuccessful efforts to cut down or control hallucinogen use.
- A great deal of time is spent in activities necessary to obtain the hallucinogen, use the hallucinogen, or recover from its effects.
- Craving, or a strong desire or urge to use the hallucinogen.
- Recurrent hallucinogen use resulting in a failure to fulfill major role obligations at work, school, or home (e.g., repeated absences from work or poor work performance related to hallucinogen use; hallucinogen-related absences, suspensions, or expulsions from school; neglect of children or household).
- Continued hallucinogen use despite having persistent or recurrent social or inter personal problems caused or exacerbated by the effects of the hallucinogen (e.g., arguments with a spouse about consequences of intoxication; physical fights).
- Important social, occupational, or recreational activities are given up or reduced be cause of hallucinogen use.
- Recurrent hallucinogen use in situations in which it is physically hazardous (e.g., driving an automobile or operating a machine when impaired by the hallucinogen).
- hallucinogen use is continued despite knowledge of having a persistent or recur rent physical or psychological problem that is likely to have been caused or exacerbated by the hallucinogen.
- Tolerance, as defined by either of the following:
- A need for markedly increased amounts of the hallucinogen to achieve intoxication or desired effect.
- A markedly diminished effect with continued use of the same amount of the hallucinogen.
Note: Withdrawal symptoms and signs are not established for hallucinogens, and so this criterion does not apply.
Specify the particular hallucinogen.
Specify if:
- In early remission: After full criteria for other hallucinogen use disorder were previously met, none of the criteria for other hallucinogen use disorder have been met for at least 3 months but for less than 12 months (with the exception that Criterion A4, “Craving, or a strong desire or urge to use the hallucinogen,” may be met).
- In sustained remission: After full criteria for other hallucinogen use disorder were previously met, none of the criteria for other hallucinogen use disorder have been met at any time during a period of 12 months or longer (with the exception that Criterion A4, “Craving, or a strong desire or urge to use the hallucinogen,” may be met).
Specify if: In a controlled environment: This additional specifier is used if the individual is in an environment where access to hallucinogens is restricted.
Specify current severity:
- Mild: Presence of 2-3 symptoms.
- Moderate: Presence of 4-5 symptoms.
- Severe: Presence of 6 or more symptoms.
References
8.- Hallucinogen Persisting Perception Disorder
Synonyms and keywords:
Differential Diagnosis
- Brain tumors
- Head trauma
- Infections
- Neurodegenerative disorders
- Schizophrenia
- Stroke[1]
Epidemiology and Demographics
Prevalence
The prevalence of is 4,200 per 100,000 (4.2%) of the overall population.[1]
Risk Factors
- Genetic factors are suggested as a possible factor that leads to susceptibility for this condition.[1]
Natural History, Complications and Prognosis
Prognosis
Poor prognostic factors include:
- Alcohol use disorder
- Major depressive disorder
- Panic disorder[1]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Paranoid Personality Disorder[1]
“ |
AND
AND
|
” |
References
9.- Other hallucinogen-Induced Disorders
Synonyms and keywords:
Differential Diagnosis
Epidemiology and Demographics
Prevalence
Risk Factors
Natural History, Complications and Prognosis
Diagnostic Criteria
References
10.- Unspecified Phencyclidine-Related Disorder
Synonyms and keywords:
Differential Diagnosis
Epidemiology and Demographics
Prevalence
Risk Factors
Natural History, Complications and Prognosis
Diagnostic Criteria
References
Stimulant Use Disorder
Synonyms and keywords:
Differential Diagnosis
Epidemiology and Demographics
Prevalence
Risk Factors
Natural History, Complications and Prognosis
Diagnostic Criteria
DSM-V Diagnostic Criteria for Paranoid Personality Disorder[1]
“ |
A. A pattern of amphetamine-type substance, cocaine, or other stimulant use leading to clinically significant impairment or distress, as manifested by at least two of the following, occurring within a 12-month period: The stimulant is often taken in larger amounts or over a longer period than was intended. There is a persistent desire or unsuccessful efforts to cut down or control stimulant use. A great deal of time is spent in activities necessary to obtain the stimulant, use the stimulant, or recover from its effects. Craving, or a strong desire or urge to use the stimulant. Recurrent stimulant use resulting in a failure to fulfill major role obligations at work, school, or home. Continued stimulant use despite having persistent or recurrent social or intepersonal problems caused or exacerbated by the effects of the stimulant. Important social, occupational, or recreational activities are given up or reduced because of stimulant use. Recurrent stimulant use in situations in which it is physically hazardous. Stimulant use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the stimulant. Tolerance, as defined by either of the following: a. A need for markedly increased amounts of the stimulant to achieve intoxication or desired effect. b. A markedly diminished effect with continued use of the same amount of the stimulant. Note: This criterion is not considered to be met for those taking stimulant medications solely under appropriate medical supervision, such as medications for attention-deficit/hyperactivity disorder or narcolepsy. 11. Withdrawal, as manifested by either of the following: a. The characteristic withdrawal syndrome for the stimulant (refer to Criteria A and B of the criteria set for stimulant withdrawal, p. 569). b. The stimulant (or a closely related substance) is taken to relieve or avoid withdrawal symptoms. This criterion is not considered to be met for those taking stimulant medications solely under appropriate medical supervision, such as medications for attention-deficit hyperactivity disorder or narcolepsy. Specify if:
Specify if:
Specify current severity:
|
” |
References
- ↑ Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.
Stimulant Intoxication
Synonyms and keywords:
Differential Diagnosis
Epidemiology and Demographics
Prevalence
Risk Factors
Natural History, Complications and Prognosis
Diagnostic Criteria
References
Stimulant Withdrawal
Synonyms and keywords:
Differential Diagnosis
Epidemiology and Demographics
Prevalence
Risk Factors
Natural History, Complications and Prognosis
Diagnostic Criteria
References
Other (or Unknown) Substance Use Disorder
Synonyms and keywords:
Differential Diagnosis
Epidemiology and Demographics
Prevalence
Risk Factors
Natural History, Complications and Prognosis
Diagnostic Criteria
References
Other (or Unknown) Substance Intoxication
Synonyms and keywords:
Differential Diagnosis
Epidemiology and Demographics
Prevalence
Risk Factors
Natural History, Complications and Prognosis
Diagnostic Criteria
References
Other (or Unknown) Substance Withdrawal
Synonyms and keywords:
Differential Diagnosis
Epidemiology and Demographics
Prevalence
Risk Factors
Natural History, Complications and Prognosis
Diagnostic Criteria
References
Other (or Unknown) Substance-Induced Disorders
Synonyms and keywords:
Differential Diagnosis
Epidemiology and Demographics
Prevalence
Risk Factors
Natural History, Complications and Prognosis
Diagnostic Criteria
References
Personality Change Due to Another Medical Condition
Synonyms and keywords:
Differential Diagnosis
Epidemiology and Demographics
Prevalence
Risk Factors
Natural History, Complications and Prognosis
Diagnostic Criteria
References
Exhibitionistic Disorder
Synonyms and keywords:
Differential Diagnosis
Epidemiology and Demographics
Prevalence
Risk Factors
Natural History, Complications and Prognosis
Diagnostic Criteria
References
Frotteuristic Disorder
Synonyms and keywords:
Differential Diagnosis
Epidemiology and Demographics
Prevalence
Risk Factors
Natural History, Complications and Prognosis
Diagnostic Criteria
References
Other Specified Mental Disorder Due to Another Medical Condition
Synonyms and keywords: