Personality disorder differential diagnosis
Template:Atherosclerosis Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ayesha Anwar, M.B.B.S[2]
Overview
Boderline disorder needs to be differentiated from mood disorders like Bipolar disorder, anxiety and delusional disorder. Cluster-A disorders have to distinguished from delusional disorder (persecutory type), schizophreniform, bipolar disorder with psychotic symptoms and schizophrenia. Post-traumatic stress disorder (PTSD) can also have interchangeable presenting complaints to the cluster-C PDs.. Thus, Axis-1 disorders and Axis-2 disorders have similar presentation and needs to be evaluated and ruled out before making the diagnosis of Axis-2 disorders.
Differentiating Personality Disorder from other Diseases
Personality disorders present with symptoms which corresponds to other psychiatric illnesses as well. It makes imperative to employ the [DSM-5] criterion to make the diagnosis of PD. Additionally, many patients with PDs also suffer from co-morbid conditions like mood disorders, substance abuse and organic brain lesions which have overlapping symptoms and signs with PDs. This requires a complete long history including duration of symptoms and developmental history and essential investigations.
Differentiating [disease name] from other diseases on the basis of [symptom 1], [symptom 2], and [symptom 3]
On the basis [symptom 1], [symptom 2], and [symptom 3], [disease name] must be differentiated from [disease 1], [disease 2], [disease 3], [disease 4], [disease 5], and [disease 6].
| Diseases | Symptoms | Physical Examination | Investigations | Gold Standard | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Symptom 1 | Symptom 2 | Symptom 3 | Physical Examination 1 | Physical Examination 2 | Physical Examination 3 | Lab Findings | Imaging Findings | |||||||||||
| Axis I Psychiatric disorders | mood dysregulatory symptoms; depressed mood, euphoria or anxious | delusions, hallucinations and paranoia | nighttime awakenings and nightmares | Dishevelled appearance, fleeting eye contact, and repeated purposeless movements. | Dysphoria | Disorganised thought process | No findings | Volumetric changes in gray matter in hypothalamus and limbic system | ||||||||||
| Adjustment Disorder | low mood | poor concentration | insomnia | tenderness at various points | depressed mood | Varying blood pressure and heart rate | Hemoglobin, vitamin D, TSH | Decreased gray matter volume in the right medial frontal gyrus | ||||||||||
| Central Nervous System Disorder | ||||||||||||||||||
| Substance Use Disorder | ||||||||||||||||||
| Metabolic Derangement | ||||||||||||||||||