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DSM-IV - Psychotic Disorder Due to a General Medical Condition


[From American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Text rev. Washington, DC: American Psychiatric Association; copyright 2000.] ...

  1. Prominent hallucinations or delusions
  2. There is evidence from the history, physical examination, or laboratory findings that the disturbance is the direct physiological consequence of a general medical condition.
  3. The disturbance is not better accounted for by another mental disorder.
  4. The disturbance does not occur exclusively during the course of a delirium.
Code based on predominant symptom:
With delusions: if delusions are the predominant symptom
With hallucinations: if hallucinations are the predominant symptom
Coding note: Include the name of the general medical condition on Axis I, e.g., psychotic disorder due to malignant lung neoplasm, with delusions; also code the general medical condition on Axis III.
Coding note: If delusions are part of vascular dementia, indicate the delusions by coding the appropriate subtype, e.g., vascular dementia, with delusions.

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