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DSM-IV-TR Criteria for Dementia of the Alzheimer’s Type
Sep 01,2010 00:00
by
xaero
Development of multiple cognitive deficits manifested by both memory impairment (impaired ability to learn new information or recall previously learned information) and one or more of the following cognitive disturbances: • aphasia (language disturbance) • apraxia (impaired ability to carry out motor activities despite intact motor function) • agnosia (failure to recognize or identify objects despite intact sensory function) • disturbance in executive functioning (planning, organizing, sequencing, abstracting) Cognitive deficits each cause significant impairment in social or occupational functioning and represent significant decline from previous level of functioning Course characterized by gradual onset and continuing cognitive decline Cognitive deficits not due to any of the following: • other central nervous system conditions causing progressive deficits in memory and cognition (such as cerebrovascular disease, Parkinson’s disease, Huntington’s disease, subdural hematoma, normal-pressure hydrocephalus, brain tumor) • systemic conditions known to cause dementia (such as hypothyroidism, vitamin B or folic acid deficiency, niacin deficiency, hypercalcemia, neurosyphilis, HIV infection) • substance-induced conditions Deficits do not occur exclusively during course of a delirium Disturbance not better accounted for by another Axis I disorder (such as Major Depressive Episode, Schizophrenia) Code based on presence or absence of clinically significant behavioral disturbance: • Without Behavioral Disturbance (DSM code 294.10): Cognitive disturbance not accompanied by any clinically significant behavioral disturbance • With Behavioral Disturbance (DSM code 294.10): Cognitive disturbance accompanied by clinically significant behavioral disturbance (such as wandering, agitation) Specify with Early Onset (onset at age sixty-five years or younger) or with Late Onset (onset after age sixty-five) 55 |