- Last edited on October 27, 2023
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cl:2-major-neurocog-disorder [on September 26, 2018] |
cl:2-major-neurocog-disorder [on March 20, 2019] |
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+ | ~~NOTOC~~ | ||
+ | ====== Major Neurocognitive Disorder ====== | ||
+ | ===== Diagnostic Criteria ===== | ||
+ | <WRAP group> | ||
+ | <WRAP half column> | ||
+ | ==== Criterion A ==== | ||
+ | Evidence of **//significant//** cognitive decline from a previous level of performance in one or more cognitive domains (complex attention, executive function, learning and memory, language, perceptual-motor, or social cognition) based on: | ||
+ | - Concern of the individual, a knowledgeable informant, or the clinician that there has been a significant decline in cognitive function; and | ||
+ | - A substantial impairment in cognitive performance, preferably documented by standardized neuropsychological testing or, in its absence, another quantified clinical assessment. | ||
+ | |||
+ | ==== Criterion B ==== | ||
+ | The cognitive deficits **//interfere with independence in everyday activities//** (i.e., at a minimum, requiring assistance with complex instrumental activities of daily living such as paying bills or managing medications). | ||
+ | |||
+ | ==== Criterion C ==== | ||
+ | The cognitive deficits do not occur exclusively in the context of a delirium. | ||
+ | |||
+ | ==== Criterion D ==== | ||
+ | The cognitive deficits are not better explained by another mental disorder (e.g., [[mood:1-depression:home|major depressive disorder]], [[psychosis:schizophrenia-scz|schizophrenia]]). | ||
+ | </WRAP> | ||
+ | <WRAP half column> | ||
+ | ==== Specifiers ==== | ||
+ | <accordion collapsed="false"> | ||
+ | <panel icon="fa fa-search-plus" size="xs" title="Etiology Specifier"> | ||
+ | * Major or Mild Neurocognitive Disorder Due to [[geri:dementia:alzheimers|Alzheimer’s Disease]] | ||
+ | * Major or Mild [[geri:dementia:frontotemporal|Frontotemporal Neurocognitive Disorder]] | ||
+ | * Major or Mild Neurocognitive Disorder With [[geri:dementia:lewy-body|Lewy Bodies]] | ||
+ | * Major or Mild [[geri:dementia:vascular|Vascular Neurocognitive Disorder]] | ||
+ | * Major or Mild Neurocognitive Disorder Due to [[:cl:tbi|Traumatic Brain Injury]] | ||
+ | * [[cl:psychiatric-side-effects-of-medications|Substance/Medication-Induced]] Major or Mild Neurocognitive Disorder | ||
+ | * Major or Mild Neurocognitive Disorder Due to [[cl:hiv|HIV Infection]] | ||
+ | * Major or Mild Neurocognitive Disorder Due to [[geri:dementia:creutzfeldt-jakob-disease-cjd|Prion Disease]] | ||
+ | * Major or Mild Neurocognitive Disorder Due to [[geri:dementia:parkinsons|Parkinson’s Disease]] | ||
+ | * Major or Mild Neurocognitive Disorder Due to [[cl:huntingtons-disease|Huntington’s Disease]] | ||
+ | * Major or Mild Neurocognitive Disorder Due to Another Medical Condition | ||
+ | * Major or Mild Neurocognitive Disorder Due to Multiple Etiologies | ||
+ | * Unspecified Neurocognitive Disorder | ||
+ | </panel> | ||
+ | |||
+ | <panel icon="fa fa-signal" size="xs" title="Severity Specifier"> | ||
+ | * **Mild**: Difficulties with instrumental activities of daily living (e.g. - housework, managing money) | ||
+ | * **Moderate**: Difficulties with basic activities of daily living (e.g. - feeding, dressing) | ||
+ | * **Severe**: Fully dependent | ||
+ | </panel> | ||
+ | |||
+ | <panel icon="fa fa-user" size="xs" title="Behaviour Specifier"> | ||
+ | **Specify:** | ||
+ | * **Without behavioral disturbance**: If the cognitive disturbance is not accompanied by any clinically significant behavioral disturbance. | ||
+ | * **With behavioural disturbance** (//specify disturbance//): If the cognitive disturbance is accompanied by a clinically significant behavioural disturbance (e.g., psychotic symptoms, mood disturbance, agitation, apathy, or other behavioural symptoms). | ||
+ | </panel> | ||
+ | </accordion> | ||
+ | |||
+ | </WRAP></WRAP> | ||
+ | |||
+ | |||
+ | |||
+ | ===== Resources ===== | ||
+ | == For Clinicians == | ||
+ | * [[https://www.bcmj.org/articles/twelve-tips-assessing-and-managing-mild-cognitive-impairment-and-major-neurocognitive|Balogh, K., & Wong, R. Y. (2017). Twelve tips for assessing and managing mild cognitive impairment and major neurocognitive disorder in older people. British Columbia Medical Journal, 59(3), 158-164.]] |