March 2019 By PsychDB.com

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cl:2-major-neurocog-disorder [September 2018]
PsychDB.com [Diagnostic Criteria]
cl:2-major-neurocog-disorder [March 2019] (current)
PsychDB.com ↷ Links adapted because of a move operation
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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.]]