Can anyone tell me what is Organic Personality Disorder?

Question

What are the symptoms of this please.

Answer 1

A variety of neurological and other general medical conditions, including CNS neoplasms, TBI, cerebrovascular disease, Huntington’s disease, epilepsy, endocrine conditions (e.g., hypothyroidism, hypo- and hyperadrenocorticism), and autoimmune conditions (e.g., systemic lupus erythematosus), may cause personality changes (American Psychiatric Association, 2000).

On the basis of the predominant symptom presentation, DSM – IV classifies the personality changes into labile, disinhibited, aggressive, apathetic, paranoid, other, combined and unspecified subtypes. The clinical presentation in a given individual may depend on the nature and localization of the pathologic process. Diseases that preferentially affect frontal lobes or subcortical structures are more likely to manifest with prominent personality change. Duffy and Campbell (2001) identify three distinct prefrontal syndromes – dysexecutive type, disinhibited type, and apathetic type. The dysexecutive type involves the dorsal convexity system; and manifests with diminished judgment, planning, insight and temporal organization; cognitive impersistence, motor programming deficits, and diminished self care. The disinhibited type involves the orbitofrontal system, and presents with stimulus driven behavior, diminished social insight, distractibility and emotional lability. The apathetic type is due to lesions in the mesial frontal system, and is characterized by diminished spontaneity, verbal output and motor behavior; urinary incontinence, lower extremity weakness and sensory loss; and increased response latency. In clinical practice, however, the lesions are seldom confined to any of these systems, and patients are likely to manifest more than one of these symptom clusters. Right hemisphere strokes have been shown to evoke personality changes in association with unilateral spatial neglect, anosognosia, motor impersistence, and other neurological deficits (American Psychiatric Association, 2000). Patients with left hemisphere lesions may become paranoid (Benson, 1973), while injury to the right hemisphere occurring early in life may lead to a personality pattern characterized by shyness, depression, isolation and schizoid behaviour (Eslinger and Geder, 2000).

The preliminary management of organic personality disorders is directed at discovering and treating the underlying etiology. Symptomatic treatments as a group have been only marginally effective. Treatment approaches that have met with some success include psychostimulants for attentional deficits (O’Shanick and O’Shanick, 1994); antipsychotics, benzodiazepines, buspirone, carbamazepine, trazodone, propranolol, valproate, and lithium for disinhibited behaviour (Silver and Yudofsky, 1994); and psychostimulants and dopaminergic agents for apathy (Stewart et al., 1990). Pharmacotherapy should be combined with education, family therapy, and individual therapy as appropriate for the underlying condition (Lewis et al., 1992).

Answer 2

Organic Personality Disorder

Answer 3

You could talk to any mental health professional (psychologist or psychiatrist). Call your insurance company to find out if they cover this service. However, keep in mind that a personality disorder is not the same as a mental illness. A mental illness is the result of a nexus of organic and environmental causes. It is truly a disease. By contrast, a personality disorder is the name given to a collection of personality traits that can interfere with one's ability to function in society. Personality disorders are the result of personal choices and learned behaviors. In other words, there's no real point in getting a diagnosis of a personality disorder. If you think you have a collection of personality traits that are making your life difficult, then you don't need a label to work toward self-improvement. I would focus on what you want to change about yourself. Start with your self-esteem. That's usually a root cause of personality disorders. Recognize that the real you is not the you that you project to the world. Identify the traits you want to improve. Think about the situations that bring on those behaviors. Think about how you might deal w/ those situations differently. Make goals for yourself. Observe yourself. Adjust. Rehearse. Read self-help books. Visit a marriage and family therapist and request behavioral therapy. You don't need to pay for a psychological evaluation or have someone try to push "life style" drugs on your to obtain that kind of help. Good luck! Edit: I don't mean to downplay medication. For some people, it is a life saver. However, I believe that SSRIs are over-prescribed. In many cases I have seen lives made worse by them instead of better. Also, from personal experience I can tell you that if you are ever in a situation where you lose your medical insurance, having taken a SSRI at any point in your life will make it absolutely impossible for you to obtain coverage w/o a group policy. It is only a good idea to agree to take things like that if you believe it is absolutely necessary to your wellbeing.

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Answer 4

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Answer 5


Organic Personality Syndrome

Important
It is possible that the main title of the report Organic Personality Syndrome is not the name you expected. Please check the synonyms listing to find the alternate name(s) and disorder subdivision(s) covered by this report.


Synonyms
Personality Syndrome, Organic
Disorder Subdivisions
None
General Discussion
Organic Personality Syndrome or Organic Mental Syndrome is a mental disorder characterized by a short-term or long-term personality disturbance largely due to brain dysfunction. The ability to reason, remember, imagine, and learn may not be affected, but the individual's judgement may be so poor that continual supervision may be necessary. Left unattended, he or she may behave in ways that could cause difficult or dangerous problems.

Resources
National Mental Health Consumers' Self-Help Clearinghouse
1211 Chestnut Street
Suite 1207
Philadelphia, PA 19107-6312
USA
Tel: [phone]
Fax: [phone]
Tel: [phone]
Email: [e-mail]
Internet: http://www.mhselfhelp.org

National Mental Health Association
2001 North Beauregard Street
12th Floor
Alexandria, VA 22311
USA
Tel: [phone]
Fax: [phone]
Tel: [phone]
TDD: 8004335959
Email: [e-mail]
Internet: http://www.nmha.org

National Alliance for the Mentally Ill
Colonial Place Three
2107 Wilson Blvd.
Suite 300
Arlington, VA 22201-3042
ISA
Tel: [phone]
Fax: [phone]
Tel: [phone]
TDD: 7035167227
Email: [e-mail]
Internet: http://www.nami.org

NIH/National Institute of Mental Health
6001 Executive Blvd
Rm 8184, MSC 9663
Rockville, MD 20892-9663
Tel: [phone]
Email: [e-mail]
Internet: http://www.nimh.nih.gov/



For a Complete Report
This is an abstract of a report from the National Organization for Rare Disorders, Inc. ® (NORD). A copy of the complete report can be obtained for a small fee by visiting the NORD website. The complete report contains additional information including symptoms, causes, affected population, related disorders, standard and investigational treatments (if available), and references from medical literature. For a full-text version of this topic, see http://www.rarediseases.org/search/rdblist.html

The information provided in this report is not intended for diagnostic purposes. It is provided for informational purposes only. NORD recommends that affected individuals seek the advice or counsel of their own personal physicians.

It is possible that the title of this topic is not the name you selected. Please check the Synonyms listing to find the alternate name(s) and Disorder Subdivision(s) covered by this report.

This disease entry is based upon medical information available through the date at the end of the topic. Since NORD's resources are limited, it is not possible to keep every entry in the Rare Disease Database completely current and accurate. Please check with the agencies listed in the Resources section for the most current information about this disorder.

For additional information and assistance about rare disorders, please contact the National Organization for Rare Disorders at P.O. Box 1968, Danbury, CT 06813-1968; phone [phone]; web site www.rarediseases.org or email orphan@rarediseases.

Answer 6

This disorder is characterised by a significant alteration in the expression of emotions, needs and impulses. Cognitive functions may be defective in the areas of planning and thinking and there may also be problems with emotional lability, irritability, anger, apathy and sexual disinhibition.

Answer 7

2

Answer 8

1

Answer 9

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