Enduring personality change after catastrophic experience
Coding guidance (WHO 2019)
Enduring personality change, present for at least two years, following exposure to catastrophic stress. The stress must be so extreme that it is not necessary to consider personal vulnerability in order to explain its profound effect on the personality. The disorder is characterized by a hostile or distrustful attitude toward the world, social withdrawal, feelings of emptiness or hopelessness, a chronic feeling of "being on edge" as if constantly threatened, and estrangement. Post-traumatic stress disorder (F43.1) may precede this type of personality change. Personality change after: concentration camp experiences disasters prolonged: captivity with an imminent possibility of being killed exposure to life-threatening situations such as being a victim of terrorism torture Excl.: post-traumatic stress disorder (F43.1)