Psychotherapy High Wycombe Psychotherapy High Wycombe - Last updated 07 January 2026

DSM Reference Home

DSM-IV: Psychotic Disorder Due to a General Medical Condition

This psychotic mental disorder is diagnosed when evidence indicates that delusions or hallucinations developed as the physiological result of a general medical illness which must be specified separately. Delusional and hallucinated subtyping indicates the predominant symptom.

Diagnostic criteria for 293.xx Psychotic Disorder Due to... [Indicate the General Medical Condition]

A. Prominent hallucinations or delusions.

B. There is evidence from the history, physical examination, or laboratory findings that the disturbance is the direct physiological consequence of a general medical condition.

C. The disturbance is not better accounted for by another mental disorder.

D. The disturbance does not occur exclusively during the course of a Delirium.

Code based on predominant symptom:
.81 With Delusions: if delusions are the predominant symptom
.82 With Hallucinations: if hallucinations are the predominant symptom
Coding note: Include the name of the general medical condition on Axis I, e.g. 293.81 Psychotic Disorder Due to Malignant Lung Neoplasm, With Delusions; also code the general medical condition on Axis III (see Appendix G for codes).

Coding note: If delusions are part of a preexisting Dementia, indicate the delusions by coding the appropriate subtype of the dementia if one is available, e.g. 290.20 Dementia of the Alzheimer's Type, With Late Onset, With Delusions.

Based on the Diagnostic & Statistical Manual of Mental Disorders, 4th edition APA

The online Diagnostic & Statistical Manual of Mental Disorders lists most of the major psychological disorders and illnesses and lists the criteria that must be fulfilled in order for a diagnosis to be made. This resource is not a substitute for proper professional psychiatric diagnosis.