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Enduring Personality Changes Not Attributable to Brain Damage and Disease (F62)

DSM-5-TR: Personality Change Due to Another Medical Condition / Other Specified Personality Disorder

ICD-10-AM and DSM-5-TR may classify conditions differently. Refer to APA and WHO for complete diagnostic criteria.

Key Facts

  • ICD-10 RangeF60-F69
  • Subcodes4 subcodes
  • Australian PrevalencePrevalence unknown — underdiagnosed. Particularly relevant for refugee populations and survivors of prolonged trauma.
  • Global PrevalencePrevalence data limited. ICD-11 has replaced this with Complex PTSD (6B41) for post-catastrophic presentations.

Overview

Disorders of adult personality and behaviour that develop following catastrophic or excessive prolonged stress, or following a severe psychiatric illness, in people with no previous personality disorder. These changes are enduring and represent a significant departure from premorbid personality.

ICD-10-AM Subcodes

CodeNameDescription
F62.0Enduring personality change after catastrophic experiencePersonality change following torture, disasters, captivity, or prolonged life-threatening situations. Features include hostile or distrustful attitude, social withdrawal, emptiness, hopelessness, and chronic nervousness.
F62.1Enduring personality change after psychiatric illnessPersonality change attributable to the traumatic experience of having a severe psychiatric illness.
F62.8Other enduring personality changesOther specified enduring personality changes.
F62.9Enduring personality change, unspecifiedUnspecified enduring personality change.

Classification Boundaries

Includes

  • Enduring personality change after catastrophic experience
  • Enduring personality change after psychiatric illness

Excludes1 (coded elsewhere)

  • Personality disorder (F60)
  • PTSD (F43.1)
  • Personality and behavioural disorders due to brain disease (F07)

Australian Clinical Context

Relevant in Australian trauma services, particularly for survivors of prolonged abuse, torture (refugee populations), and catastrophic events. Phoenix Australia provides guidelines for trauma-related conditions.

Medicare (MBS) Pathways

Better Access to Mental Health Care
The primary Medicare pathway for mental health treatment in Australia. Requires a GP Mental Health Treatment Plan (MHTP) referral. Available for any clinically diagnosed mental disorder.

10 individual + 10 group sessions per calendar year

Provider TypeMBS ItemsSession Type
Clinical Psychologist80000–80025Psychological therapy (higher rebate)
Registered Psychologist80100–80123Focused psychological strategies
Occupational Therapist80125–80145Focused psychological strategies
Social Worker80150–80175Focused psychological strategies
Psychiatrist291, 296–299, 300–308Psychiatric consultation

GP referral items: 2700, 2701, 2715, 2717

Eligibility: Any clinically diagnosed mental disorder as defined by WHO ICD-10 Chapter V. Requires a GP or psychiatrist referral.

Exclusions:

  • Intellectual disability (use Complex Neurodevelopmental Disorder pathway or specialist referral)
  • Dementia and organic mental disorders (use specialist referral pathway)
  • Tobacco use disorder
Automate MBS item capture from your sessions
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Reference information sourced from MBS Online (mbsonline.gov.au). Item availability, rebates, and eligibility criteria may change. This is not billing advice — always verify current items before claiming. Last verified: April 2026.

Clinical Documentation Notes

ICD-11 replaced F62.0 with Complex PTSD. Document premorbid personality, the catastrophic experience or psychiatric illness, and the specific personality changes observed. The changes should be enduring (at least 2 years) and represent a definite departure from premorbid personality.

Related Assessment Tools

Other validated instruments commonly used alongside the Enduring Personality Changes Not Attributable to Brain Damage and Disease (F62).

Related Diagnostic Codes

ICD-10-AM diagnostic codes commonly associated with the Enduring Personality Changes Not Attributable to Brain Damage and Disease (F62).

References

  1. World Health Organization. ICD-10-AM.
  2. American Psychiatric Association. DSM-5-TR. 2022.
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