A syndrome characterised by a persistent personality disturbance that represents a change from the individual’s previous characteristic personality padrão that is judged to be a direct pathophysiological consequence of a health condition not classified under Mental and behavioural transtornos, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by Delirium or by another mental and behavioural transtorno, and are not a psychologically mediated response to a grave medical condition (e.g., social abstinência, avoidance, or dependência in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying transtorno or disease when the personality symptoms are sufficiently grave to warrant specific clinical attention.