Reference

Guide | Reference

94  Etiologic Contributors

Purpose. Record likely contributors without asserting definitive cause. Make hypotheses explicit and evidence-graded.

94.1 Contributor Categories (non-exhaustive)

• Substance or medication effects.
• Medical or neurologic contributors.
• Sleep or circadian disruption.
• Trauma exposure or ongoing threat.
• Social adversity or deprivation.
• Neurodevelopmental vulnerability.
• Grief and loss processes.
• Iatrogenic or system-related effects.

94.2 Confidence Levels

• Suspected: plausible but unconfirmed.
• Probable: supported by history or timing.
• Confirmed: strong temporal or clinical link.

Documentation Output. Contributors listed with confidence level. Note whether contributors are ongoing or historical. Link to rule-outs pursued or deferred.