Schizophrenia

Front 1

Criteria A

Back 1

greater than 2 of the following 5 or less if successfully treated

delusions
Hallucinations
disorganized speech
grossly disorganized or catatonic behaviour
negative symptoms: affective flattening, alogia,

can be only 1 if that one symptom is bizarre delusions or hallucinations are running commentary or 2 or more are in conversation with each other

Front 2

Criteria B

Back 2

functional disturbance - e.g. work, interpersonal relationships, self-care, markedly below baseline

Front 3

Criteria C

Back 3

6 months of prodromal symptoms with 1 month of criteria A

Front 4

Criteria D

Back 4

Can't have mood symptoms of if present are brief

Front 5

Criteria E

Back 5

rule out substance abuse or psychosis due to a general medical condition

Front 6

Criteria F

Back 6

relationship to a pervasive developmental disorder

Front 7

delusions

Back 7

types of delusions - persecutory (tormented, followed, tricked, spied on, or ridiculed), referential (person believes gestures comments, passages from books, newspaper, song lyrics, or other environmental cues are specifically directed at him or her

Front 8

Hallucinations

Back 8

have to occur with clear sensorium, if they happen when falling asleep or waking up they don't count.

Front 9

disorganized speech

Back 9

(frequent derailment or incoherence) derailment, circumferential, tangential, loosening of associations, flight of ideas, word salad. Must be substantial enough to impair effective communication.

Front 10

grossly disorganized behaviour

Back 10

ange from childlike silliness to unpredictable agitation. Difficulties in ADLs

Front 11

catatonic behaviour

Back 11

Catatonic behaviour [marked decrease in reactivity to environment] catatonic stupor [extreme degree of complete unawareness] catatonic rigidity [maintaining a rigid posture and resisting efforts to be moved] catatonic negativism [active resistence to instructions or attempts to be moved] catatonic posturing [assuming bizarre or inappropriate posture] catatonic excitement [purposeless and unstimulated excessive motor behaviour]

Front 12

alogia

Back 12

patient appears to have a diminution of thoughts that is reflected in decrease of fluency and productivity of speech. Different from unwillingness to speak

Front 13

avolition

Back 13

inability to initiate and persist in goal directed activity

Front 14

bizarre delusions

Back 14

if they are clearly implausible and not understandable and don't derive from ordinary life experiences. Delusions that express a loss of control of body or mind are generally considered bizarre [thought insertion/withdrawal/broadcasting] or delusions of control [thoughts that his/her body or actions are being acted on or manipulated by some outside force]

Front 15

differential diagnosis of psychotic episodes

Back 15

schizophrenia
schizopreniform
schizoaffective
delusional disorder
brief psychotic disorder
substance-induced psychotic disorder
psychotic disorder due to a GMC
psychosis NOS
major depression with psychotic features
bipolar disorder

Front 16

schizophreniform disorder

Back 16

schizophrenia expect symptoms for 1 month and don't last 6

Front 17

schizoaffective disorder

Back 17

criteria A for schizophrenia but with MDE, mania or mixed episode. Hallucinations or delusions for at least 2 weeks without mood symptoms

Front 18

delusional disorder

Back 18

delusions for greater than a month and does not meet criteria for schizophrenia

Front 19

brief psychotic disorder

Back 19

psychotic symptoms for greater than 1 day but less than 1 month; may or may not be related to marked stressor; eventual full return to premorbid level of functioning

Front 20

substance-induced psychotic disorder

Back 20

delusions or hallucination within 1 month of substance intoxication or withdrawal or are etiologically related to medication use

Front 21

psychotic disorder due to a GMC

Back 21

delusions or hallucinationsare direct physiological consequence of a medical condition and occur in absence of delirium

Front 22

psychotic disorder NOS

Back 22

psychotic symptoms are present but criteria for specific disorder not met or there is insufficient or contradictory information

Front 23

major depression with psychotic features

Back 23

MDE with concurrent mood-congruent (most common) or mood-incongruent psychotic symptoms

Front 24

Bipolar disorder

Back 24

manic episode with concurrent mood-congruent (most common) or mood-incongruent psychotic symptoms