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12 Cards in this Set

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disorganized speech

disorganized behavior

negative symptoms (flat affect, avolition reduced speech)

2 out of the 5 for

1 out of the first 3

6+ mos

No mania or depression

Schizophreniform disorder

Schizophrenia for less than 6 months

Schizoaffective disorder

Schizophrenia + mania or depression

I mo +

Brief psychotic disorder

At least one of the basic psychotic symptoms for less than 1 month

Catatonia associated with another mental disorder (catatonia specifier)

Two or more behavioral characteristics: relative motor immobility or hyperactivity mutism or marked negativism

peculiar voluntary movements

echolalia or echopraxia


Catalepsy: maintaining an uncomfortable posture

echopraxia: imitating another person's physical behavior

exaggerated compliance: at the slightest touch, moving in the direction indicated by another person

posturing: assuming an unnatural or uncomfortable pose

waxy flexibility: active resistance when an examiner tries to change the patient's position

Delusional disorder

Delusions for at least a month but do not fulfill criteria for schizophrenia

Psychotic disorder due to another medical condition

A range of medical and neurological conditions can produce psychotic symptoms that may not qualify for the other psychotic disorders

Substance medication induced psychotic disorder

Intoxication or withdrawal of substances can cause psychotic symptoms

Disorders with psychosis as a symptom

Mood disorders (major depressive episode or manic episode)

Cognitive disorders (dementia or delirium) and personality disorders (people with BPD) may have transient periods when they appear delusional.

Disorders that made masquerade as psychosis

Specific phobia

intellectual disability

somatic symptom disorder

factitious disorder

Schizophrenia assessment

Begins late adolescence/young adulthood onset before puberty is rare.

Children and young adolescents are likely to exhibit only precursor symptoms such as social withdrawal acting-out behavior language and speech delays and academic problems

Hallucinations are the most common symptom in early onset schizophrenia.

Onset of symptoms is most often gradual.

17% of children ages 9 to 12 and 7.5% of adolescents report non psychotic hallucinations especially hearing voices. Many of these move into adult life without experiencing mental illness however early psychotic symptoms maybe risk markers for other forms of pathology including mood behavior and anxiety disorders their risk of actual psychotic illness is likely to be several times that of a person in the general population.(p. 219, Morrison & Flegel)

Unspecified Schizophrenia Spectrum and Other Psychotic Disorder