Term
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Definition
A. 2 (or more) of the following, each
during a 1-month period (or less if successfully treated):
(1) delusions (1 if delusions are bizarre)
(2) hallucinations (1 if hallucinations consist of a voice keeping up a running commentary , or 2 or more voices conversing with each other)
(3) disorganized speech (e.g., frequent derailment or incoherence)
(4) grossly disorganized or catatonic behavior
(5) negative symptoms, i.e., affective flattening, alogia, or avolition |
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Term
| B. Social/occupational dysfunction: |
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Definition
| C. Duration: Continuous signs of the disturbance persist for at least 6 months. This 6-month period must include at least 1 month of symptoms (or less if successfully treated) that meet Criterion A (i.e., active-phase symptoms) and may include periods of prodromal or residual symptoms. |
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Term
Not another disorder
not due to a substance or GMC |
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Definition
| F. Relationship to a Pervasive Developmental Disorder: If there is a history of Autistic Disorder or another Pervasive Developmental Disorder, the additional diagnosis of Schizophrenia is made only if prominent delusions or hallucinations are also present for at least a month (or less if successfully treated). |
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Term
Classification of longitudinal course (can be applied only after at least 1 year has elapsed since the initial onset of active-phase symptoms):
Episodic With Interepisode Residual Symptoms (episodes are defined by the reemergence of prominent psychotic symptoms); also specify if: With Prominent Negative Symptoms
Episodic With No Interepisode Residual Symptoms
Continuous (prominent psychotic symptoms are present throughout the period of observation); also specify if: With Prominent Negative Symptoms
Single Episode In Partial Remission; also specify if: With Prominent Negative Symptoms
Single Episode In Full Remission
Other or Unspecified Pattern |
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Definition
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Term
Paranoid Type :
delusions or frequent auditory hallucinations
not disorganized or catatonic or flat or inappropriate affect prominently |
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Definition
Disorganized Type:
All of the following are prominent:
(1) disorganized speech
(2) disorganized behavior
(3) flat or inappropriate affect
(but not catatonic) |
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Term
Catatonic Type:
2 of the following:
(1) motoric immobility as evidenced by catalepsy (including waxy flexibility) or stupor
(2) excessive motor activity (purposeless and not influenced by external stimuli)
(3) extreme negativism (an apparently motiveless resistance to all instructions or maintenance of a rigid posture against attempts to be moved) or mutism
(4) posturing, stereotyped movements, prominent mannerisms, or prominent grimacing
(5) echolalia or echopraxia |
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Definition
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Term
Undifferentiated Type:
if not Paranoid, Disorganized, or Catatonic Type. |
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Definition
Residual Type:
presence of negative symptoms or 2 or more Criterion A symptoms present in an attenuated form
(e.g., odd beliefs, unusual perceptual experiences).
Absence of prominent delusions, hallucinations, disorganized speech, and grossly disorganized or catatonic behavior. |
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Term
____________________________________
Schizophreniform Disorder |
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Definition
Schizophrenia criteria are met
but it has been at least 1 month but less than 6 months |
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Term
Specify if:
Without Good Prognostic Features
With Good Prognostic Features: 2 or more) of the following:
(1) onset within 4 weeks of the first noticeable change
(2) confusion or perplexity at the height of the psychotic episode
(3) good premorbid social and occupational functioning
(4) absence of blunted or flat affect |
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Definition
Brief Psychotic Disorder:
psychotic symptoms for less than 1 month
resolves completely
Specify if:
With Marked Stressor(s) (brief reactive psychosis)
Without Marked Stressors
With Postpartum Onset: (4 weeks postpartum) |
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Term
Psychotic Disorder NOS:
inadequate info to make dx
or doesn't exactely meet criters
ex:
less than a month but not remitted so doesn't meet criteria for brief
ex: only AH
ex: unsure if primary of GMC/substance
ex: postapartum thans that brief, not mood with psychotic features, not GMC & not substance |
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Definition
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Term
Schizoaffective Disorder:
Mood episode concurrent with A criteria psychotic syptoms
BUT
there have been psychotic symtpoms for at least 2 weeks in the absence of prominent mood symptoms. |
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Definition
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Term
| mood episode symptoms are present for a substantial portion of the total duration |
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Definition
Specify type:
Bipolar Type:
if the disturbance includes a Manic or a Mixed Episode (or a Manic or a Mixed Episode and Major Depressive Episodes)
Depressive Type:
if the disturbance only includes Major Depressive Episodes |
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Term
Delusional Disorder:
Nonbizarre delusions
at least 1 month's duration
(Note: Tactile and olfactory hallucinations may be present in Delusional Disorder if they are related to the delusional theme) |
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Definition
| functioning is not markedly impaired and behavior is not obviously odd or bizarre |
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Term
Specify type:
Erotomanic Type: delusions that another person, usually of higher status, is in love with the individual
Grandiose Type: delusions of inflated worth, power, knowledge, identity, or special relationship to a deity or famous person
Jealous Type: delusions that the individual's sexual partner is unfaithful
Persecutory Type: delusions that the person (or someone to whom the person is close) is being malevolently treated in some way
Somatic Type: delusions that the person has some physical defect or general medical condition
Mixed Type: delusions characteristic of more than one of the above types but no one theme predominates
Unspecified Type |
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Definition
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Term
Shared Psychotic Disorder
(Folie a Deux) |
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Definition
A. A delusion develops in an individual in the context of a close relationship with another person(s), who has an already-established delusion.
B. The delusion is similar in content to that of the person who already has the established delusion. |
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Term
Psychotic Disorder Due to...[Indicate the General Medical Condition]
(The disturbance does not occur exclusively during the course of a Delirium) |
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Definition
Code based on predominant symptom:
-With Delusions:
-With Hallucinations
Include the name of the general medical condition on Axis I, e.x. Psychotic Disorder Due to Malignant Lung Neoplasm, With Delusions
also code the general medical condition on Axis III (see Appendix G for codes). |
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Term
Substance-Induced Psychotic Disorder:
A. Prominent hallucinations or delusions.
Note: Do not include hallucinations if the person has insight that they are substance induced. |
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Definition
developed during, or within
1 month of
Substance Intoxication or Withdrawal
or
medication use is etiologically related to the disturbance |
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Term
| D. The disturbance does not occur exclusively during the course of a delirium. |
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Definition
Code as
[Specific Substance]-Induced Psychotic Disorder:
ex: Alcohol-Induced Psychotic Disorder With Hallucinations
Amphetamine-Induced Psychotic Disorder, With Delusions
Opioid-Induced Psychotic Disorder, With Delusions
Sedative, Hypnotic, or Anxiolytic-Induced Psychotic Disorder, With Delusions
Other [or Unknown] Substance-Induced Psychotic Disorder, With Hallucinations) |
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Term
Codeable Substance-Induced Psychotic Disorder include:
Alcohol
Amphetamine [or Amphetamine-Like Substance]
Cannabis
Cocaine
Hallucinogen
Inhalant
Opioid
Phencyclidine [or Phencyclidine-Like Substance]
Sedative, Hypnotic, or Anxiolytic
Other [or Unknown] Substance |
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Definition
code as :
with delusions or with hallucinations
also
Specify if
With Onset During Intoxication
Onset During Withdrawal |
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