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Psychopathology DSM criteria
Schizophrenia and Other Psychotic Disorders
12
Psychology
Graduate
10/21/2007

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Term
Schizophrenia
Definition
6 Criteria

A. Characteristic Symptoms:
2 or more, each sig. present during 1mo period (only 1 needed if delusions are bizarre or halllucinations consist of running commentary or 2 voices):
    1. delusions
    2. hallucinations
    3. disorganized speech
    4. grossly disorganized or catatonic behavior
    5. negative symptom (affective flattening/alogia/avolition)

B. Social/occupational dysfunction: significantly lower funct.

C. Duration: Continuous signs for at least 6mo, including at least 1mo of active-phase symptoms (A)

D. Schizoaffective and Mood Disorder exclusion: Either no Major Depressive, Manic, or Mixed episodes, OR if episodes have occured during active-phase symptoms, their duration is brief relative to duration of active and residual periods

E. Substance/GMC exclusion: Not due to substance or GMC

F. Relationship to PDD: Schizophrenia diagnosis made only if prominent delusions or hallucinations are also present for at least a month
Term
Schizophrenia
Paranoid Type
Definition
A type of Schizophrenia in which the following are met:

A. Preoccupation with 1 or more delusions or frequent auditory hallucinations.

B. None of the following is prominent: disorganized speech, disorganized or catatonic behavior, or flat or inappropriate affect.
Term
Schizophrenia
Disorganized Type
Definition
A type of schizophrenia:

A. All of the following are prominent:
     1. disorganized speech
     2. disorganized behavior
     3. flat or inappropriate affect

B. The criteria are not met for Catatonic Type
Term
Schizophrenia
Catatonic Type
Definition

A type of schizophrenia:

A. 2 or more of the following:
    1. motoric immobility (catalepsy or stupor)
    2. excessive motor activity (purposeless)

    3. extreme negativism or mutism

    4. peculiarities of voluntary movement

    5. echolalia or echopraxia

Term
Schizophrenia
Residual Type
Definition

A type of schizophrenia:

A. Absence of prominent delusions, hallucinations, disorganized speech, and grossly disorganized or catatonic behavior.

B. There is continuing evidence of the disturbance, as indicated by the presence of negative symptoms or 2 or more criteria A symptoms in attenuated form.

Term
Schizophreniform
Disorder
Definition
2 criteria

A. Criteria A, D, and E of Schizophrenia are met

B. An episode of the disorder lasts between 1 and 6 months

Specify if:
w.o good prognostic features
w. good prognostic features
Term
Schizoaffective Disorder
Definition
4 Criteria

A. An uninterrupted period of illness during which, at some time, there is either a Major Depressive, Manic, or Mixed Episode concurrent w. symptoms that meet criterion A for Schizophrenia

B. During the same period of illness, there have been delusions or hallucinations for at least 2 weeks in absence of prominent mood symptoms.

C. Symptoms that meet criteria for a mood episode are present for a substantial portion of the total duration of the active and residual periods of the illness

D. Not due to substance or general medical condition

Specify:
Bipolar type
Depressive type
Term
Delusional Disorder
Definition
5 Criteria


A. Nonbizarre delusions for at least 1 month

B. Criterion A for schizophrenia has never been met.

C. Apart from the impact of the delusions functioning is not markedly impaired and behavior is not obviously odd


D. If mood episodes have occured concurrently w. delusions, their total duration has been brief relative to the duration of the delusional periods


E. Not due to substance or general medical condition


Specify type of delusions:


Eromanic Type: another person (of high status) in love w. ind

Grandiose Type: inflated worth, power, identity, or relatnshp

Jealous Type: ind's sexual partner is unfaithful

Persecutory Type: ind is being malevolently treated
Somatic Type: ind has defect or general medical condition
Mixed Type: characteristic of more than 1 of above, but no one theme predominates
Unspecified Type

Term

Brief Psychotic Disorder

Definition
3 Criteria

A. Presence of 1 or more:
    1. delusions
    2. hallucinations
    3. disorganized speech
    4. grossly disorganized or catatonic behavior

B. Duration of an episode is between 1 day and 1 month, with eventual full return to premorbid level of functioning

C. Not better accounted for by Mood Disorder w. psychotic features, schizoaffective disorder, or schizophrenia; and is not due to substance or general medical condition

Specify if:
w. marked stressor(s)
w.o marked stressor(s)
w. postpartum onset
Term
Shared Psychotic Disorder
Definition
3 Criteria

A. Delusion that develops in an individual in the context of a close relationship w. 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

C. Not better accounted for by another psychotic disorder, or mood disorder with psychotic features; and is not due to substance or general medical condition
Term
Psychotic Disorder due to General Medical Condition
Definition
4 Criteria

A. Prominent hallucinations or delusions

B. Direct physiological consequence of a gen med condition

C. Not better accounted for by another mental disorder

D. Not exclusively during a delirium

code:
w. delusions
w. hallucinations
Term
Substance Induced Psychotic Disorder
Definition
4 Criteria

A. Prominent hallucinations or delusions (do not include hallucinations if the person has insight that they are substance induced)

B. Either 1 or 2:
 1. symptoms developed during or within 1mo of substance intoxication or withdrawal
 2. medication use is etiologically related to the disturbance

C. disurbance not better accounted for by a psychotic disorder that is not substance induced.

D. Not exclusive during course of a delirium

Specify:
w. onset during intoxication
w. onset during withdrawal
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