ICD-11: Schizophrenia or other primary psychotic disorders (6A20‑6A2Z) Flashcards

1
Q

Schizophrenia or Other Primary Psychotic Disorders Overview

A

Characterized by significant impairments in reality testing and alterations in behavior. Includes positive symptoms (delusions, hallucinations, disorganized thinking), negative symptoms (blunted affect, avolition), and psychomotor disturbances. Symptoms deviate from cultural norms and are not due to another mental disorder or substance use.

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2
Q

Schizophrenia

A

Disturbances in thinking (delusions, thought disorganization), perception (hallucinations), self-experience (external control), cognition (impaired attention), volition (loss of motivation), affect (blunted expression), and behavior (bizarre behavior). Symptoms must persist for at least one month and not due to other health conditions or substance use.

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3
Q

Schizophrenia, First Episode

A

Identifies individuals experiencing schizophrenia symptoms for the first time. Symptoms meet diagnostic requirements and duration but have not previously met criteria for schizophrenia.

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4
Q

Schizophrenia, First Episode, Currently Symptomatic

A

All definitional requirements for schizophrenia are currently met or have been met within the past month.

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5
Q

Schizophrenia, First Episode, in Partial Remission

A

Symptoms have improved but some clinically significant symptoms remain, not meeting full diagnostic requirements for at least one month. Partial remission may be due to treatment.

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6
Q

Schizophrenia, First Episode, in Full Remission

A

All symptoms have ameliorated, with no significant symptoms remaining. Remission may be due to treatment.

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7
Q

Schizophrenia, Multiple Episodes

A

Identifies individuals with multiple episodes of schizophrenia with substantial remission of symptoms between episodes. Some attenuated symptoms may remain during remission.

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8
Q

Schizophrenia, Multiple Episodes, Currently Symptomatic

A

All definitional requirements for schizophrenia are currently met or have been met within the past month.

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9
Q

Schizophrenia, Multiple Episodes, in Partial Remission

A

Symptoms have improved but some clinically significant symptoms remain, not meeting full diagnostic requirements for at least one month. Partial remission may be due to treatment.

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10
Q

Schizophrenia, Multiple Episodes, in Full Remission

A

All symptoms have ameliorated, with no significant symptoms remaining. Remission may be due to treatment.

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11
Q

Schizophrenia, Continuous

A

Symptoms have been present for almost all of the illness course over at least one year, with periods of subthreshold symptoms being very brief.

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12
Q

Schizophrenia, Continuous, Currently Symptomatic

A

All definitional requirements for schizophrenia are currently met or have been met within the past month.

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13
Q

Schizophrenia, Continuous, in Partial Remission

A

Symptoms have improved but some clinically significant symptoms remain, not meeting full diagnostic requirements for at least one month. Partial remission may be due to treatment.

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14
Q

Schizophrenia, Continuous, in Full Remission

A

All symptoms have ameliorated, with no significant symptoms remaining. Remission may be due to treatment.

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15
Q

Schizoaffective Disorder

A

Episodic disorder with symptoms of schizophrenia and a manic, mixed, or moderate/severe depressive episode within the same illness episode. Symptoms must persist for at least one month and not due to other medical conditions or substance use.

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16
Q

Schizoaffective Disorder, First Episode

A

Identifies individuals experiencing schizoaffective disorder symptoms for the first time. Symptoms meet diagnostic requirements and duration but have not previously met criteria for schizoaffective disorder or schizophrenia.

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17
Q

Schizoaffective Disorder, First Episode, Currently Symptomatic

A

All definitional requirements for schizoaffective disorder are currently met or have been met within the past month.

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18
Q

Schizoaffective Disorder, First Episode, in Partial Remission

A

Symptoms have improved but some clinically significant symptoms remain, not meeting full diagnostic requirements for at least one month. Partial remission may be due to treatment.

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19
Q

Schizoaffective Disorder, First Episode, in Full Remission

A

All symptoms have ameliorated, with no significant symptoms remaining. Remission may be due to treatment.

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20
Q

Schizoaffective Disorder, Multiple Episodes

A

Identifies individuals with multiple episodes of schizoaffective disorder with substantial remission of symptoms between episodes. Some attenuated symptoms may remain during remission.

21
Q

Schizoaffective Disorder, Multiple Episodes, Currently Symptomatic

A

All definitional requirements for schizoaffective disorder are currently met or have been met within the past month.

22
Q

Schizoaffective Disorder, Multiple Episodes, in Partial Remission

A

Symptoms have improved but some clinically significant symptoms remain, not meeting full diagnostic requirements for at least one month. Partial remission may be due to treatment.

23
Q

Schizoaffective Disorder, Multiple Episodes, in Full Remission

A

All symptoms have ameliorated, with no significant symptoms remaining. Remission may be due to treatment.

24
Q

Schizoaffective Disorder, Continuous

A

Symptoms have been present for almost all of the illness course over at least one year, with periods of subthreshold symptoms being very brief.

25
Q

Schizoaffective Disorder, Continuous, Currently Symptomatic

A

All definitional requirements for schizoaffective disorder are currently met or have been met within the past month.

26
Q

Schizoaffective Disorder, Continuous, in Partial Remission

A

Symptoms have improved but some clinically significant symptoms remain, not meeting full diagnostic requirements for at least one month. Partial remission may be due to treatment.

27
Q

Schizoaffective Disorder, Continuous, in Full Remission

A

All symptoms have ameliorated, with no significant symptoms remaining. Remission may be due to treatment.

28
Q

Schizotypal Disorder

A

Enduring pattern of eccentric behavior, appearance, and speech, accompanied by cognitive and perceptual distortions, unusual beliefs, and discomfort with interpersonal relationships. Symptoms cause distress or impairment in functioning.

29
Q

Acute and Transient Psychotic Disorder

A

Acute onset of psychotic symptoms that reach maximal severity within two weeks. Symptoms include delusions, hallucinations, thought disorganization, perplexity, and affect disturbances. Episode duration does not exceed 3 months.

30
Q

Acute and Transient Psychotic Disorder, First Episode

A

Identifies individuals experiencing acute and transient psychotic disorder symptoms for the first time. Symptoms meet diagnostic requirements and duration.

31
Q

Acute and Transient Psychotic Disorder, First Episode, Currently Symptomatic

A

All definitional requirements for acute and transient psychotic disorder are currently met or have been met within the past month.

32
Q

Acute and Transient Psychotic Disorder, First Episode, in Partial Remission

A

Symptoms have improved but some clinically significant symptoms remain, not meeting full diagnostic requirements for at least one month. Partial remission may be due to treatment.

33
Q

Acute and Transient Psychotic Disorder, First Episode, in Full Remission

A

All symptoms have ameliorated, with no significant symptoms remaining. Remission may be due to treatment.

34
Q

Acute and Transient Psychotic Disorder, Multiple Episodes

A

Identifies individuals with multiple episodes of acute and transient psychotic disorder with substantial remission of symptoms between episodes.

35
Q

Acute and Transient Psychotic Disorder, Multiple Episodes, Currently Symptomatic

A

All definitional requirements for acute and transient psychotic disorder are currently met or have been met within the past month.

36
Q

Acute and Transient Psychotic Disorder, Multiple Episodes, in Partial Remission

A

Symptoms have improved but some clinically significant symptoms remain, not meeting full diagnostic requirements for at least one month. Partial remission may be due to treatment.

37
Q

Acute and Transient Psychotic Disorder, Multiple Episodes, in Full Remission

A

All symptoms have ameliorated, with no significant symptoms remaining. Remission may be due to treatment.

38
Q

Delusional Disorder

A

Development of a delusion or set of related delusions persisting for at least 3 months. Other schizophrenia symptoms (e.g., hallucinations, disorganized thinking) are not present, though perceptual disturbances thematically related to the delusion may occur.

39
Q

Delusional Disorder, Currently Symptomatic

A

All definitional requirements for delusional disorder are currently met or have been met within the past month.

40
Q

Delusional Disorder, in Partial Remission

A

Symptoms have improved but some clinically significant symptoms remain, not meeting full diagnostic requirements for at least one month. Partial remission may be due to treatment.

41
Q

Delusional Disorder, in Full Remission

A

All symptoms have ameliorated, with no significant symptoms remaining. Remission may be due to treatment.

42
Q

Symptomatic Manifestations of Primary Psychotic Disorders

A

Used to characterize current symptoms in individuals diagnosed with schizophrenia or another primary psychotic disorder. Should not be used for primary coding and not attributed to other health conditions or substance use.

43
Q

Positive Symptoms in Primary Psychotic Disorders

A

Includes persistent delusions, persistent hallucinations, disorganized thinking, grossly disorganized behavior, and experiences of passivity and control. Rated based on severity during the past week.

44
Q

Negative Symptoms in Primary Psychotic Disorders

A

Includes blunted affect, alogia, avolition, asociality, and anhedonia. Symptoms should not be entirely due to antipsychotic treatment, a depressive disorder, or an under-stimulating environment. Rated based on severity during the past week.

45
Q

Depressive Mood Symptoms in Primary Psychotic Disorders

A

Depressed mood as reported by the individual or manifested as a sign. Used whether or not depressive symptoms meet diagnostic requirements of a depressive disorder. Rated based on severity during the past week.

46
Q

Manic Mood Symptoms in Primary Psychotic Disorders

A

Elevated, euphoric, irritable, or expansive mood states, including rapid mood changes and increased subjective energy. Rated based on severity during the past week.

47
Q

Psychomotor Symptoms in Primary Psychotic Disorders

A

Includes psychomotor agitation or retardation, catatonic symptoms. Rated based on severity during the past week.

48
Q

Cognitive Symptoms in Primary Psychotic Disorders

A

Cognitive impairment in domains such as speed of processing, attention, judgment, learning, and working memory. Rated based on severity during the past week and not due to other disorders or substance use.

49
Q

Other Specified Primary Psychotic Disorder

A

Includes primary psychotic disorders not fitting into the specified