Psychotic Flashcards
• >1 day, <1 month, with eventual full return to function
• [Criterion A]: Presence of 1 of the following symptoms, at least
one must be bold:
- delusions
- hallucinations
- disorganized speech
- grossly disorganized or catatonia behavior
• Specifiers:
1. with marked stressor
2. without marked stressor
3. with postpartum onset
4. with catatonia
Brief Psychotic Disorder
• >1 month, <6 months
• Presence of at least 2 of the following symptoms (during a 1-
month period), at least one must be bold:
- delusions
- hallucinations
- disorganized speech
- grossly disorganized or catatonia behavior
• Specifiers:
1. with good prognostic features
2. two of the following features:
a. onset of prominent psychotic symptoms within 4 weeks of
behavior change
b. confusion or perplexity
c. good premorbid social and occupational functioning
d. absence of blunted or flat affect
- without good prognostic features
- with catatonia
Schizophreniform
• 1 month of Criteria A symptoms, continuous signs for at least 6
months.
• Criterion A: 2 of the following, at least one must be bold:
- delusions
- hallucinations
- disorganized speech
- grossly disorganized or catatonia behavior
- negative symptoms
• Specifiers:
- first episode, acute episode / partial remission / full remission
- multiple episodes, acute episode / partial remission / full
remission - continuous
- unspecified
- with catatonia
- negative judgment about self
• Not exclusively during course of psychotic disorder
• Note: if met prior to onset of schizophrenia, add “premorbid”
Schizophrenia
• Major mood episode concurrent with Criterion A of schizophrenia
• Delusions or hallucinations for ≥2 weeks in absence of major mood
episode
• Symptoms of major mood episode for the majority of active/residual
illness
• Specifiers:
1. bipolar type OR depressive type
2. with catatonia
3. first episode OR multiple episodes
4. currently in acute episode OR partial remission OR full remission
5. Continuous
6. Unspecified
Schizoaffective
• Delusions or hallucinations
1. developed due to another medical condition
• Not exclusively during delirium
• Specifiers:
1. with delusions
2. with hallucinations
Psychotic Disorder Due to Another Medical
Condition
• Delusions or hallucinations
- developed after substance intoxication or withdrawal or
medication that can produce these symptoms
• Not exclusively during delirium
• Specifiers:
1. with onset during intoxication
2. with onset during withdrawal
Substance/Medication Induced Psychotic Disorder
• Symptoms of schizophrenia spectrum that causes
distress/impairment, but doesn’t meet full criteria
• use when the physician wants to communicate the reason criteria isn’t
met
• Specifiers:
1. persistent auditory hallucinations
2. delusions with significant overlapping and mood episodes
3. attenuated psychosis syndrome
4. delusional symptoms n partner of individual with delusional
disorder
Other Specified Schizophrenia Spectrum and
Other Psychotic Disorder
Symptoms of schizophrenia spectrum that causes
distress/impairment, but doesn’t meet full criteria
• use when a physician doesn’t want to communicate the reason
criteria aren’t met
Unspecified Schizophrenia Spectrum and Other
Psychotic Disorder
• 1 month
• Delusions but person doesn’t meet Criterion A for
schizophrenia
1. hallucinations if present are not prominent and
related to delusional theme
• apart from the impact of delusions, functioning is not
markedly impaired and behavior isn’t bizarre
• Specifiers
1. erotomaniac
▪ theme of someone loving them
2. grandiose
3. jealous
4. persecutory
5. somatic
6. mixed
7. unspecified
• More Specifiers:
- with bizarre content
▪ if implausible - first episode, in an acute episode
- first episode, partial remission
- first episode, full remission
- multiple episodes, in acute/partial remission/ full
remission
• Note: if met prior to the onset of schizophrenia, add
“premorbid”
Delusional Disorder
A pervasive pattern of social and interpersonal
deficits marked by acute discomfort with reduced
capacity for close relationships and
cognitive/perceptual distortions and eccentricities of
behavior beginning early and in multiple contexts
requiring at least 5:
- ideas of reference (excluding delusions of
reference) - odd beliefs or magical thinking inconsistent with
subcultural norms - unusual perceptual experiences
- odd thinking and speech
- suspiciousness or paranoid ideation
- inappropriate or constricted affected
- behavior/appearance that is odd, eccentric, or
peculiar - lack of close friends other than first degree
relatives - excessive social anxiety that does not diminish with
familiarity and tends to be associated with
paranoid fear rather than negative judgment
about self
• Not exclusively during the course of psychotic disorder
• Note: if met prior to the onset of schizophrenia, add
“premorbid”
Schizotypal (Personality) Disorder
• 3 or more of the following symptoms
1. stupor
2. catalepsy
3. waxy
flexibility
4. mutism
5. negativism
6. posturing
7. mannerism
8. stereotypy
9. agitation
10. grimacing
11. echolalia
12. echopraxia
• Coding: Specify
the associated
mental disorder
Catatonia
Specifier
• Catatonia, due
to a medical
condition
• Coding:
- add the
medical
condition
Catatonia
Disorder Due
to Another
medical
Condition
• symptoms characteristic of catatonia but doesn’t meet full criteria
Unspecified
Catatonia
