Psychotic D/O

Question 1

Delusional Disorder

Answer 1

A. 1(+) delusions for 1(+) months
B. Criterion A for schizophrenia never met
(Hallucinations if present are only related to delusion)
C. Functioning not drastically impaired
D. Manic/Depressive episodes if present are secondary to delusions
E. NBE Medical
● Spec:
Types- JEGS BUMP
Erotomanic, Grandiose, Jealous, Persecutory, Somatic, Mixed, Unspecified, Bizarre

Question 2

Brief Psychotic Disorder

Answer 2

A. 1 (+) sx, must be 1, 2 or 3
  1. Delusions.
  2. Hallucinations.
  3. Disorganized speech 
  4. Grossly disorganized or catatonic behavior.
B. at least 1 day, less than 1 month, eventually returns to full function
C. NBE Mental
● Specify if:
  With/Without marked stressor(s).
  Postpartum Onset
  Catatonia
  Severity

Question 3

Schizophreniform Disorder

Answer 3

A. 2 (+) sx, significant portion of time for 1 month, must be 1, 2 or 3
1. Delusions.
2. Hallucinations.
3. Disorganized speech
4. Grossly disorganized or catatonic behavior.
5. Negative symptoms
B. An episode of the disorder lasts at least 1 month but less than 6 months.
C. NBE Mental
D. NBE Medical

Question 4

Schizophrenia

Answer 4

A. 2 (+), sig time, 1 month, must be 1, 2, or 3
1. Delusions.
2. Hallucinations.
3. Disorganized speech
4. Grossly disorganized or catatonic behavior.
5. Negative symptoms
B. Sig Impairment in Functioning
C. Continuous Signs of Disturbance for at least 6 mos
D. NBE Mental
E. NBE Medical
F. If ASD, at least 1 month of hallucinations
● Specify if:
With Catatonia

Question 5

Schizoaffective Disorder

Answer 5

A. Uninterrupted illness, mood episode + A of schizophrenia
B. Delusions or hallucinations for 2 or more weeks w/out mood episode
C. SX of Mood episode present most of the time
D. NBE Medical/Substance
● Specify whether:
Bipolar/Depressive type
With catatonia

Question 6

Catatonia Specifier- SCAMM WNPS GEE

Answer 6

A. 3(+) Sx

1. Stupor
2. Catalepsy
3. Agitation, not influenced by external stimuli.
4. Mutism
5. Mannerism
6. Waxy flexibility
7. Negativism
8. Posturing
9. Stereotypy
10. Grimacing.
11. Echolalia (i.e., mimicking another’s speech).
12. Echopraxia (i.e., mimicking another’s movements).