Psychotic Disorders

Question 1

Differences between…

Brief Psychotic Disorder vs
Schizophreniform Disorder vs
Schizophrenia vs
Schizoaffective

Answer 1

• similar diagnostic criteria
• difference in timeline of symptoms present

0 - 1 month: Brief Psychotic Disorder
1 month - 6 months: Schizophreniform
over 6 months: Schizophrenia

Question 2

Psychotic Symptoms (2 types)
Positive Symptoms

Answer 2

• added state beyond normal
• delusions
• hallucinations (auditory most common)
• general disorganized thinking
• agitation

Question 3

Psychotic Symptoms (2 types)
Negative Symptoms

Answer 3

• range of emotional expression diminished
• affect flattening
• poor eye contact
• reduced body language, constrained movement
• poverty of speech, empty, brief replies
• inability to participate or initiate goal directed activities

Question 4

Schizoaffective Disorder vs Mood Disorder with Psychotic Features

Answer 4

Schizoaffective

• meets criteria for psychotic disorder (predominant disorder)
• with a mood disorder that comes in and out

Mood Disorder with Psychotic Features

• persistent presence of mood disorder (predominant disorder)
• with psychotic features that comes in and out
• depressed or manic with occasional hearing of voices