Psychotic Disorders

Question 1

What are the symptoms of schizophrenia? (5)

Answer 1

1. Delusions. 2. Hallucinations. 3. Disorganized speech (frequent derailment or incoherence). 4. Grossly disorganized or catatonic behavior. 5. Negative symptoms (diminished emotional expression or avoilition)

Question 2

How many symptoms of schizophrenia are needed for a diagnosis? For what amount of time?

Answer 2

2 or more for a significant portion of time during a 1-month period.

Question 3

For a diagnosis of schizophrenia, how long must continuous signs of the disturbance persist for?

Answer 3

For 6 months.

Question 4

What distinguishes schizophrenia from depression or bipolar with psychotic features?

Answer 4

Schizophrenia does not present with a depressive or manic episode. The psychosis is exclusively only present during the depressive/manic episode.

Question 5

What distinguishes schizophrenia from schizoaffective disorder?

Answer 5

No depressive episode is present, or if it is present during the active phase, it is present for a minority of the time.

Question 6

What symptoms does a client need at least one of to be diagnosed with schizophrenia?

Answer 6

Symptoms 1-3. Delusions, hallucinations, and/or disorganized speech.

Question 7

What distinguishes schizophrenia from schizophreniform disorder? (2)

Answer 7

1. Schizophreniform disorder is diagnosed when the symptoms are met for schizophrenia, except the symptoms have been present for between 1-6 months. 2. Daily functioning may or may not have declined over that period of time.

Question 8

What is criterion B of schizophrenia?

Answer 8

For a significant portion of time since the onset of the disturbance, level of functioning in one or more major areas, such as work, interpersonal activities, or self-care, is markedly below the level achieved prior to onset.

Question 9

What are the symptoms of brief psychotic disorder? how many are need for a diagnosis?

Answer 9

Positive symptoms: 1. Delusions. 2. Hallucinations. 3. Disorganized speech. 4. Grossly disorganized or catatonic behavior. One, or more, are needed.

Question 10

What distinguishes brief psychotic disorder from schizophrenia? (2)

Answer 10

1. No negative symptoms are present in brief psychotic episode. 2. Brief psychotic episode onsets quickly and lasts between a day and a month.

Question 11

What are two examples of disorganized speech?

Answer 11

1. Word salad. 2. Neologisms (creating new words).

Question 12

What are the criteria for delusional disorder? (deluSIONAL)

Answer 12

Schizophrenia A criteria not met. Impairment of functioning is absent. Odd or bizarre behavior absent. Not due to a substance. Absence of mood episodes, or they are brief. Lasts 1 month or more.

Question 13

What are the criteria for schizoaffective disorder? (SAD)

Answer 13

Symptoms that meet criteria for a major mood episode are present for the majority of the total duration of the active and residual portion of the illness. An uninterrupted period of illness during which there is a mood episode concurrent with Criterion A of schizophrenia. Delusions or hallucinations for 2 or more weeks in the absence of a major mood episode during the lifetime duration of the illness.