Schizophrenia Spectrum and Other Psychotic Disorders Flashcards
Delusional Syndrome, criteria A
A. The presence of one (or more) delusions with a duration of 1 month or longer.
What are delusions?
A thought/idea about the world that is not true . Delusions only count when experienced by one or two people, not when a group of people experiences them
Source: instructional video 8
Brief psychotic syndrome, criteria A
A. Presence of one (or more) of the following symptoms. At least one of these must be (1), (2), or (3):
- Delusions.
- Hallucinations.
- Disorganized speech (e.g., frequent derailment or incoherence).
- Grossly disorganized or catatonic behavior.
Brief psychotic syndrome, criteria B
B. Duration of an episode of the disturbance is at least 1 day but less than 1 month, with eventual full return to premorbid level of functioning.
Psychotic syndromes in DSM-5 are _______ _______.
Mutually exclusive = one can only have one of them
Schizophreniform, criteria A
A. Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated). At least one of these must be (1), (2), or (3):
- Delusions.
- Hallucinations.
- Disorganized speech (e.g., frequent derailment or incoherence).
- Grossly disorganized or catatonic behavior.
- Negative symptoms (i.e., diminished emotional expression or avolition).
Schizophreniform, criteria B
B. An episode of the disorder lasts at least 1 month but less than 6 months.
When the diagnosis must be made without waiting for recovery, it should be qualified as “provisional.”
Schizophrenia, criteria A
A. Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated). At least one of these must be (1), (2), or (3):
- Delusions.
- Hallucinations.
- Disorganized speech (e.g., frequent derailment or incoherence).
- Grossly disorganized or catatonic behavior.
- Negative symptoms (i.e., diminished emotional expression or avolition).
Schizophrenia, criteria B
B. For a significant portion of the time since the onset of the disturbance, level of functioning in one or more major areas, such as work, interpersonal relations, or self-care, is markedly below the level achieved prior to the onset
(or when the onset is in childhood or adolescence, there is failure to achieve expected level of interpersonal, academic, or occupational functioning).
Schizophrenia, criteria C
C. Continuous signs of the disturbance persist for at least 6 months. This 6-month period must include at least 1 month of symptoms (or less if successfully treated) that meet Criterion A (i.e., active-phase symptoms) and may include periods of prodromal or residual symptoms. During these prodromal or residual periods, the signs of the disturbance may be manifested by only negative symptoms or by two or more symptoms listed in Criterion A present in an attenuated form (e.g., odd beliefs, unusual perceptual experiences).
Psychotic syndrome with important mood episodes/Schizo-affective disorder, criteria A + note
A. An uninterrupted period of illness during which there is a major mood episode (major depressive or manic) concurrent with Criterion A of schizophrenia.
Note: The major depressive episode must include Criterion A1: Depressed mood.
Psychotic syndrome with important mood episodes/Schizo-affective disorder, criteria B + note
B. Delusions or hallucinations for 2 or more weeks in the absence of a major mood episode (depressive or manic) during the lifetime duration of the illness.
note: otherwise it may be ‘depressive’ or ‘bipolar I’ with psychotic
Psychotic syndrome with important mood episodes/Schizo-affective disorder, criteria C + note
C. Symptoms that meet criteria for a major mood episode are present for the majority of the total duration of the active and residual portions of the illness.
note: otherwise it may be an other psychotic disorder comorbid with a mood disorder
