Schizophrenia Spectrum & Other Psychotic Disorders

Question 1

For at least 6 months, patients have had 2 or more of these 5 types of psychotic symptoms: delusions, disorganized speech, hallucinations, negative symptoms, and catatonia or other markedly abnormal behavior. Ruled out as causes of the psychotic symptoms are significant mood disorders, substance use, and general medical conditions

Answer 1

Schizophrenia

Question 2

Patients have 2 or more of several behavioral characteristics. The specifier can be applied to disorders that include psychosis, mood disorders, autistic spectrum disorder, and other medical conditions

Answer 2

Catatonia associated with another mental disorder (catatonia specifier)

Question 3

Patients who have the basic symptoms of schizophrenia but have been ill only 1-6 months –less than the time specified for schizophrenia

Answer 3

Schizophreniform disorder

Question 4

For at least 1 month, patients have had basic schizophrenia symptoms; at the same time, they have prominent symptoms of mania or depression

Answer 4

Schizoaffective disorder

Question 5

Patients will have had at least one of the basic psychotic symptoms for less than 1 month (usually never returns)

Answer 5

Brief psychotic disorder

Question 6

Patients have delusions, but not the other symptoms of schizophrenia

Answer 6

Delusional disorder

Question 7

A variety of medical and neurological conditions can produce psychotic symptoms that may not meet criteria for any of the conditions above

Answer 7

Psychotic disorder due to another medical condition

Question 8

Alcohol or other substances (intoxication or withdrawal) can cause psychotic symptoms that may not meet criteria for any of the psychotic disorder conditions.

Answer 8

Substance/medication-induced psychotic disorder

Question 9

Use one of these categories for patients with psychoses that don’t seem to fit any of the categories of psychotic disorders

Answer 9

Other, specified or unspecified schizophrenia spectrum and other psychotic disorder

Question 10

Use when a patient has symptoms of catatonia but there isn’t enough info to substantiate a more definitive diagnosis

Answer 10

Unspecified catatonia

Question 11

Patients with a severe major depressive episode or manic episode can have hallucinations and mood-congruent delusions

Answer 11

Mood disorder with psychosis

Question 12

Many patients with delirium or major neurocognitive disorder have hallucinations or delusions

Answer 12

Cognitive disorders with psychosis

Question 13

Patients with borderline personality disorder may have transient periods (minutes or hours) when they appear delusional. Patients with schizophrenia may have premorbid schizoid or (especially) schizotypal personality disorder

Answer 13

Personality disorders with psychosis

Question 14

Some phobic avoidance behaviors can appear quite strange without being psychotic

Answer 14

Disorders that masquerade as psychosis: Specific phobia

Question 15

Patients with ID may at times speak or act bizarrely

Answer 15

Disorders that masquerade as psychosis: intellectual disability

Question 16

Sometimes these patients will report pseudohallucinations or pseudodelusions

Answer 16

Disorders that masquerade as psychosis: somatic symptom disorder

Question 17

Patients may fake delusions or hallucinations in order to obtain hospital or medical care

Answer 17

Factitious disorder imposed on self

Question 18

Persons may fake delusions or hallucinations in order to obtain money (insurance or disability payments), avoid work (in the military), or avoid punishment

Answer 18

Disorders that masquerade as psychosis: Malingering

Question 19

“madness of two”; shared psychotic disorder

Answer 19

Folie A deux

Question 20

specific phobia, intellectual disability, somatic symptom disorder, factitious disorder imposed on self, malingering

Answer 20

Disorders that masquerade as psychosis