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

Answer 2

Schizophreniform disorder

Question 3

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

Answer 3

Schizoaffective disorder

Question 4

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

Answer 4

Brief psychotic disorder

Question 5

Patients have delusions, but not the other symptoms of schizophrenia (specify with stressor or not)

Answer 5

Delusional disorder

Question 6

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

Answer 6

Psychotic disorder due to another medical condition

Question 7

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

Answer 7

Substance/medication-induced psychotic disorder

Question 8

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

Answer 8

Other, specified or unspecified schizophrenia spectrum and other psychotic disorder

Question 9

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

Answer 9

Cognitive disorders with psychosis

Question 10

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

Answer 10

Factitious disorder imposed on self

Question 11

Best Practices Treatment

Answer 11

First and foremost establish therapeutic alliance in order to gain essential info; develop an alliance with family; interview family members/others knowing patient; antipsychotic meds; identify patient’s goals and aspirations relating to treatment outcomes (research shows this increases treatment adherence)

Question 12

Best Practices Treatment

Answer 12

First and foremost establish therapeutic alliance in order to gain essential info; develop an alliance with family; interview family members/others knowing patient; antipsychotic meds; identify patient’s goals and aspirations relating to treatment outcomes (research shows this increases treatment adherence)