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Schizophrenia Spectrum and Other Psychotic Disorders
Schizophrenia Spectrum and Other Psychotic Disorders
and
OTHER PSYCHOTIC DISORDERS
DSM 5
DSM 5 Classification
• Schizophrenia
• Other Psychotic Disorders
• Schizotypal Personality Disorder
Schizophrenia
Diagnosis (DSM 5 criteria)
A. Characteristic symptoms
B. Social/Occupational impairment
C. Length / duration of illness
1. Schizophreniform Disorder
2. Schizoaffective Disorder
3. Delusional Disorder
4. Shared Psychotic Disorder
5. Brief Psychotic Disorder
Other Psychotic Disorders (DSM 5) cont’d..
6. Substance/Medication-Induced Psychotic D.
7. Psychotic D due to another medical condition
8. Catatonia
9. Other Specified SSOPD
10.Unspecified SSOPD
Outline
• History
Epidemiology (risk factors)
• Etiology
Diagnosis (criteria and classification)
Clinical features
Differential Diagnosis
Course and Prognosis
Treatment
SCHIZOPHRENIFORM DISORDER
Schizophreniform Disorder
• Introduced by Gabriel Langfeldt in 1939
• Unknown etiology
Relatives more likely to have Mood D
Brains show changes similar to schiz
Etiology: unknown
Schizoaffective Disorder
DIAGNOSIS
A. Uninterrupted period of illness with a major mood episode
concurrent with Schizophrenia symptoms
B. Delusions or hallucinations for 2 or more weeks in the
absence of a major mood episode
C. Symptoms of major mood episode are present for a majority
of the total duration of illness
D. Not due to substance use/another med condition
• Alcohol
• Cannabis
• Phencyclidine
• Other hallucinogens
• Inhalant
• Sedative, hypnotic, or anxiolytic
• Amphetamine (or other stimulant)
• Cocaine
• Other (unknown) substance
PSYCHOTIC DISORDER DUE TO A
GENERAL MEDICAL CONDITION
Psychotic disorder due to a general medical
condition
• The medical condition, and the predominant
symptom pattern, should be included in the
diagnosis (ex. Psychotic disorder due to a brain
tumor, with delusions)
CATATONIA
CATATONIA
Catatonia
• Defined by the presence of 3 or more of 12
psychomotor features
• Syndrome marked by striking behavioral
abnormalities
• Uncommon condition; found mostly in
advanced cases of mood disorder or psychosis
– 25-50% of catatonic in-patients have mood
disorders
– 10% have Schizophrenia
Catatonia
• Etiology:
– Medications
• Corticosteroids
• Immunosuppressants
• Antipsychotic agents
– Medical conditions:
• Neurological disorders (head trauma)
• Infections (encephalitis)
• Metabolic disturbances (hyponatremia, hypercalcemia)
Catatonia
classification