Schizophreniform Disorder

 

Schizophreniform - Schizophreniform Disorder

Schizophreniform disorder is characterized by the presence of the criterion A symptoms of schizophrenia, including delusions, hallucinations, disorganized speech, disorganized or catatonic behavior, and negative symptoms. The disorder, including its prodromal, active, and residual phases, lasts longer than 1 month but less than 6 months.

Cause of Schizophreniform

Schizophreniform disorder appears to be related to abnormalities in the structure and chemistry of the brain, and appears to have strong genetic links; but its course and severity can be altered by social factors such as stress or a lack of support within the family. The cause of schizoaffective disorder is less clear cut, but biological factors are also suspected.

Diagnostic Criteria for Schizophreniform

  1. Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated):
    1. delusions
    2. hallucinations
    3. disorganized speech (e.g., frequent derailment or incoherence)
    4. grossly disorganized or catatonic behavior
    5. negative symptoms, i.e., affective flattening, alogia, or avolition

    Note: Only one Criterion A symptom is required if delusions are bizarre or hallucinations consist of a voice keeping up a running commentary on the person's behavior or thoughts, or two or more voices conversing with each other.

  2. Schizoaffective Disorder and Mood Disorder With Psychotic Features have been ruled out because either (1) no Major Depressive, Manic, or Mixed Episodes have occurred concurrently with the active-phase symptoms; or (2) if mood episodes have occurred during active-phase symptoms, their total duration has been brief relative to the duration of the active and residual periods.
  3. The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.
  4. An episode of the disorder (including prodromal, active, and residual phases) 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.")

Differential Diagnosis of Schizophreniform

Associated Feature of Schizophreniform

  • Learning Problem
  • Hypoactivity
  • Psychosis
  • Euphoric Mood
  • Depressed Mood
  • Somatic or Sexual Dysfunction
  • Hyperactivity
  • Guilt or Obsession
  • Sexually Deviant Behavior
  • Odd/Eccentric or Suspicious Personality
  • Anxious or Fearful or Dependent Personality
  • Dramatic or Erratic or Antisocial Personality
  • Treatment of Schizophreniform

    Medication is the most important part of treatment as it can reduce and sometimes eliminate the psychotic symptoms. Case management is often needed to assist with daily living skills, financial matters, and housing, and therapy can help the individual learn better coping skills and improve social and occupational skills.

         

     

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    Schizophreniform disorders