D6. Schizophrenia Spectrum and other Psychotic Disorders & Catatonia Specifiers

Delusional Disorder

Disorder characterized by the presence of one or more delusions with a duration of 1 month or longer

There tends to be no negative symptoms and there is an absence of the active phase of schizophrenia

Erotomanic type

Gradiose type

Jealous type

Persecutory type

Somatic type

Mixed type

Unspecified type

Specifiers of Delusional Disorder

Shared Psychotic Disorder (Folie a Deux)

A condition in which an individual develops delusions simply as a result of a close relationship with a delusional individual

Brief Psychotic Disorder

Disorder characterized by the sudden onset of at least one psychotic symptom (Delusions, Hallucinations, Disorganized Speech, or Grossly disorganized or Catatonic behavior) for at least 1 day but less than 1 month with a full return to premorbid functioning

With marked stressors

Without marked stressors

With postpartum onset

With catatonia

Specifiers of Brief Psychotic Disorder

Schizophreniform Disorder

Disorder similar to schizophrenia but lasts at least 1 month - 6 months. If symptoms persist beyond 6 months, it's changed to Schizophrenia or Schizoaffective Disorder

With good prognostic features

Without good prognostic features

With catatonia

Specifiers of Schizophreniform Disorder

Schizophrenia

Disorder that requires at least two of the characteristic symptoms (delusions, hallucinations, disorganized speech, disorganized or catatonic behavior, negative symptoms) that persists for at least 6 months

Schizoaffective Disorder

Disorder that features a combination of psychotic symptoms of schizophrenia and a major mood episode (major depressive or manic episode) occurring for a significant portion of the illness

Delusions or hallucinations for at least 2 weeks without a major mood episode (Depressive or manic)

Symptoms meet the criteria for a major mood episode that is present for the majority of the active and residual portions

How long do delusions or hallucinations last for Schizoaffective Disorder?

Bipolar type (With manic episode)

Depressive type (With only major depressive episodes)

With catatonia

Specifiers of Schizoaffective Disorder

Prodromal Phase

Active (Acute) Phase

Residual (Recovery) Phase

Phases of Schizophrenia

Prodromal Phase

The early phase of schizophrenia, where subtle changes begin to appear, but full-blown psychotic symptoms are not yet present or are very mild and intermittent

Active Phase (or Acute Phase)

The most prominent and severe psychotic symptoms become evident

Residual Phase (or Recovery Phase)

A reduction in positive symptoms, but negative symptoms and cognitive deficits may persist, sometimes becoming the most challenging aspects of the illness

Stupor

Catalepsy

Waxy Flexibility

Mutism

Negativism

Posturing

Mannerism

Stereotypy

Agitation

Grimacing

Echopraxia

Catatonia Specifiers

Stupor

Catatonia with no psychomotor activity. Not actively relating to the environment

Catalepsy

Catatonia characterized by passive induction of a posture held against gravity

Waxy flexibility

Catatonia characterized by slight, even resistance to positioning by examiner

Mutism

Catatonia characterized by no or very little verbal response, exclude if aphasia

Negativism

Catatonia characterized by opposition or no response to instructions or external stimuli

Posturing

Catatonia characterized by spontaneous & active maintenance of posture against gravity

Mannerism

Catatonia characterized by odd, circumstantial caricature of normal actions Stereotypy

Agitation

Catanonia wherein a person is not influenced by external stimuli

Ecolalia

Catatonia characterized by mimicking another’s speech)

Echopraxia

Catatonia characterized by mimicking another’s movement