Schizophrenia Spectrum and Other Psychotic Disorders - Delusional Disorder, Schi

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Schizotypal (Personality) Disorder

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Criteria for schizotypal personality disorder can be found in the chapter "Personality Disorders." Because this disorder is considered part of the schizophrenia spectrum of disorders, and is labeled in this section of ICD-9 and ICD-10 as schizotypal disorder, it is listed in this chapter, and the criteria are presented in the chapter "Personality Disorders."

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2023.02.23 - [임상심리학/DSM-5] - 망상장애(Delusional Disorder)DSM-5 진단기준

망상장애(Delusional Disorder)DSM-5 진단기준

Delusional Disorder

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297.1 (F22)
A. The presence of one (or more) delusions with a duration of 1 month or longer.

B. Criterion A for schizophrenia has never been met.

Note: Hallucinations, if present, are not prominent and are related to the delusional theme (e.g., the sensation of being infested with insects associated with delusions of infestation).

C. Apart from the impact of the delusion(s) or its ramifications, functioning is not markedly impaired, and behavior is not obviously bizarre or odd.

D. If manic or major depressive episodes have occurred, these have been brief relative to the duration of the delusional periods.

E. The disturbance is not attributable to the physiological effects of a substance or another medical condition and is not better explained by another mental disorder, such as body dysmorphic disorder or obsessive-compulsive disorder.

Specify whether:

Erotomanic type: This subtype applies when the central theme of the delusion is that another person is in love with the individual.

 

Grandiose type: This subtype applies when the central theme of the delusion is the conviction of having some great (but unrecognized) talent or insight or having made some important discovery.

Jealous type: This subtype applies when the central theme of the individual's delusion is that his or her spouse or lover is unfaithful.

Persecutory type: This subtype applies when the central theme of the delusion involves the individual's belief that he or she is being conspired against, cheated, spied on, followed, poisoned or drugged, maliciously maligned, harassed, or obstructed in the pursuit of long-term goals.

Somatic type: This subtype applies when the central theme of the delusion involves bodily functions or sensations.

Mixed type: This subtype applies when no one delusional theme predominates.

Unspecified type: This subtype applies when the dominant delusional belief cannot be clearly determined or is not described in the specific types (e.g., referential delusions without a prominent persecutory or grandiose component).

Specify if:

With bizarre content: Delusions are deemed bizarre if they are clearly implausible, not understandable, and not derived from ordinary life experiences (e.g., an individual's belief that a stranger has removed his or her internal organs and replaced them with someone else's organs without leaving any wounds or scars).

Specify if:
The following course specifiers are only to be used after a 1-year duration of the disorder:

First episode, currently in acute episode: First manifestation of the disc meeting the defining diagnostic symptom and
time criteria. An acute episode is a time period in which the symptom criteria are fulfilled.

First episode, currently in partial remission: Partial remission is a time period during which an improvement after a previous episode is maintained and in which the defining criteria of the disorder are only partially fulfilled.

First episode, currently in full remission: Full remission is a period of time after a previous episode during which no disorder-specific symptoms are present.

Multiple episodes, currently in acute episode

Multiple episodes, currently in partial remission

Multiple episodes, currently in full remission

Continuous: Symptoms fulfilling the diagnostic symptom criteria of the disorder are remaining for the majority of the illness course, with subthreshold symptom periods being very brief relative to the overall course.

Unspecified

Specify current severity:
Severity is rated by a quantitative assessment of the primary symptoms of psychosis, including delusions, hallucinations, disorganized speech, abnormal psychomotor behavior, and negative symptoms. Each of these symptoms may be rated for its current severity (most severe in the last 7 days) on a 5-point scale ranging from 0 (not present) to 4 (present and severe). (See Clinician-
Rated Dimensions of Psychosis Symptom Severity in the chapter
"Assessment Measures" in Section III of DSM-5.)

Note: Diagnosis of delusional disorder can be made without using this severity specifier.

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2023.02.23 - [임상심리학/DSM-5] - 단기 정신병적 장애(Brief Psychotic Disorder)DSM-5 진단기준

단기 정신병적 장애(Brief Psychotic Disorder)DSM-5 진단기준

Brief Psychotic Disorder

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A. Presence of one (or more) of the following symptoms. At least one of these must be (1), (2), or (3):
1. Delusions.
2. Hallucinations.
3. Disorganized speech (e.g., frequent derailment or incoherence).
4. Grossly disorganized or catatonic behavior.

Note: Do not include a symptom if it is a culturally sanctioned response.
B. Duration of an episode of the disturbance is at least 1 day but less than 1 month, with eventual full return to premorbid level of functioning.
C. The disturbance is not better explained by major depressive or bipolar disorder with psychotic features or another psychotic disorder such as schizophrenia or catatonia, and is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.

Specify if:

With marked stressor(s) (brief reactive psychosis): If symptoms occur in response to events that, singly or together, would be markedly stressful to almost anyone in similar circumstances in the individual's culture.
Without marked stressor(s): If symptoms do not occur in response to events that, singly or together, would be markedly
stressful to almost anyone in similar circumstances in the individual's culture.
With postpartum onset: If onset is during pregnancy or within 4 weeks postpartum.

Specify if:
With catatonia (refer the criteria for catatonia associated with another mental disorder, pp. 60-61, for definition).

Coding note: Use additional code 293.89 (F06.1) catatonia associated with brief psychotic disorder to indicate the pres-
ence of the comorbid catatonia.

Specify current severity:
Severity is rated by a quantitative assessment of the primary symptoms of psychosis, including delusions, hallucinations, disorganized speech, abnormal psychomotor behavior, and negative symptoms. Each of these symptoms may be rated for its current severity (most severe in the last 7 days) on a 5-point scale ranging from 0 (not present) to 4 (present and severe). (See Clinician- Rated Dimensions of Psychosis Symptom Severity in the chapter "Assessment Measures" in Section III of DSM-5.)

Note: Diagnosis of brief psychotic disorder can be made without using this severity specifier.

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2023.03.10 - [임상심리학/DSM-5] - A군 성격장애(Cluster A Personality Disorders)의 분류 - 조현형 성격장애(Schizotypal Personality Disorder)진단기준

A군 성격장애(Cluster A Personality Disorders)의 분류 - 조현형 성격장애(Schizotypal Personality Disorder)진단기

 

Schizophreniform Disorder

295.40 (F20.81)

A. Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated). At least one of these must be (1), (2), or (3):
1. Delusions.
2. Hallucinations.
3. Disorganized speech (e.g., frequent derailment or incoherence).
4. Grossly disorganized or catatonic behavior.
5. Negative symptoms (i.e., diminished emotional expression or avolition).
 
B. An episode of the disorder 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."
C. Schizoaffective disorder and depressive or bipolar disorder with psychotic features have been ruled out because either
1) no major depressive or manic episodes have occurred concurrently with the active-phase symptoms, or 2) if mood episodes have occurred during active-phase symptoms, they have been present for a minority of the total duration of the active and residual periods of the illness.
D. The disturbance is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.

Specify if:
With good prognostic features: This specifier requires the presence of at least two of the following features: onset of prominent psychotic symptoms within 4 weeks of the first noticeable change in usual behavior or functioning; confusion or perplexity; good premorbid social and occupational functioning; and absence of blunted or flat affect.

Without good prognostic features: This specifier is applied if two or more of the above features have not been present.

Specify if:
With catatonia (refer to the criteria for catatonia associated with another mental disorder, pp. 60-61, for definition).

Coding note: Use additional code 293.89 (F06.1) catatonia associated with schizophreniform disorder to indicate the
presence of the comorbid catatonia.

Specify current severity:
Severity is rated by a quantitative assessment of the primary symptoms of psychosis, including delusions, hallucinations, disorganized speech, abnormal psychomotor behavior, and negative symptoms. Each of these symptoms may be rated for its current severity (most severe in the last 7 days) on a 5-point scale ranging from 0 (not present) to 4 (present and severe). (See Clinician- Rated Dimensions of Psychosis Symptom Severity in the chapter"Assessment Measures" in Section III of DSM-5.)

Note: Diagnosis of schizophreniform disorder can be made without using this severity specifier.
 

 
DESK  REFERENCE TO THE DIAGNOSTIC CRITERIA FROM DSM-5
 

 
2023.10.14 - [임상심리학/DSM-5] - Schizophrenia/Schizoaffective Disorder

Schizophrenia/Schizoaffective Disorder

2023.06.07 - [임상심리학/심리치료] - [심리치료에서의 대상관계와 자아기능] - 뇌손상과 자아

[심리치료에서의 대상관계와 자아기능] - 뇌손상과 자아