Thursday, July 17, 2008
Schizophrenia from DSM IV-TR
To be diagnosed with schizophrenia, a person must display:
Two or more of the following, each present for much of the time during a one-month period (or less, if symptoms remitted with treatment) :
- disorganized speech (e.g., frequent derailment or incoherence; speaking in abstracts).
- grossly disorganized behavior (e.g. dressing inappropriately, crying frequently) or catatonic behavior
-negative symptoms, i.e., affective flattening (lack or decline in emotional response), alogia (lack or decline in speech), or avolition (lack or decline in motivation).
If delusions are judged to be bizarre, or hallucinations consist of hearing one voice participating in a running commentary of the patient's actions or of hearing two or more voices conversing with each other, only that symptom is required above. The speech disorganization criterion is only met if it is severe enough to substantially impair communication.
Social/occupational dysfunction: For a significant portion of the time since the onset of the disturbance, one or more major areas of functioning such as work, interpersonal relations, or self-care, are markedly below the level achieved prior to the onset.
Duration: Continuous signs of the disturbance persist for at least six months. This six-month period must include at least one month of symptoms (or less, if symptoms remitted with treatment).
Schizophrenia cannot be diagnosed if symptoms of mood disorder or pervasive developmental disorder are present, or the symptoms are the direct result of a general medical condition or a substance, such as abuse of a drug or medication.