POSITIVE SYMPTOMS:

 Content of Thought  Tangentiality

 Delusions  Mutism
 Religiosity  Perseveration
 Paranoia  Perception
 Magical Thinking  Hallucinations
 Form of Thought  Delusions
 Associative Looseness  Sense of Self
 Neologisms  Echolalia
 Clang association  Echopraxia
 Word Salad  Identification and imitation
 Circumstantiality  Depersonalization

NEGATIVE SYMPTOMS:
 Affect
 Inappropriate
 Blunt or Flat
 Apathy
 Volition
 Inability to initiate a goal-directed activity
 Emotional ambivalence
 Impaired Interpersonal Functioning and Relationship to the Extrernal World
 Autism
 Deteriorated appearance
 Psychomotor Behavior
 Anergia
 Waxy flexibility
 Posturing
 Pacing and rocking
 Associated Features
 Anhedonia
  Regression

DELUSIONAL DISORDER
 Delusions have a basis in reality
 The patients have never met the criteria for schizophrenia
 The behavior of these patients is relatively normal except in relation to their delusions
 If modd episodes have occurred concurrently with delusions, their total durations has been
relatively brief
 Symptoms are not the direct result of a substance induced or medical condition

BRIEF PSYCHOTIC DISORDER

 Includes all psychotic disturbances that last less than 1 month and are not related to a mood
disorder, a general medical condition, or a substance-induced disorder
 At least one of the following must be present:
 Delusions, hallucinations
 Disorganized speech, or grossly disorganized catatonic behavior

SCHIZOAFFECTIVE DISORDER
 Is a psychosis characterized by both affective (mood disorder) and schizophrenic (thought
disorder) symptoms, with substantial loss of occupational and social functioning.

SCHIZOPHRENIFORM DISORDER
 Displays symptoms typical of schizophrenia and last at least 1 month but no longer than 6 months.
 Has good prognosis
 “Provisional”

SHARED PSYCHOTIC DISORDER

 A.K.A. Folie a deux
 A delusional system that develops in a second person as a result of a close relationship with
another person who already has a psychotic disorder with prominent delusions
 The delusional thinking is gradually imposed in the more passive partner
 Occurs within a long-term close relationship, especially when the couple has been socially
isolated from other people
 Course: chronic; more common in women than in men

PSYCHOTIC DISORDER DUE TO A GENERAL MEDICAL CONDITION

 Neoplasms  Hyper/hypoparathyroidism
 CVA  Hypoadrenocorticism
 Huntington’s Disease  Hypoxia
 Epilepsy  Hypercarbia
 Auditory nerve injury  Hypoglycemia
 Deafness  SLE
 Migraine headache  F & E imbalances
 CNS infections  Hepatic/renal impairment
 Hyper/hypothyroidism

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