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2/6/2015

HebephrenicSchizophrenia:ICDCriteria

MH Reference
Y o u r M e n t a l H e a l t h R e f e r e n c e Schizophrenia and Schizophrenic Disorders

Hebephrenic Schizophrenia Diagnostic Criteria


Theformaldiagnosisofhebephrenicschizophreniarestsonthesesymptoms,whichcanbeevaluatedby
psychiatristsandothermentalhealthprofessionals.

ICD-10 Criteria for Hebephrenic Schizophrenia


ThefollowinginformationisreproducedverbatimfromtheICD10ClassificationofMental
andBehaviouralDisorders,WorldHealthOrganization,Geneva,1992.(SincetheWHO
updatestheoverallICDonaregularbasis,individualclassificationswithinitmayormay
notchangefromyeartoyeartherefore,youshouldalwayscheckdirectlywiththeWHOto
besureofobtainingthelatestrevisionforanyparticularindividualclassification.)

ARTICLECONTENTS

ICD10CriteriaforHebephrenic
Schizophrenia

F20.1HebephrenicSchizophrenia
DiagnosticGuidelines

F20.1 Hebephrenic Schizophrenia


Aformofschizophreniainwhichaffectivechangesareprominent,delusionsandhallucinationsfleetingandfragmentary,behaviour
irresponsibleandunpredictable,andmannerismscommon.Themoodisshallowandinappropirateandoftenaccompaniedbygigglingor
selfsatisfied,selfabsorbedsmiling,orbyaloftymanner,grimaces,mannerisms,pranks,hypochondriacalcomplaints,andreiterated
phrases.Thoughtisdisorganizedandspeechramblingandincoherent.Thereisatendencytoremainsolitary,andbehaviourseemsempty
ofpurposeandfeeling.Thisformofschizphreniausuallystartsbetweentheagesof15and25yearsandtendstohaveapoorprognosis
becauseoftherapiddevelopmentofnegativesymptoms,particularlyflatteningofaffectandlossofvolition.
Inaddition,disturbancesofaffectandvolition,andthoughtdisorderareusuallyprominent.Hallucinationsanddelusionsmaybepresent
butarenotusuallyprominent.Driveanddeterminationarelostandgoalsabandoned,sothatthepatientsbehaviourbecomes
characteristicallyaimlessandemptyofpurpose.Asuperficialandmanneristicpreoccupationwithreligion,philosophy,andotherabstract
themesmayaddtothelistenersdifficultyinfollowingthetrainofthought.
Diagnostic Guidelines
Thegeneralcriteriaforadiagnosisofschizophrenia(seeintroductiontoF20above)mustbesatisified.Hebephreniashouldnormallybe
diagnosedforthefirsttimeonlyinadolescentsoryoungadults.Thepremorbidpersonalityischaracteristically,butnotnecessarily,rather
shyandsolitary.Foraconfidentdiagnosisofhebephrenia,aperiodof2or3monthsofcontinuousobservationisusuallynecessary,in
ordertoensurethatthecharacteristicbehavioursdescribedabovearesustained.
Includes:
disorganizedschizophrenia
hebephrenia

Allclinicalmaterialonthissiteispeerreviewedbyoneormorequalifiedmentalhealthprofessionals.ThisarticlewaslastreviewedorupdatedbyDrGregMulhauser,ManagingEditoron
26November2014.
TheURLofthispageis:
https://mhreference.org/lib/schizophrenic/schizophreniaicd/hebephrenic/

Ourmaterialisnotintendedasasubstitutefordirectconsultationwithaqualifiedmentalhealthprofessional.Pleaseseekprofessionaladviceifyouareexperiencinganymental
healthconcern.
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HebephrenicSchizophrenia:ICDCriteria

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