Schizophrenia Spectrum and Other Psychotic Disorders

4 classified symptoms

 Positive Symptoms
o Delusions
o Hallucinations
 Negative Symptoms (refer to the later part)
 Disorganized Symptoms
o Disorganized Speech
o Disorganize Behavior
 Movement Symptoms
o Catatonia
1. Delusional Disorder
a.
2. Brief Psychotic Disorder
3. Schizophreniform Disorder
4. Schizoaffective Disorder
5. Substance/Medication-Induced Psychotic Disorder
6. Psychotic disorder Due to Another Medical Condition
7. Catatonia

Psychotic Features (key features that define Psychotic Disorder)

1. Delusions (Beliefs) (can be bizarre or non-bizarre) (can be in motivational view or

deficit view)
a. Persecutory
b. Referential
c. Grandiose
d. Erotomanic
e. Nihilistic
f. Somatic
g. Thought withdrawal
h. Though insertion
i. Delusion of control
2. Hallucinations (Perceptions)(without external stimulus)
a. Can also occur while sleeping (hypnagogic) of waking-up (hypnopompic)
3. Disorganized Thinking (Speech)
a. Derailment (loose of associations)
b. Incoherence (world salad)
c. Tangentiaity
4. Grossly Disorganized or Abnormal Motor Behavior (including catatonia)
 a. Catatonic behavior (decreased in reactivity of environment)
i. Negativism
ii. Mutism or stupor
b. Catatonic excitement
5. Negative Symptoms
a. Affective flattening Diminished emotional expression
b. Avolition (decrease on motivation or purposeful activities)
c. Alogia (decrease of speech)
d. Anhedonia (decrease of pleasure)
e. Asociality (decrease in social interactions)

Bipolar and Related Disorders

 Mania
o At least 1 week (present most of the day)
o Sufficiently severe to cause mark impairment on areas of functioning
o Elevated, expansive, irritable, increased goal-directed activity or energy
o With psychotic features
 Hypomania
o 4 consecutive days (present most of the day)
o Mood change is observable
o Not ever enough to cause mark impairment on areas of functioning
o If there are psychotic features, proceed to Manic.
 Major Depressive
o 2-week period
o Diminished interest, depressed moss, insomnia or hypersomnia, significant
weight loss, psychomotor agitation, fatigue and loss of energy, feelings of
worthlessness or guilt, diminished ability to think, recurrent thought of death
(ideations, attempt, planning)
1. Bipolar I
a. Manic Episodes
b. Episodes of depression
2. Bipolar II
a. Hypomanic episode
b. Episode of depression
3. Cyclothymic Disorder
a. Less severe the BI and BII
b. That not meet the criteria of Hypomanic, and MD
c. May feel stable but noticeable fluctuations on mood.
d. 2 year period (1 year for children and adolescents)
 e. Present at least half the time, and has not been without the symptoms for 2
months.
4. Substance/Medication Induced Bipolar and Related Disorder
a. In the clinical picture (findings, laboratory, physical exam)
b. Not in the course of delirium
5. Bipolar and Related Disorder Due to Another Medical Condition
a. In the clinical picture (findings, laboratory, physical exam)
b. Pathophysiologal
c. Not in the course of delirium
6. Unspecified Bipolar and Related Disorder