Esquizofrenia

y otros trastornos
psicticos
Symptoms.
For a material part of at least one month (or less, if effectively
treated) the patient has had 2 or more of:

-Delusions (only one symptom is required if a delusion is bizarre,
such as being abducted in a space ship from the sun)
-Hallucinations (only one symptom is required if hallucinations are
of at least two voices talking to one another or of a voice that keeps
up a running commentary on the patient's thoughts or actions)
-Speech that shows incoherence, derailment or other
disorganization
-Severely disorganized or catatonic behavior
-Any negative symptom such as flat affect, reduced speech or lack
of volition
Criterios bsicos
Duration.
For at least 6 continuous months the patient has shown
some evidence of the disorder.
At least one month must include the symptoms of frank
psychosis mentioned above.
During the balance of this time (either as a prodrome or
residual of the illness), the patient must show either or both
-Negative symptoms as mentioned above
-In attenuated form, at least 2 of the other symptoms
mentioned above (example: deteriorating personal hygiene
plus an increasing suspicion that people are talking behind
one's back)

Dysfunction.
For much of this time, the disorder has materially impaired the
patient's ability to work, study, socialize or provide self-care.
Mood exclusions.
Mood and schizoaffective disorders have been ruled out, because
the duration of any depressive or manic episodes that have occurred
during the psychotic phase has been brief.
Other exclusions. This disorder is not directly caused by a general
medical condition or the use of substances, including prescription
medications.
Developmental Disorder exclusion. If the patient has a history of
any Pervasive Developmental Disorder (such as Autistic Disorder),
only diagnose Schizophrenia if prominent hallucinations or delusions
are also present for a month or more (less, if treated).
Tipo paranoide
The patient meets the basic criteria for Schizophrenia.
The patient is preoccupied with delusions or frequent
auditory hallucinations.
None of these symptoms is prominent:
Disorganized speech
Disorganized behavior
Inappropriate or flat affect
Catatonic behavior

Tipo desorganizado
The patient meets the basic criteria for
Schizophrenia
All of these symptoms are prominent:
disorganized behavior
disorganized speech
affect that is flat or inappropriate
The patient does not fulfill criteria for Catatonic
Schizophrenia
Tipo catatnico
The patient meets the basic criteria for Schizophrenia.
At least 2 catatonic symptoms predominate:
-Stupor or motor immobility (catalepsy or waxy flexibility)
-Hyperactivity that has no apparent purpose and is not
influenced by external stimuli
-Mutism or marked negativism
-Peculiar behavior such as posturing, -Echolalia stereotypies,
mannerisms or grimacing or echopraxia
Tipo indiferenciado
The patient meets the basic criteria for
Schizophrenia

The patient does not meet criteria for Paranoid,
Disorganized, or Catatonic types.
Tipo residual
The patient at one time met criteria for Catatonic, Disorganized,
Paranoid or Undifferentiated Schizophrenia.
The patient no longer has pronounced catatonic behavior,
delusions, hallucinations or disorganized speech or behavior.
The patient is still ill, as indicated by either:
-negative symptoms such as flattened affect, reduced speech
output or lack of volition, or
-an attenuated form of at least 2 characteristic (related
symptoms of schizophrenia, such as odd beliefs to delusions),
distorted perceptions or illusions (hallucinations), odd speech
(disorganized speech) or peculiarities of behavior (disorganized
behavior).

Trastorno esquizofreniforme
For a material part of at least one month (or less, if effectively
treated) the patient has had 2 or more of:
-Delusions (only one symptom is required if a delusion is
bizarre, such as being abducted in a space ship from the sun)
-Hallucinations (only one symptom is required if
hallucinations are of at least two voices talking to one
another or of a voice that keeps up a running commentary on
the patient's ---of thoughts or actions)
Speech that shows incoherence, derailment or other
disorganization
Severely disorganized or catatonic behavior
Any negative symptom such as flat affect, muteness, lack of
volition
Trastorno esquizofreniforme.
Continue.
Including prodromal, active and residual phases, an
episode of the illness has than lasted at least one month
but not longer 6 months.
Mood and schizoaffective disorders have been ruled
out, because the duration of any depressive or manic
episodes that have occurred during the psychotic phase
has been brief.
This disorder is not the direct physiological result of a
general medical - condition or the use substances,
including prescription medications.
Trastorno esquizoafectivo
During a continuous period of illness, for a material part of
at least one month (or less, if effectively treated) the patient
has had 2 or more of the following symptoms:
-Delusions (only one symptom is required if a delusion is
bizarre, such as being abducted in a space ship from the sun)
-Hallucinations (only one symptom is required if
hallucinations include at least two voices are talking to one
another or of a voice that keeps up a running commentary on
the patient's thoughts or actions)
-Speech that shows incoherence, derailment or other
disorganization
-Severely disorganized or catatonic behavior
Any negative symptom such as flat affect, muteness, lack of
volition
Trastorno esquizoafectivo. Continue.
During this same continuous period of illness the patient
has either
-A major depressive episode that includes depressed mood,
or
-A manic episode
For at least 2 weeks of this period there have been delusions
or hallucinations and no prominent mood symptoms.
The mood episode symptoms have been present during a
substantial part of the active and residual portions of the
illness
This disorder is not caused directly by a general medical
condition or the use of substances, including prescription
medications.
Trastorno delirante
For at least 1 month the patient has had delusions that are
nonbizarre (the content is something that could reasonably
happen). These may be:
- Erotomanic Type. Someone (often of higher social station) is in
love with the patient.
- Grandiose Type. The patient has exaggerated ideas of identity,
knowledge, power, self-worth, talent or special relationship to God
or someone famous
- Jealous Type. The patient's spouse or lover has been unfaithful.
- Persecutory Type. The patient (or a close associate) is in some
way being intentionally cheated, drugged, followed, slandered or
otherwise mistreated.
- Somatic Type. The patient notes physical sensations or bodily
dysfunctions (foul odors, insects crawling on or under skin) that
imply a general medical condition or physical defect.
- Mixed Type. The patient has two or more of the above themes in
about equal portions.
- Unspecified Type.
Trastorno delirante. Continue.
- The patient has never met the "A" present criterion for
Schizophrenia, except that hallucinations of touch or smell
may be if they are related to the theme of the delusions.
- Functioning and behavior are not markedly affected, apart
from direct consequences of the delusions.
- The duration of any mood symptoms accompanying
delusions as been brief as compared to the duration of
delusions.
- This disorder is not directly caused by a general medical
condition or the use of substances, including prescription
medications.
Trastorno psictico breve
The patient has at least one of the following that is not a
culturally sanctioned response:
-Delusions
-Hallucinations
-Speech that is markedly disorganized
Behavior that is markedly disorganized or catatonic
The patient has symptoms from 1 to 30 a days and
eventually recovers completely.
The symptoms are not due to a Mood Disorder,
Schizophrenia, Schizoaffective Disorder.
This disorder is not directly caused by a general medical
condition or the use of substances, including prescription
medications.
Trastorno psictico compartido (foli a deux)
Someone who is closely associated with a delusional
person also develops a delusion.
The content of this new delusion is similar to that of the
first person's delusion.
The disorder is not explained better by another
psychotic disorder, such as Schizophrenia or Mood
Disorder with Psychotic Features.
This disorder is not directly caused by a general
medical condition or the use of substances, including
prescription medications.

Trastorno psictico inducido por
sustancias
The patient has prominent hallucinations or delusions.
Don't include hallucinations that the patient realizes are
caused by substance use.
History, physical exam or laboratory data substantiate that
either:
-These symptoms have developed within a month of
Substance Intoxication or Withdrawal, or
-Medication use has caused the symptoms
Another, non-substance-induced psychotic disorder does not
better account for the symptoms.
The symptoms don't occur only in the context of a delirium.