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psychotic features , ☕️ (Delusional :silhouette: , Adjustment disorder […
psychotic features
Delusions
False, fixed, beliefs
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Delusional :silhouette:
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overall behavior in patients with delusional disorder is not obviously bizarre or odd, and general functioning is not significantly impaired (eg, this patient has a stable relationship and employment).
Differential diagnosis
Schizophrenia: other psychotic symptoms present (eg, hallucinations, disorganization, negative symptoms); greater functional impairment
Personality disorders: pervasive pattern of suspiciousness (paranoid), grandiosity (narcissistic), or odd beliefs (schizotypal), but no clear delusions
Personality disorders involve persistent patterns of behavior usually arising in early adulthood. They are pervasive across a broad range of situations (eg, interpersonal, vocational) but do not involve specific delusions (eg, persistent false, fixed beliefs).
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Schizophrenia experience psychotic symptoms ALONE in the absence of an identifiable mood disorder. :red_flag:
Diagnosis /
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- Hallucinations, often Auditory🦻🏼
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- Disorganized or catatonic behavior
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- Negative symptoms (eg, apathy, flat affect)poverty of speech, social withdrawal)
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Symptom onset ≥ 6 months prior to diagnosis; including at least 1 month of ≥2 of the following active symptoms (with at least 1 from the first 3):
Uwold // Flat affect (ie, reduced emotional expressiveness), decreased attention to personal hygiene, وصخخخخ وصخخخخخخ and thought blocking (ie, sudden inability to finish a thought) are findings typical of schizophrenia.
treatment
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Adjunctive psychosocial interventions (eg, social skills training,
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major depressive disorder (MDD). 1- SIG: E CAPS ≥ 5 diagnostic \ 2- lasting ≥ 2 weeks / 3-No history of mania or hypomania
4- Not due to substances or another medical condition
with psychotic features
Differentiating MDD with psychotic features from MDD without psychotic features is important as treatment differs.
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Schizophreniform
experience psychotic symptoms ALONE in the absence of an identifiable mood disorder.
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The diagnosis cannot be made when psychotic symptoms occur [only] in the context of a manic episode, t.
brief psychotic disorder characterized by acute onset of psychotic symptoms (delusions, hallucinations) lasting ≥1 day and ≤1 month.
[1Day -1 Month] 🤧
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Educational objective: Depressed adolescents may display irritable rather than depressed mood, declining academic performance, and withdrawal from social activities. Initial evaluation of all children and adolescents with suspected depression should include a careful suicide risk assessment.
Schizoid personallity prefers to be a loner, detached, unemotional
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