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WHAT schizophrenia IS NOT
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Split personality, A moral weakness, contagious, a simple brain or genetic disorder
schizophrenia stats
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5% lifetime risk of suicide (Hor & Taylor, 2010), 20% attempt suicide, General risk factors:
Unskilled • Poverty / deprivation • Male • Social disconnection
Anhedonia
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A diminished ability to experience pleasure or interest in activities that were once enjoyable.
Avolition
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A lack of motivation to initiate or complete purposeful tasks.
Alogia
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A reduction in the amount or content of speech, often referred to as "poverty of speech."
KEY FEATURES DSM V schizophrenia
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Delusions, Hallucinations, delusions: Fixed beliefs that are not supported by fact or evidence • Many forms-persecutory and grandiose are the most common
Perceptual experiences that have no external stimuli to promote them • Any sensory modality-touch, visual, most common auditory
OTHER KEY DIAGNOSTIC FEATURES
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Disorganized speech (e.g., frequent derailment or incoherence), Abnormal motor behaviour, Negative symptoms: affective flattening, alogia, or avolition
DP4 3 GS TID P-A P-C
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Borderline PD: Distinct Period 4 days, 3 symptoms, G: Grandiosity, S: Sleep
T: Talkative, I: Ideas D: Distractibility P: Psychomotor Agitation A: Activities P-C: Painful Consequences
DP4
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D: Distinct Period A clearly defined period of abnormal mood change. P4: 4 days The episode lasts at least 4 consecutive days.
5 A iiR 2i SAiE APi/DS
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Borderline Personality Disorder: at least five, Abandonment, intense interpersonal relationships, Impulsivity in at least two areas that are potentially self-damaging, suicidal behavior, Affective instability due to a marked reactivity of mood,
Chronic feelings of emptiness, Inappropriate, intense anger or difficulty controlling anger, paranoid ideation or severe dissociative symptoms
5 A iiR
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At least five criteria must be met for a diagnosis. Frantic efforts to avoid real or imagined abandonment. (Note: Suicidal or self-mutilating behaviors are covered separately.)
Intense and Instable Relationships (Interpersonal): A pattern of unstable and intense interpersonal relationships, characterized by alternating between extremes of idealization and devaluation.
2i S
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Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). (Note: Excludes suicidal or self-mutilating behavior, which is addressed separately.)
S Self-Harm/Suicidal Behavior: Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior.
AiE
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Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days).
chronic feelings of emptiness.
APi/DS
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Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
Paranoid Ideation/Dissociative Symptoms: Transient, stress-related paranoid ideation or severe dissociative symptoms.
Paranoid Ideation:
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Brief episodes of intense, unjustified suspiciousness or beliefs that others intend harm, often without clear evidence.
Dissociative Symptoms:
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Transient experiences of feeling detached from oneself, one's surroundings, or reality, often described as a sense of unreality or disconnection.
Borderline Personality Disorde
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A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following
3: SN D I/FP I/A DR 18 E<15 XS/BD
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antisocial personality disorder
3: SN D I/FP
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At least 3 of the following must be met: Social Norms: Failure to conform (lawbreaking behavior). Deceitfulness: Lying, conning, or using aliases.
Impulsivity/Failure to Plan: Acting without foresight.
I/A DR 18
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Irritability/Aggression: Frequent physical altercations. Disregard for Safety: Reckless behavior putting self/others at risk.
Age 18 or older.
E<15 XS/BD
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Evidence of conduct disorder before age 15. Excludes cases where behavior occurs only during schizophrenia or bipolar disorder.
4: DSSA NF P/C FA
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Schizoid Personality Disorder
4: DSSA
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At least 4 criteria must be met. Neither desires nor enjoys close relationships, including being part of a family.
Almost always chooses solitary activities. 3. Has little, if any, interest in having sexual experiences with another person. Takes pleasure in few, if any, activities
NF P/C FA
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Lacks close friends or confidants other than first-degree relatives. 742 6. Appears indifferent to the praise or criticism of others.
7. Shows emotional coldness, detachment, or flattened affectivity.
Schizoid Personality Disorder
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Does not occur exclusively during the course of schizophrenia, a bipolar disorder or depressive disorder with psychotic features, another psychotic disorder, or autism spectrum disorder
and is not attributable to the physiological effects of another medical condition/
Schizoaffective Disorder
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An uninterrupted period of illness during which there is a major mood episode (major depressive or manic) concurrent with Criterion A of schizophrenia.
The major depressive episode must include Criterion A1: Depressed mood
MOP-MCP
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Schizoaffective Disorder
MOP
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There must be a major mood episode (depressive or manic) concurrent with schizophrenia symptoms.
Overlap of Psychosis: Psychotic symptoms (delusions/hallucinations) occur both during and outside the mood episodes. Psychosis Alone: There is at least a 2-week period of psychosis without mood symptoms.
MCP
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M - Majority Mood: Mood symptoms (depressive or manic) are present for the majority of the illness duration. The symptoms are not attributable to substance use or another medical condition.
Presents with Subtypes: The disorder is subdivided into Bipolar type (with manic episodes) and Depressive type (without manic episodes), and may have catatonic features.

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