Professional Documents
Culture Documents
Duration
6
month
s
Rule In
Equally
prevalent in
men and
women
Delusion or
hallucination
of illness
during which
for 2 or more
weeks in the
absence of a
major
(Delusion
Rule Out
Peak age in men
is 25 years old
Patient has no
familial tendency
of having
schizophrenia
The 6-month
period must
include at least 1
month of
symptoms
Paranoid type
(late 20s to 30 s)
Schizophrenifo
rm
Schizoaffective
Delusional
Disorder
Substance
During 1month
period
1
month
persecutory)
Level of
functioning
(work) has
been below
the level of
functioning
before
Delusion
persecutory
Disorganized speech
Duration an
episode that lasts at
least 1 month but
less than 6 months
Men with
schizoaffective
disorder are likely to
exhibit antisocial
behavior
and to have a
markedly flat or
inappropriate affect
- Delusion or
hallucination
of illness
during which
lasted for 2 or
more weeks in
the absence of
a major
(Delusion
persecutory)
- Men are more
likely to
develop
paranoid
delusions
-
No hallucination
Grossly disorganized or
catatonic behavior
Negative symptoms
(diminished emotional
expression or avolition)
more than twofold
female to
male predominance
among individuals with
the depressed subtype
of schizoaffective
disorder
Slight
preponderance
in female
population
Patient currently
related
disorders
doesnt smoke
and only drinks a
shot or two of
whisky or up to
three bottles of
beer on
occasions and
celebrations like
town fiestas
Factitious
Disorder
Brief episode
Delirium
Abnormalities
of mood,
perception,
and behavior
are common
psychiatric
symptoms.
Sudden onset
Rapid
improvement
when the
causative
factor is
identified
Patient is
elderly ( 1%
of elderly
persons age
55 years or
older)
Precipitating
factor:
environmental
: prolong sleep
deprivation
Predisposing
Psychiatric
symptoms are
intentionally
done
There is no
evidence from
the history,
physical
examination or
laboratory
findings that the
disturbance is a
direct
consequence of
another medical
condition,
substance
intoxication or
withdrawal
factor: 65
years old and
older, male
sex
Diagnosis
A. In order to come up with a diagnosis of Brief Psychotic Disorder, the
presence of 1 or more of the ff. symptoms or at least one of these must
be (1), (2) or (3):
1. Delusions
2. Hallucinations
3. Disorganized speech
4. Grossly disorganized or catatonic behavior
B. Duration of an episode of the disturbance is at least 1 day but less
than 1 month, with eventual full return to premorbid level of
functioning
C. The disturbance is not better explained by major depressive or
bipolar disorder with psychotic features or another psychotic disorder
such as schizophrenia or catatonia and is not attributable to the
physiological effects of a substance or another medical condition.
Specify if:
With marked stressor: (brief reactive psychosis): if symptoms occur
in response to events that, singly or together, would be markedly
stressful to almost anyone in similar circumstances in the individuals
culture.
Without marked stressors: If symptoms do not occur in response to
events that singly or together, would be markedly stressful to almost
anyone in similar circumstances in the individuals culture.
With postpartum onset: If onset is during pregnancy or within 4
weeks postpartum,
Specify if:
With catatonia
Specify current severity:
Severity is rated by quantitative assessment of the primary symptoms
of psychosis including delusions, hallucinations, disorganized speech,
abnormal psychomotor behavior, and negative symptoms. Each of
these symptoms may be rated for its current severity (most severe in
the last 7 days) on a 5 point scale ranging from 0 (not present) to 4
(present and severe)
Note: A diagnosis of brief psychotic disorder can be made without
using this severity specifier.
BRIEF PSYCHOTIC DISORDER
Epidemiology