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Schizophreniform Disorder  American Description 

Diagnostic Criteria
Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated): 
delusions 
hallucinations 
disorganized speech (e.g., frequent derailment or incoherence) 
grossly disorganized or catatonic behavior 
negative symptoms, i.e., affective flattening, alogia, or avolition 
Note: Only one Criterion A symptom is required if delusions are bizarre or hallucinations consist of a voice keeping up a running commentary on the person's behavior or thoughts, or two or more voices conversing with each other.
Schizoaffective Disorder and Mood Disorder With Psychotic Features have been ruled out because either (1) no Major Depressive, Manic, or Mixed Episodes have occurred concurrently with the active-phase symptoms; or (2) if mood episodes have occurred during active-phase symptoms, their total duration has been brief relative to the duration of the active and residual periods. 
The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition. 
An episode of the disorder (including prodromal, active, and residual phases) lasts at least 1 month but less than 6 months. (When the diagnosis must be made without waiting for recovery, it should be qualified as "Provisional.") 
Specify if:
Without Good Prognostic Features 
With Good Prognostic Features: as evidenced by two (or more) of the following: 
onset of prominent psychotic symptoms within 4 weeks of the first noticeable change in usual behavior or functioning 
confusion or perplexity at the height of the psychotic episode 
good premorbid social and occupational functioning 
absence of blunted or flat affect 

Associated Features
Learning Problem 
Hypoactivity 
Psychotic 
Euphoric Mood 
Depressed Mood 
Somatic/Sexual Dysfunction 
Hyperactivity 
Guilt/Obsession 
Sexually Deviant Behavior 
Odd/Eccentric/Suspicious Personality 
Anxious/Fearful/Dependent Personality 
Dramatic/Erratic/Antisocial Personality 

Differential Diagnosis
Schizophrenia; Brief Psychotic Disorder. 

Internet Mental Health (www.mentalhealth.com) copyright © 1995-2000 by Phillip W. Long, M.D. 

 



 

 

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