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Presenting Problem: Hallucinations

Presenting Problem: Hallucinations. YES. NO. YES. NO. YES. NO. Presenting Problem: Hallucinations. YES. NO. YES. NO. Differential Diagnosis of Psychotic Disorder. YES. NO. YES. NO. Symptoms of active phase of schizophrenia lasting ≥ 1 month. YES. NO. YES. YES. NO. YES.

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Presenting Problem: Hallucinations

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  1. Presenting Problem: Hallucinations YES NO YES NO YES NO

  2. Presenting Problem: Hallucinations YES NO YES NO

  3. Differential Diagnosis of Psychotic Disorder YES NO YES NO

  4. Symptoms of active phase of schizophrenia lasting ≥ 1 month YES NO YES YES NO YES NO

  5. Symptoms of active phase of schizophrenia lasting < 1 month YES NO YES NO YES NO YES YES

  6. Brief Psychotic Disorder • Only having positive symptoms from schizophrenia • delusions, hallucinations, disorganization • Duration from one day to one month • Not due to medical, neurological or substance-induced disorder

  7. Schizoaffective Disorder • Meets criteria for major depressive or manic episode and psychotic symptoms of schizophrenia • 2 weeks of psychotic symptoms in absence of mood symptoms • Mood symptoms represent significant portion of time both in active and residual phases • Not due to medical, neurological or substance-induced disorder

  8. Substance Induced Psychiatric Disorder • Prominent hallucinations or delusions • Cannot include hallucinations if they realize it is due to the substance • Evidence supports direct consequence of substance use • Examples - LSD, mushrooms, amphetamines, alcohol hallucinosis, PCP, cocaine

  9. Delusional Disorder • Non-bizarre delusions for one at least 1 month • being follow, poisoned, infected, loved, deceived • Never has met psychotic criteria from schizophrenia • Functioning is not markedly impaired • Subtypes - erotomanic, grandiose, jealous, persecutory, somatic, mixed

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