Schizophreniform Disorder

Clinical Description

Brief Psychotic Disorder is a psychotic disorder that affects how a person acts, thinks, relates to others, expresses emotions, and perceives reality.


Symptoms (Diagnostic Criteria)

Presence of one or more of the following symptoms (at least one must be 1, 2, or 3):

  1. Delusions: Fixed false beliefs about reality that persist despite evidence to the contrary.
  2. Hallucinations: False perceptions of objects or events that involve the senses (sight, sound, smell, touch, and taste).
  3. Disorganized speech: Examples include abrupt switching from one topic to another (derailment), constant digressing to random, irrelevant ideas and topics (tangentiality), and incomprehensible speech (incoherence or "word salad").
  4. Grossly disorganized or catatonic behavior: Examples include childlike "silliness," unpredictable agitation, decreased reactivity to the environment, resistance to instructions (negativism), maintaining a rigid, inappropriate, or bizarre posture (stupor), complete lack of verbal and motor responses (mutism), and purposeless and excessive motor activity without an obvious cause (catatonic excitement).

Duration

  • Each of the symptoms has been present for at least 1 month (or less if successfully treated), but less than 6 months.

Age Onset and Age Requirement

  • Men: 18 to 24 years old
  • Women: 24 to 35 years old

Treatments

  • Medication: Antipsychotics to help manage symptoms.
  • Psychotherapy: Cognitive Behavioral Therapy (CBT) to help patients develop coping mechanisms and manage distressing thoughts and behaviors.