DSM Summarised

Delusional Disorder

  • Symptoms
    • A. Delusions. Hallucinations are not prominent and must be related to delusional themes
    • D. Manic or depressive symptoms must be brief (ie. exclude affective disturbance with psychotic features)
  • Duration
    • A. Longer than 1 month
  • Function
    • C. Function is NOT impaired in areas outside of the delusions
  • Exclusions
    • B. Schizophrenia criteria is not met
    • E. Not organic or substance-induced
    • E. Not better explained by another mental disorder eg. BDD or OCD
  • Specifier
    • Types: erotomaniac, grandiose, jealous, persecutory, somatic, mixed, unspecified
    • Bizarreness: bizarre or not
    • Duration:
      • Only to be used after 1 year
      • First episode (acute episode, partial remission or full remission)
      • Multiple episodes (acute episode, partial remission or full remission)
      • Continuous
      • Unspecified
    • Severity

Brief Psychotic Disorder

  • Symptoms
    • A. 1+ of delusions, hallucinations or disorganised speech. Disorganised or catatonic behaviour may also be present.
  • Duration
    • B. Longer than 1 day, less than 1 month
  • Function
    • B. Full return to premorbid functioning
  • Exclusions
    • C. Schizophrenia criteria is not met
    • C. Not better explained by affective disturbance with psychotic features
    • C. Not organic or substance-induced
  • Specifier
    • Stressors: with (ie. reactive psychosis) or without
    • Peripartum onset: starts during pregnancy or within 4 weeks postpartum
    • Catatonia
    • Severity

Schizophreniform Disorder

  • Symptoms
    • A. 2+ of delusions, hallucinations, disorganised speech, grossly disorganised/catatonic behaviour or negative symptoms. One of first 3 must be present.
  • Duration
    • B. Longer than 1 month, less than 6 months. “Provisional” if awaiting recovery.
  • Exclusions
    • C. Schizoaffective or affective disturbance criteria is not met due to nil or minor presence of mood symptoms during active-phase symptoms
    • D. Not organic or substance-induced
  • Specifiers
    • Prognostic factors:
      • Good: 2+ of onset of psychosis within 4 weeks of behavioural change, confusion or perplexity, good premorbid function, absence of flat or blunted affect
      • Poor
    • Catatonia
    • Severity

Schizophrenia

  • Symptoms
    • A. 2+ of delusions, hallucinations, disorganised speech, grossly disorganised/catatonic behaviour or negative symptoms. One of the first 3 must be present.
  • Function
    • B. Social, occupational or functional impairment present (academic in C&A)
  • Duration
    • A. Psychotic symptoms lasting more than 1 month (unless treated)
    • C. Signs of disturbance for greater than 6 months (includes prodrome)
  • Exclusions
    • D. Schizoaffective or affective disturbance criteria is not met due to nil or minor presence of mood symptoms during active-phase symptoms
    • E. Not organic or substance-induced
  • Other
    • F. If ASD or communication disorder present, requires prominent delusions or hallucinations
  • Specifier
    • Duration:
      • Only to be used after 1 year
      • First episode (acute episode, partial remission or full remission)
      • Multiple episodes (acute episode, partial remission or full remission)
      • Continuous
      • Unspecified
    • Catatonia
    • Severity

Schizoaffective Disorder

  • Symptoms
    • A. Major mood episode (manic or depressive) concurrent with Criterion A of schizophrenia
    • B. Delusions or hallucinations for 2 weeks without mood symptoms (ie. exclude affective disturbance with psychotic features) during lifetime
    • C. Major mood episodes for majority of duration during active and residual portions
  • Exclusions
    • D. Not organic or substance-induced
  • Specifier
    • Types: bipolar (manic) or depressive
    • Catatonia
    • Duration:
      • Only to be used after 1 year
      • First episode (acute episode, partial remission or full remission)
      • Multiple episodes (acute episode, partial remission or full remission)
      • Continuous
      • Unspecified
    • Severity

Substance/Medication-Induced Psychotic Disorder

  • Symptoms
    • A. Delusions and/or hallucinations
  • Cause
    • B. Criterion A started after intoxication or withdrawal of substance or medication (latter must be able to cause such symptoms)
  • Exclusions
    • C. Not primary psychotic disorder (ie. symptoms before substance use, symptoms persist )

Last modified: Mon Aug 19 16:54:20 2024