Schizophrenia differential diagnosis: Difference between revisions

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*[[Autism spectrum disorder]] or communication disorders
*[[Autism spectrum disorder]] or communication disorders
*Major depressive or bipolar disorder with psychotic or catatonic features
* [[Major depressive]] or [[bipolar disorder]] with psychotic or catatonic features
*[[Schizoaffective disorder]]
*[[Schizoaffective disorder]]
*[[Schizophreniform disorder]] and brief [[psychotic disorder]]
*[[Schizophreniform disorder]] and brief [[psychotic disorder]]
*[[Delusional disorder]]
*[[Delusional disorder]]
*[[Schizotypal personality disorder]]
*[[Schizotypal personality disorder]]
* [[Borderline personality disorder]]<ref>McGlashan TH (1987) Testing DSM-III symptom criteria for schizotypal and borderline personality disorders. Archives of General Psychiatry, 44: 15–22.</ref>
*[[Obsessive-compulsive disorder]] and [[body dysmorphic disorder]]
*[[Obsessive-compulsive disorder]] and [[body dysmorphic disorder]]
*[[Posttraumatic stress disorder]]
*[[Posttraumatic stress disorder]]
*Other mental disorders associated with a psychotic episode<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>
*Other mental disorders associated with a psychotic episode<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>
*Schizophrenia needs to be differentiated from epilepsy and certain brain lesions. Chronic disease and metabolic disturbances also need to be ruled out. Systemic infection, including [[HIV]] and [[syphilis]] should be ruled out. The patient should be evaluated for drug abuse, as many drugs can cause psychotic symptoms, either during intoxication or during withdrawal. It is important to rule out a [[delirium]] which can be distinguished by visual hallucinations, acute onset and fluctuating level of consciousness and indicates an underlying medical illness. There are several psychiatric illnesses which may present with psychotic symptoms other than schizophrenia. These include [[bipolar disorder]],<ref>Pope HG (1983). Distinguishing bipolar disorder from schizophrenia in clinical practice: guidelines and case reports. Hospital and Community Psychiatry, 34: 322–328.</ref> [[borderline personality disorder]],<ref>McGlashan TH (1987) Testing DSM-III symptom criteria for schizotypal and borderline personality disorders. Archives of General Psychiatry, 44: 15–22.</ref> drug intoxication, brief drug-induced psychosis, and [[schizophreniform disorder]].
* [[Epilepsy]]
* [[Brain lesions]]
* Chronic disease and metabolic disturbances
* Systemic infection, including [[HIV]] and [[syphilis]]
* [[Drug abuse]]
* [[Delirium]]


==References==
==References==

Revision as of 21:23, 15 October 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]

Overview

Schizophrenia must be differentiated from other diseases such as autism spectrum disorder, bipolar disorder, depressive disorder, and schizoaffective disorder.[1]

Differential Diagnosis

References

  1. 1.0 1.1 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.
  2. McGlashan TH (1987) Testing DSM-III symptom criteria for schizotypal and borderline personality disorders. Archives of General Psychiatry, 44: 15–22.

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