kiranmayi
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A 22-year-old female college student is brought into the emergency room by the police, who found her walking back and forth across a busy street, talking to herself. The young woman appears to be oriented with respect to person, place, and time. Her first hospital admission was two months ago for a similar condition. During a psychiatric interview, she has difficulty concentrating, and seems to hear voices. A phone call to her sister provides the additional information that the girl dropped out of school three months ago and has been living on the street. Urine toxicology is negative. This patient is most likely exhibiting the signs and symptoms of
A. schizoaffective disorder
B. schizoid personality disorder
C. schizophrenia
D. schizophreniform disorder
E. schizotypal personality disorder
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| dxtxpx
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schizophreniform
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| asmi
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C?
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| kiranmayi
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The correct answer is D. The patient is suffering from schizophreniform disorder. There has been a marked decline in the level of functioning and she was endangering herself in the middle of the street. Schizophreniform
disorder is characterized by schizophrenia-like symptoms, but the duration of symptoms is less than six months (but more than one month). Fully developed psychotic symptoms are typical.
If the symptoms do not remit after six months or more, then the diagnosis of schizophrenia (choice C) should be made.
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| asmi
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thanks kiran....i really forgot about the DURATION importance... :oops:
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