new_n_lost
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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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| po
Forum Elite
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C,auditory hallucinations ->diagnosis
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| faraym
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D .Becoz symptoms <6months
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| drduck
Forum Guru
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yup........D,
less than 6 months
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| medocuk
IM-RES
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D, as given above.
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| new_n_lost
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| new_n_lost
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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.
In schizoaffective disorder (choice A), alterations in mood are present during a substantial portion of the illness.
Although schizoid personality disorder (choice B) produces detachment from social relationships and is characterized by restriction of emotional expression, it is not accompanied by a marked decline in occupational functioning.
If the symptoms do not remit after six months or more, then the diagnosis of schizophrenia (choice C) should be made.
Schizotypal personality disorder (choice E) is characterized by eccentricities of behavior, odd beliefs or magical thinking, and difficulties with social and interpersonal relationships. Unlike schizophrenia, schizotypal personality disorder is not characterized by a formal thought disorder.
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| po
Forum Elite
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forgot all about duration,my mistake
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| drduck
Forum Guru
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Unlike schizophrenia, schizotypal personality disorder is not characterized by a formal thought disorder.
well said NNL.....not many know this difference....
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