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Short course 9.2
Psychoses
The spectrum of psychotic disorders (DSM-IV)
Duration of disturbanceIdentified aetiological factorsProminence of mood disorderNon-bizarre delusions only

Schizophrenia 6 months-Not prominentNo

Psychotic disorder due to a medical conditionNot specified+Not specifiedPossible

Substance-induced psychotic disorderNot specified+Not specifiedPossible

Brief psychotic disorder 1 day -
< 1 month
-Not prominentPossible

Schizophreniform disorder 1 month -
< 6 months
-Not prominentNo

Major depressive disorder with psychotic features 2 weeks-Very prominent
(must overlap exclusively with psychosis)
Possible; usually (but not necessarily) mood-congruent

Bipolar disorder with psychotic features 1 week-Very prominent
(must overlap exclusively with psychosis)
Possible; usually (but not necessarily) mood-congruent

Schizoaffective disorder 1 month-Prominent, but there must also be > 2 weeks' psychosis in the absence of major mood disturbanceNo

Delusional disorder 1 month-Not prominentYes

A further disorder, "Psychotic disorder not otherwise specified", is a psychosis in which the criteria for other psychotic disorders are unmet.


On to section 9.3 . . .

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