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frequency

The prevalence of schizophreniform disorder is not fully understood. Is believed to beless than schizophrenia. It is believed that men and women equally visible. It is morecommon in adolescence.

Causes

The cause is not fully understood. Argue that this disorder is a form of brief psychoticdisorder. Looking to show some form of attack and to take advantage of lithiumcompared to patients leads to mood disorders.

Some studies suggest that the relationship between schizophrenia. First-degree relativesof patients with schizophrenia, schizophreniform disorder are likely to be higher.However, there is no such possibility in affective disorder patients. Also suggested that aheterogeneous group.

Signs and symptoms

This concept showing all the symptoms of schizophrenia in 1939 by Gabriel Langfeldt,but cases have been used to describe chronic course. According to DSM-IV for thediagnosis of schizophreniform disorder, the presence of sufficient evidence forschizophrenia, a month long, the short duration of the condition of the six months.Return to premorbid personality and functionality should be complete. Some scientistsacute for these disorders, a good prognosis, they use statements schizophrenia inremission. Overall it is a good fit before the disease. Attacks are often associated with astressor. If within six months of diagnosis should be considered temporaryschizophreniform disorder diagnosis.

In schizophrenia, the impoverishment of speech and the content, logic informality,tangentiality, perseveration and schizophreniform disorder is more common than todissolve the association. These differences can be used in differential diagnosis.

differential diagnosis

6 months from schizophrenia separated by shorter occur. A months time should belonger.

Brief psychotic disorder is a long day but a short-term basis. In these cases, although itis not enough to diagnose affective symptoms may be.

It has a full affective syndrome, schizoaffective disorder.

Psychological specified in factitious disorder should be excluded. Symptoms of thisdisorder are under voluntary control.

Organic causes should be ruled out in the differential diagnosis. Mental statusexamination, physical examination and laboratory findings help in the differentialdiagnosis.

Course and prognosis

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Long-term prognosis of the disorder varies. It does not repeat attacks in some cases.The first attack usually happens during late adolescence or early adulthood. Premorbidsocial and occupational functioning closely affects the prognosis of well-being. Long-term follow-up in about half of these cases the symptoms improve or becomes a fullrecovery. However, there is improvement in symptoms in schizophrenic but in 1/3 of thecases. Prognosis is related to the duration of the disease. Time is like six months closerto the table and prognosis of schizophrenia.

Sudden onset (by insidious onset), the presence of confusion and disorientation are alsogood indicators of prognosis in acute period. Is not decisive for the blunt or flat affektprognosis. Should be noted that the course may change over time. Next attack may insome cases completely affective qualities. In some casesdevelop schizophrenic disorders. Consisting of acute attacks and short duration ofdisease prognosis is good.

Familial and social relationships are better than schizophrenia .

treatment

Antipsychotics are used in the acute phase. Few patients can recover asunmedicated. Schizophreniform disorder probably is a self-limiting disease. Supportingthe hospital environment is to make a positive impact therapeutically. Therefore, theinitial period as may be useful to monitor patients without medication.

Starting antipsychotics and dose adjustment is similar to schizophrenia. Sleep problems,agitation, paranoia, symptoms such as disorganized thinking gives dramatic results in afew days. Other psychotic symptoms subside while later. 3-6 months of treatment isusually sufficient.

Lithium is effective in up to 30% of cases. This phenomenon may be an atypical affectivepsychosis. It is possible to control the symptoms of acute agitation with lorazepam andother benzodiazepines. ECT can be applied if necessary.

Continued treatment in recurrent cases considered. If you would like treatment ofresidual symptoms of schizophrenia. Lithium and lithium is a more viable option inpatients responding well Neuroleptic.

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