Delusional disorders of inorganic genesis – synonyms, diagnosis, treatment

Delusional disorders of inorganic genesis – synonyms, diagnosis, treatment

Definition of delusional and psychotic disorders of inorganic origin. Along with schizophrenia, the following psychotic disorders are also included in ICD-10:
– Schizotypal disorder (F21)
– Chronic delusional disorder (F22)
– Acute and transient psychotic disorders (F23), reactive psychoses, cycloid psychoses (Leonhard)
– Induced delusional disorder (F24) Main symptoms of delusional and psychotic disorders of inorganic origin:

Schizotypal disorder: patients for more than 2 years show inadequate affect, strange eccentric behavior, social isolation, unusual ideas / magical thinking, mistrust, thought disorders, transient quasi-psychotic episodes

Acute and transient psychotic disorders: maximum duration 3 months. The main forms are:
– acute psychotic disorders with symptoms of schizophrenia: acute onset of the disease with the development of psychotic symptoms in a period of time from several days to several weeks
– The clinical picture corresponds to schizophrenia, however, the preservation of symptoms is less than 1 month. – acute polymorphic psychotic disorder: very dramatically changing, having different manifestations of hallucinations, delusions and perception disorders; In addition, affective symptoms are often observed: emotional excitement with passing feelings of happiness and ecstasy, or fear and irritability. Sudden onset (within 48 hours) and fast recovery

Short reactive psychosis (“emotional psychosis”): the psychosis is caused by an acute stress event. Typical is an acute onset, as well as traceless disappearance. There are several days between the appearance of the psychosis and the traumatic event, the content of the psychosis associated with the load that caused it. Important: Diagnosis requires a connection with a stressful event / traumatic situation.

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