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MedicoApps includes authentic previous year questions from NEET PG, NeXT PG, INI CET, and FMGE exams, spanning from 2012 to 2025.

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COMPILATION OF PSYCHOTIC DISORDERS

COMPILATION OF PSYCHOTIC DISORDERS

1. Acute psychotic disorders

2. Schizoaffective disorder

3. Delusional disorder

4. Shared psychotic disorders (or induced delusional disorder)

ACUTE PSYCHOTIC DISORDERS:

Disorders with symptoms (delusions, hallucinations & disorganization symptoms) similar to schizophrenia.
Disorders frequently preceded by stressor (stressful life event) – Precipitated by fever.
Acute onset & often resolve completely.

Classification:
- Classified separately in DSM-5 & ICD-10.
- According to DSM-5 –
  - Symptoms present for
  - (Note – Symptoms for 1-6 mons – “schizophreniform disorder”).
- According to ICD-10 –
  - Symptoms present for mon – Classified as “Acute & transient psychotic disorder”.
Treatment: Antipsychotics & benzodiazepines.

SCHIZOAFFECTIVE DISORDER:

Features of both schizophrenia & mood disorders concurrently.
Types:
Depending on manic episode or depressive episode along with schizophrenia symptoms.

Schizoaffective disorder (Bipolar/manic type) – With manic symptoms.
Schizoaffective disorder (Depressive type) – With depressive symptoms.

Treatment –

Combination of mood stabilizers, antipsychotics & antidepressants – Depending on presentation.
Combination of antipsychotics & mood stabilizer – For schizoaffective (manic type episodes).
Combination of antipsychotics & antidepressants – For schizoaffective (depressive type episodes).

DELUSIONAL DISORDER:

Characterized by development of single delusion or set of related delusions.
Usually persistent & life-long.
Psychotic symptoms (hallucinations, disorganization, negative symptoms) – Absent.

Types:

Persecutory type: Delusion of persecution.
Jealous types: Delusion of infidelity.
Erotomanic type: Delusion of love.
Somatic type:
- Subtypes:
- Delusional parasitosis – Delusion of infested by parasites.
- Delusion of dysmorphophobia – Delusion of misshaped body parts.
- Delusion of halitosis – Delusion of body has a foul odor.
Grandiose type: Delusion of grandiosity.
Unspecified type: Above mentioned categories unapplicable.
- Eg: Delusion of misidentification.

SHARED PSYCHOTIC/INDUCED DELUSIONAL DISORDERS:

Characterized by spread of delusions from one person to another.
- Delusional individual (primary case) typically is influential member of close relationship with suggestible person (secondary case) developing delusion.
  - “Folie a deux” – Involvement of 2 people.
  - “Folie a trols, folie a quatre” – Involvement of > than 2 people.
Treatment: DOC – Antipsychotics.

Exam Important

Acute psychotic disorders are frequently preceded by stressor (stressful life event) & precipitated by fever.
Antipsychotics are DOC for shared psychotic disorder

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COMPILATION OF PSYCHOTIC DISORDERS