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Re: different types of schizophrenia???

Posted by TomG on August 18, 2005, at 12:03:13

In reply to Re: different types of schizophrenia???, posted by xbunny on August 18, 2005, at 10:07:35

B2,
I'm glad you brought this up. My diagnosis is simple schizophrenia although it has been removed from the DSM. Here is a good definition of my diagnosis:

"An uncommon disorder in which there is an insidious but progressive development of oddities of conduct, inability to meet the demands of society, and decline in total performance. Delusions and hallucinations are not evident, and the disorder is less obviously psychotic than the hebephrenic, paranoid, and catatonic subtypes of schizophrenia. The characteristic "negative" features of residual schizophrenia (e.g. blunting of affect, loss of volition) develop without being preceded by any overt psychotic symptoms. With increasing social impoverishment, vagrancy may ensue and the individual may then become self-absorbed, idle, and aimless."

That pretty much describes me to a T. All the negative symptoms and none of the positive. I've had some basic paranoia, but it really isn't that complex. I usually just think people are talking about me in social situations, instead of thinking the C.I.A. is following me and sending me messages about an upcoming alien invasion.

Like xbunny said, the new diagnosis is that comes close to this is residual schizophrenia. This is the criteria from the DSM:

"A. Absence of prominent delusions, hallucinations, disorganized speech, and grossly disorganized or catatonic behavior.

B. There is continuing evidence of the disturbance, as indicated by the presence of negative symptoms or two or more symptoms listed in Criterion A for Schizophrenia, present in an attenuated form (e.g., odd beliefs, unusual perceptual experiences)."

It looks to me like you don't need to have had a prior episode of overt positve symptoms, but I may be wrong.

Unfortunately, and I have found this to be true, the prognosis is poor for this type, and is usually the most resistant form of schizophreia to pharmacalogical intervention. I just can't find any sustained help from medication. Geodon helped for awhile, but quit on me.

Hopefully this helps.

Tom


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