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Beginning to think I have schizophrenia SLS

Posted by undopaminergic on October 2, 2021, at 12:46:48

In reply to DSM-5: Download the entire book - PDF, Epub, Mobi, posted by SLS on September 25, 2021, at 9:23:19

> Hi, all.
>
> If you don't already have a copy of the DSM-5, this is the URL link to download the entire book. You can download PDF, Epub, and Mobi.
>

Thank you! I already had several copies in PDF format, but yours seems to be of the highest quality.

I read the whole chapter on psychotic disorders. I'm beginning to think I have the DSM-5 version of schizophrenia, which is not necessarily Bleuler's classic schizophrenia. Needless to say, other diagnoses are also required to account for the smorgasbord of psychopathology that I am.

Why schizophrenia? The key is the role assigned to negative symptoms by the DSM-5. Another key is the delineation of delusions; I'm willing to concede that I have (had) more of them than I've traditionally maintained.

I have had episodes that met the criteria A for longer than a month (even less is required if treated). More specifically, I have had some delusions (typically taking their beginnings during a manic episode) that lasted for longer than a month, *and* I have had negative symptoms (largely the same as in depression) for even longer, especially apathy.

According to criterion C, the complete duration of an episode needs to be at least 6 months, and needs include only 1 month of active symptoms (see above), and a prodromal and/or residual phase that needs include nothing more than negative symptoms. I easily qualify for that.

It appears I do not qualify for schizoaffective disorder, because the depressive episode has to feature a (significantly) depressed mood, not just anhedonia or concentration difficulties.

*But* I have been manic, which is enough to qualify me for bipolar I disorder. Moreover, the loss of critical thinking in mania has been the major factor in the development of delusions.


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poster:undopaminergic thread:1117083
URL: http://www.dr-bob.org/babble/20210723/msgs/1117142.html