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Schizophrenia

Anna Loyal Jackson, MD and Jeffrey Stovall, MD Reviewed 06/2019
 


BASICS

Schizophrenia is a persistent and severe psychiatric condition characterized by neurocognitive decline and impairment in reality testing. 

DESCRIPTION

  • Major psychiatric disorder characterized by ...

DIAGNOSIS

Focus on identifying an insidious social and functional decline per history with the onset of ≥2 of the following characteristic symptoms on mental status exam: 
  • Delusions (fixed, false belie...

TREATMENT

MEDICATION

First Line

  • Two classes of antipsychotic medications: typical and atypical. First-line treatment is with an atypical antipsychotic given lower potential for extrapyramidal side effec...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Long-term symptom management and rehabilitation depend on engagement in ongoing pharmacologic and psychosocial treatment.

  • Monitoring is based on evaluation of symp...

REFERENCES

1
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013. [View Abstract on OvidMedline]
2
Hasan...

ADDITIONAL READING

Saks E. The Center Cannot Hold: My Journey Through Madness. New York, NY: Hyperion; 2007. [View Abstract on OvidMedline] 

SEE ALSO

Algorithm: Delirium 

CODES

ICD10

  • F20.9 Schizophrenia, unspecified

  • F20.0 Paranoid schizophrenia

  • F20.1 Disorganized schizophrenia

  • F20.2 Catatonic schizophrenia

  • F20.5 Residual schizophrenia

  • F20.3 Undifferentiated schizophrenia

  • F20....

CLINICAL PEARLS

  • A debilitating chronic mental illness that affects all cultures and requires a multidisciplinary team approach to assist with coping, treatment, and to promote recovery

  • Schizophrenia is...

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