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Schizophrenia

Jeffrey Stovall, MD and Stephanie M. Fall, MD Reviewed 06/2020
 


BASICS

Schizophrenia is a severe and persistent psychiatric condition characterized by delusions, hallucinations, disorganization, cognitive dysfunction, and impairment in reality testing. 

DESCRIPTION

  • ...

DIAGNOSIS

Focus on identifying an insidious social and functional decline over a ≥ 6-month period (differentiates schizophrenia from brief psychotic and schizophreniform disorders). At least 2 of the ...

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
Hasan A, Falkai P, Wobrock T, et al; WFSBP Task Force on Treatment and Guidelines for Schizophrenia World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for biological...

ADDITIONAL READING

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

  • Schizophrenia is a severe and persistent mental illness that impacts cognition and functioning and requires a multidisciplinary team approach to assist with coping, treatment, and to p...

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