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Certain infectious and parasitic diseases

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F20.4 Post-schizophrenic depression<br />

A depressive episode, which may be prolonged, arising in the aftermath of a<br />

schizophrenic illness. Some schizophrenic symptoms, either "positive" or<br />

"negative", must still be present but they no longer dominate the clinical picture.<br />

These depressive states are associated with an increased risk of suicide. If the<br />

patient no longer has any schizophrenic symptoms, a depressive episode should<br />

be diagnosed (F32.-). If schizophrenic symptoms are still florid <strong>and</strong> prominent,<br />

the diagnosis should remain that of the appropriate schizophrenic subtype<br />

(F20.0-F20.3).<br />

F20.5 Residual schizophrenia<br />

A chronic stage in the development of a schizophrenic illness in which there has<br />

been a clear progression from an early stage to a later stage characterized by<br />

long- term, though not necessarily irreversible, "negative" symptoms, e.g.<br />

psychomotor slowing; underactivity; blunting of affect; passivity <strong>and</strong> lack of<br />

initiative; poverty of quantity or content of speech; poor nonverbal<br />

communication by facial expression, eye contact, voice modulation <strong>and</strong> posture;<br />

poor self-care <strong>and</strong> social performance.<br />

Chronic undifferentiated schizophrenia<br />

Restzust<strong>and</strong> (schizophrenic)<br />

Schizophrenic residual state<br />

F20.6 Simple schizophrenia<br />

A disorder in which there is an insidious but progressive development of<br />

oddities of conduct, inability to meet the dem<strong>and</strong>s of society, <strong>and</strong> decline in<br />

total performance. The characteristic negative features of residual<br />

schizophrenia (e.g. blunting of affect <strong>and</strong> loss of volition) develop without<br />

being preceded by any overt psychotic symptoms.<br />

F20.8 Other schizophrenia<br />

Cenesthopathic schizophrenia<br />

Schizophreniform:<br />

· disorder NOS<br />

· psychosis NOS<br />

Excludes: brief schizophreniform disorders ( F23.2 )<br />

F20.9 Schizophrenia, unspecified<br />

F21<br />

Schizotypal disorder<br />

A disorder characterized by eccentric behaviour <strong>and</strong> anomalies of thinking <strong>and</strong><br />

affect which resemble those seen in schizophrenia, though no definite <strong>and</strong><br />

characteristic schizophrenic anomalies occur at any stage. The symptoms may<br />

include a cold or inappropriate affect; anhedonia; odd or eccentric behaviour; a<br />

tendency to social withdrawal; paranoid or bizarre ideas not amounting to true<br />

delusions; obsessive ruminations; thought disorder <strong>and</strong> perceptual disturbances;<br />

occasional transient quasi-psychotic episodes with intense illusions, auditory or<br />

other hallucinations, <strong>and</strong> delusion-like ideas, usually occurring without external<br />

provocation. There is no definite onset <strong>and</strong> evolution <strong>and</strong> course are usually those<br />

of a personality disorder.<br />

Version for 2007 181

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