Which feature best supports a diagnosis of schizoaffective disorder?

Correct answer: C. Psychosis occurs for a period without a mood episode

  • A. Psychosis occurs only during manic episodes
  • B. Psychosis occurs only during depressive episodes
  • C. Psychosis occurs for a period without a mood episode
  • D. Psychosis begins after stopping an antipsychotic

Explanation

Schizoaffective disorder includes major mood episodes together with schizophrenia symptoms, plus a period of delusions or hallucinations without prominent mood symptoms. Psychosis limited to a mood episode is more consistent with a mood disorder with psychotic features.

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About Psychotic Disorders

Psychotic disorders involve disturbances in reality testing, including delusions, hallucinations, disorganized speech, disorganized behavior, and negative symptoms. Coverage includes schizophrenia and related disorders, assessment of thought content and perception, risk management, antipsychotic treatment, and the distinction between psychosis, delirium, substance effects, and mood disorders.

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