Reference
Guide | Reference

69  Schizophrenia-Spectrum Prototype

69.1 Summary

  • A persistent pattern of reality distortion with functional impairment and disorganization that is not limited to a single episode.

69.2 Prototype Features

  • Ongoing hallucinations or delusional beliefs.
  • Disorganized thought or behavior.
  • Functional decline or reduced engagement.

69.3 Threshold Guidance

  • Use when psychosis-spectrum symptoms are persistent and impairing over time.

69.4 Expected Domain Profile

  • Psychosis and Reality Testing: moderate to high.
  • Cognitive Control and Executive Function: variable, often affected.
  • Social Communication and Relatedness: variable strain.

69.5 Time-Course and Trajectory

  • Chronic persistence with episodic exacerbations.

69.6 Differential and Red Flags

  • Mood-psychosis pattern with mood-congruent episodes.
  • Substance or medication effects.
  • Neurocognitive or neurologic contributors.

69.7 Specifiers (treatment-relevant, non-prescriptive)

  • Course/time pattern (chronic, fluctuating).
  • Contributors (sleep disruption, substances, medical factors).
  • Risk modifiers (self-care impairment, safety concerns).

69.8 Measurement Prompts

  • Symptom and function tracking over time.
  • Collateral reports of baseline and decline.

69.10 Documentation Snippet (1-2 lines)

  • “Persistent hallucinations and disorganization with functional decline; Psychosis 3; chronic course.”