As well as in acute transient psychosis with symptoms of schizophrenia in these disorders occur productive symptoms of the first rank, but there are also negative disorders. This diagnosis is usually only intermediate, and the risk of recurrent psychosis and, therefore, review the diagnosis of schizophrenia is large enough.
Diagnosis of acute schizophrenia-like psychotic disorder:
1. General criteria for acute transient psychotic disorder are not available.
2. No more than a month (three months) are observed positive and negative symptoms of schizophrenia, delusions of control, delusional interpretation and delusional perception characteristic of schizophrenia. Hallucinations, including auditory commenting, contradictory and mutually exclusive, compelling and true pseudohallucinations, somatic hallucinations, a symptom of the openness of thought, the sound of the own thoughts related to the first-rank symptoms in schizophrenia.
3. No more than a month (up to three months), are marked negative symptoms of schizophrenia: reduction of energy potential, loss of social communication, alienation and emotional coldness, ambivalence and emotional inadequacy, withdrawal.
It should be differentiated from the period of manifest paranoid schizophrenia, particularly in adolescence. If the disorder begins with an initial period in which there are negative symptoms of schizophrenia, the risk of diagnosis increases.
Treatment of acute schizophrenia-like psychotic disorder:
In treatment is necessary to use neuroleptics in the middle, and sometimes in small doses, nootropics. Mandatory maintenance therapy is necessary to prevent the next attack, usually are applied Prolongs (Orapa, semap, lioradin depot haloperidol depot or moditen-depot).