| PARANOID SCHIZOPHRENIA |
BIPOLAR AFFECTIVE DISORDER |
SCHIZO-AFFECTIVE DISORDER |
| Polymorphous delusional ideas (psychotic rank religiousness, xenopathy, persecution and damage delusional ideation, paranoid grandeur) |
The presence of an affective episode in antecedents (depressive or expansive)The chronology of events is important: The mood changes firstly, subsequently psychotic phenomena overlap |
We find in antecedents both mood episodes in the absence of psychotic phenomena, and mainly psychotic episodes, without changes of thymic function, but also periods overlapping both types of manifestations (affective and psychotic) |
| Auditory hallucinations |
At present, he has a pathological sad mood, with loss of interest for social activities, mixed insomnias, low food appetite – suggestive for a new depressive episode |
Psychotic phenomenology existed in the absence of affective symptoms |
| Distortion at the thinking level with weakening of logical associations, tangential, circumstantial answers |
Change of workplace + professional reorientation can be suggestive for a maniacal episode, as well as the period during which he had financial success and the relation-making track disappeared |
|
| Affective flattening in relation to the social relationships and events in his life. Depression seems to occur because of psychotic exhaustion. |
Professional success and sexual behaviour accentuated in 2009 can be explained by a hypomania |
|
| Lack of criticism on the disease |
Remission of very good quality after the previous episode (dated 2009) after a treatment of only six months, with good social-functional reintegration. |
|
| Schizotypal premorbid personality |
Avoiding premorbid personality, traits removed by the occurrence of hypomania |
|
| Insidious onset |
|
|
