Feralucce wrote:
beneficii wrote:
Feralucce wrote:
I recommend a new Psych. According to diagnostic criteria, schizophrenia and autistic spectrum disorders are mutually exclusive diagnoses.
Autism does not come with schizophrenia and as a matter of fact according to both the DSM-IV and ICD-10, the diagnoses are mutually exclusive: ?criteria are not met for another specific Pervasive Developmental Disorder or schizophrenia?, as stated in the DSM-IV.
Actually, they can be comorbid. If the patient develops the ASD first, and then later develops schizophrenia, they can be comorbid. It's only that once a patient develops schizophrenia then they cannot develop an ASD afterwards (as the symptoms would be considered to be "explained" by the schizophrenia). The DSM, however, makes clear that for someone who already has an ASD, they must have prominent delusions and/or hallucinations for at least one month (or less if successfully treated) to be diagnosed with schizophrenia. Basically, for someone with an ASD, having just, say, disorganized speech and negative symptoms without prominent delusions or hallucinations wouldn't cut it, whereas for someone without an ASD disorganized speech and negative symptoms would be enough (provided other criteria are met). The reason is to prevent the comorbidity from being greater, because disorganized speech and negative symptoms tend to already occur to some extent in an ASD anyway, so they can be considered to be "explained" by the ASD. Prominent delusions and/or hallucinations are the only schizophrenia symptoms that cannot be explained by an ASD, so those would allow a person with ASD to be diagnosed with comorbid schizophrenia (provided all other disorders are ruled out and all the other criteria are met), in the DSM at least.
I disagree. As do my Psychiatric professional sources. The two are mutual exclusive diagnoses.
Dude, did you not see my source? Why did you ignore it? I thought you were better than this. Here it is again--I hope it can make some difference:
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To back this up, this is Criterion F for schizophrenia in the DSM-5 (similar wording exists in the DSM-IV criteria), which regards a patient with an ASD (p. 99):
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F. If there is a history of autism spectrum disorder or a communication disorder of childhood onset, the additional diagnosis of schizophrenia is made only if prominent delusions or hallucinations, in addition to the other required symptoms of schizophrenia, are also present for at least 1 month (or less if successfully treated).
Also, one of your sources, the DSM-IV, I've seen and it contradicts you. Here is Criterion F for schizophrenia in the DSM-IV (which I've already told you is similar):
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F. Relationship to a Pervasive Developmental Disorder: If there is a history of Autistic Disorder or another Pervasive Developmental Disorder, the additional diagnosis of Schizophrenia is made only if prominent delusions or hallucinations are also present for at least a month (or less if successfully treated).
http://counsellingresource.com/lib/dist ... -symptoms/
It is clear from Criterion F for schizophrenia in both books that schizophrenia can be diagnosed when there is a history of ASD, provided that the patient has at least one of the two symptoms that ASD can't explain ("prominent delusions or hallucinations...present for at least a month (or less if successfully treated)"). It's only that ASD can't develop after schizophrenia (which would be really difficult anyway, since the earliest schizophrenia diagnosis I've heard of was at age 5, very very young and very very rare for it to be so young, but still later than when the first ASD symptoms manifest).
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"You have a responsibility to consider all sides of a problem and a responsibility to make a judgment and a responsibility to care for all involved." --Ian Danskin