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295.10 Disorganized Type
Introduction
The essential features of the Disorganized Type of Schizophrenia are disorganized speech, disorganized behavior, and flat or inappropriate affect. The disorganized speech may be accompanied by silliness and laughter that are not closely related to the content of the speech. The behavioral disorganization (i.e., lack of goal orientation) may lead to severe disruption in the ability to perform activities of daily living (e.g., showering, dressing, or preparing meals). Criteria for the Catatonic Type of Schizophrenia are not met, and delusions or hallucinations, if present, are fragmentary and not organized into a coherent theme. Associated features include grimacing, mannerisms, and other oddities of behavior. Impaired performance may be noted on a variety of neuropsychological and cognitive tests. This subtype is also usually associated with poor premorbid personality, early and insidious onset, and a continuous course without significant remissions. Historically, and in other classification systems, this type is termed hebephrenic.
Diagnostic criteria for 295.10 Disorganized Type
A type of Schizophrenia in which the following criteria are met:
A. All of the following are prominent:
i) disorganized speech
ii) disorganized behavior
iii) flat or inappropriate affect
B. The criteria are not met for Catatonic Type.
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age: 23
dx: bipolar I, ADHD-C, tourette's syndrome, OCD, trichotillomania, GAD, Social Phobia, BPD, RLS
current meds: depakote (divalproex sodium) 1000mg, abilify (aripiprazole) 4mg, cymbalta (duloxetine) 60mg, dexedrine (dexamphetamine) 35mg, ativan (lorazepam) 1mg prn, iron supplements
past meds: ritalin, adderall, risperdal, geodon, paxil, celexa, zoloft
other: individual talk therapy, CBT, group therapy, couple's therapy, hypnosis
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