in my opinion someone with schizophrenia/schizoaffective usually has some level of psychosis going on. theres definitely different levels of psychosis. for other diagnoses i dont think usually have a level of psychosis usually. my opinion. because im only diagnosed with a few things.
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Schizophrenia: Criterion A lists the five key symptoms of psychotic disorders: 1) delusions, 2) hallucinations, 3) disorganized speech, 4) disorganized or catatonic behavior, and 5) negative symptoms. In DSM-IV 2 of these 5 symptoms were required. However, only 1 of the 5 symptoms was required if delusions were bizarre or if hallucinations included a running commentary on a person’s thoughts/behavior, and/or two or more voices conversing. This exception has been removed for lack of specificity and poor reliability. This change makes intuitive sense. The notion of what constitutes “bizarre” is rather vague, and its removal reduces cultural bias. In DSM-5, two of these five symptoms are required AND at least one symptom must be one of the first three (delusions, hallucinations, disorganized speech).
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