Acute Schizophrenia-like Psychotic Disorder F23.2 - ICD10 Description, World Health Organization
Schizophreniform Disorder - Diagnostic Criteria, American Psychiatric AssociationThis mental disorder is diagnosed when the symptom criteria for schizophrenia are met, but the duration is too short and social and occupational functioning may not be impaired. An episode of the disorder (including prodromal, active, and residual phases) lasts at least 1 month but less than 6 months. If this disorder lasts 6 months or longer; the diagnosis is changed to schizophrenia. This disorder is not due to a drug, medication or general medical disorder. There appears to be two types of schizophreniform disorder: one with a good prognosis, and the other with a bad prognosis. The schizophreniform disorder with a good prognosis more often had an episodic, recurrent course, and a family history of mood disorders. The schizophreniform disorder with a bad prognosis lacked these features.
Effective TherapiesAntipsychotic medication usually prevents suicide, minimizes rehospitalization, and dramatically improves social functioning.
Ineffective TherapiesCognitive behavioral therapy (CBT) was not effective in reducing symptoms in schizophrenia, or in preventing relapse in bipolar I disorder. Vitamins, dietary supplements, cognitive training and cognitive rehabilitation have all proven to be ineffective in the treatment of psychotic disorders.
Cannabis And SchizophreniaCannabis (pot) has been proven to nearly quadruple the risk of developing schizophrenia. In 1969-70, Swedish military conscripts (>97% of the country's male population aged 18-20) were followed for 35 years. At the start of this study, none of the conscripts had schizophrenia. Over 35 years, those who had used cannabis more than 50 times at the beginning of the study had 3.7 times the normal rate of developing schizophrenia. This association was not explained by use of other psychoactive drugs or personality traits. Schizophrenia normally occurs in 1% of the population. 86% of individuals with schizophrenia are disabled and unemployed. Thus, if cannabis was legalized, the prevalence of schizophrenia could more than triple. This would cause a massive increase in the national unemployment rate.
Legalizing Illicit DrugsSome people argue that illicit drugs should be legalized to decrease the crime associated with these drugs. Historically, tobacco and alcohol were once illegal drugs. Tobacco smoking is now the leading cause of death in America, and alcoholism is the third leading cause of death. Thus legalizing illicit drugs does not make them any less medically and socially harmful. In fact the opposite is true; legalizing illicit drugs increases their use and the harm they cause. The Government of Finland is passing legislation that will gradually ban all tobacco use by 2040.
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