Schizophrenia is a psychotic disorder of unknown ethiology, characterised by positive symptoms (delirium, hallucinations, disorganized behavior) and negative symptoms (affective flattening
, alogia, avolition, anhedonia).
Also, the negative symptoms include affective flattening
or blunting, alogia, avolition-apathy, and anhedonia-asociality.
V's presentation and history schizophrenia, paranoid type seems to be the most likely diagnosis because of her negative symptoms, including affective flattening
, positive family history for schizophrenia, and paranoid delusions leading to dysfunction (Table).(7) Delusional disorder seems less likely because Ms.
Their usefulness, however, is severely limited by numerous adverse effects, including cognitive dulling, anxiety, depression, and affective flattening