In our case, negative symptoms could be due to cerebellar involvement which is found to cause cognitive deficit, disorganized speech, abnormal or catatonic behavior
, and negative symptoms such as avolition, flat affect, and anhedonia in schizophrenia.
The DSM-5 describes schizophrenia as "a severe and chronic mental disorder characterized by disturbances in thought, perception and behavior." The symptoms may include delusions, hallucinations, disorganized speech, flat affect, and "grossly disorganized or catatonic behavior
." But what psychiatrists call schizophrenia, which is said to affect about 1 percent of the population, may "turn out to be many different things," as Trinity College Dublin psychologist Simon McCarthy-Jones recently observed in The Conversation, an online forum for academics and scientists.
DSM-5 defines brief psychotic disorder as positive symptoms or disorganized or catatonic behavior
appearing suddenly and lasting between 1 day to 1 month.
The diagnosis of schizophrenia includes two or more of the following: positive symptoms, disorganized speech, disorganized or catatonic behavior
, and negative symptoms.
Patient responded to treatment with steroids, Hyroxychloroquine and azathioprine in addition to clonazepam and fluoxetine for her catatonic behavior
. Thus this case history illustrates the importance of considering organic disease in patients presenting with catatonia.
However, I saw no indication of schizophrenia as defined by the American Psychological Association's Diagnostic and Statistical Manual of Mental Disorders: (5) namely delusions, hallucinations, disorganised speech, and grossly disorganised or catatonic behavior
. Abu Fida appeared friendly, with many smiles, talked logically, and focused on the topics without any delusions.
Further, a person suffering from the disease may experience disorganized or catatonic behavior
, lack feeling and lose ability to function at work.
Of course there are obvious characteristics of mental illness that cannot be confused with giftedness, in my opinion as a Mental Health Peer Advocate, that encompass apathy, changes in movement, visual and auditory hallucinations, major delusions, catatonic behavior
, incoherence, violence, and self abuse.
An individual diagnosed with a Brief Psychotic Disorder (DSM-IV, 1994), a severe mental disorder identified by either having delusions, hallucinations, disorganized speech, or grossly disorganized or catatonic behavior
lasting between 1 day and 1 month, will have a full return to his/her premorbid level of functioning.
None of the following are prominent: disorganized speech, disorganized or catatonic behavior
, or flat or inappropriate affect