- Thank you for the appreciation you have shown to my posting. What you need to understand is that there is a need to diagnose mental health patients as soon as possible. The reason for not categorizing a patient immediately is to gain adequate time for analyzing the situation for perfect diagnosis. The two disorders have some complications in the diagnosis, which requires a keen analysis. I quite agree that each of the two disorders has a different medication but they have some similarities in complexity. The schizophrenia disorder is one of the two conditions of schizoaffective disorder. The other condition of schizoaffective disorder is the major depression of bipolar disorder. Schizophrenia distorts the way an individual thinks, expresses emotions, acts, relates to other people, and the way he or she perceives reality (Jäger M, A, & HJ., 2004). The other condition of schizoaffective disorder is depression and almost affects an individual in the same way as the schizophrenia disorder. In all cases, the mood of an individual has affected as well as the person’s thinking ability. Due to its categorical aspect, schizophrenia can hardly be differentiated from schizoaffective with certainty. A patient diagnosed with schizoaffective is likely to suffer from Schizophrenia while the Schizophrenia disorder is a condition of schizoaffective. On another note, DSMs are widely used due to the value they carry in handling mental problems from the individual level. Insurances use the for loss analysis reasons that could be related to one’s mind (Jäger M, A, & HJ., 2004). This use is extended to the legal information contained in the book with respect to different mental conditions.
- In the case of the DSM5’s deletion of the shares Delusion Disorder, I am glad that you could agree with my point in the deletion to make it a specifier of the Delusional Disorder. It is very true that shared delusional disorder has low reliability, low diagnostic stability, and poor validity. Due to its attributes of having low reliability and low stability during diagnosis, the changes are significantly minimal. I could agree with you that it is a delusional disorder that ought to be considered as a specifier instead of a separate diagnosis but their attributes are completely different. It is long since subtypes have been put in the place of specifiers. Specifiers used to map directly to prior subtypes. Again, comorbid diagnosis using autism spectrum disorders is today largely allowed. More importantly, symptom thresholds have been made available for various groups. These points confirm why they are diagnosed separately.
Jäger M, B. R., A, S., & HJ., M. (2004). Fifteen-year follow-up of ICD-10 schizoaffective disorders compared with schizophrenia and affective disorders. Acta Psychiatrica Scandinavica, 109(1) , 30-37.
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