Schizophrenic, paranoid and other psychotic disorders are characterized by the onset of psychotic features with deterioration from a previous level of functioning. Diagnosis requires medically documented evidence of continuous or intermittent periods of:

• Delusions or hallucinations
• Catatonic or other grossly disorganized behavior
• Incoherence, loosening of associations, illogical thinking, or lack of speech if associated with one of the following:
  • Blunt affect
  • Flat affect
  • Inappropriate affect
  • Emotional withdrawal and/or isolation
     

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