Clinical types

Much emphasis used to be placed on differentiating various subtypes of schizophrenia. It is important to be aware of the different terms. However, they are of limited practical usefulness. They do not seem to predict response to medication or overall prognosis.

Nor is it even clear that they are stable through time, so that, for example, a patient may display a picture of hebephrenic schizophrenia at one point but a picture of paranoid schizophrenia at another. Nevertheless, it is a matter of clinical experience that a patient does tend to have roughly similar patterns of symptoms and signs during each acute episode - the same behaviours, delusions, or hallucinations recur.

The following summary, based on the ICD-10 classification, depends on the description of clinical syndromes. These probably represent overlapping states, rather than distinct entities.

0 0

Post a comment