Medical history (history of illness) represents an important component in the diagnosis of schizophrenia.
Family history
- Are there any mental disorders/diseases in your family?
Social anamnesis
Current medical history/systemic history (somatic and psychological complaints) [see also below].
- Do you suffer from thoughts that become loud?
- Are thoughts being fed to you from outside?
- Do you hear voices? Do these voices comment on your actions?
- Do you see things that other people cannot see?
Vegetative anamnesis including nutritional anamnesis.
- Do you use drugs? If yes, which drugs and how often per day or per week?
Self history incl. medication history.
- Pre-existing conditions (mental disorders)
- Operations
- Allergies
- Medication history
The following symptoms and complaints may indicate schizophrenia:
Leading symptoms category 1
- Thought sounds become
- Thought inspiration
- Thought deprivation
- Thought propagation
- Thought Tear Off
- Delusions of control and influence
- Commenting or dialogic voices
- Persistent bizarre delusion
Leading symptoms category 2
- Persistent hallucinations
- Catatonic symptoms (disturbance of voluntary motor function) such as.
- Arousal
- Postural stereotypes
- Negativism
- Stupor (physical rigidity)
- Negative symptoms such as.
- Apathy (apathy)
- Speech slowdown
- Inadequate affect – mood and emotional behavior.
For a diagnosis of schizophrenia, at least one category 1 symptom or at least two category 2 symptoms must have been clearly present for more than one month.
