Delusion or Hallucination?
Which is Which?
Positive or Negative?
What Else Could it Be?
Terminology
100

The client reports that all of the neighbors are watching them and reporting their movements to the government.

What is a delusion

100

Two or more of [delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, and/or negative symptoms] AND symptoms have been present at least six months.

What is schizophrenia?

100

The client speaks in a flat tone, with no emotion in their voice.

What is a negative symptom?

100

The client reports delusions in the context of mania, and states that once the mania passed, the delusions stopped.

What is bipolar disorder?

100

A decreased ability to experience pleasure.

What is anhedonia?

200

The client reports that their roommate has been replaced by an identical stranger.

What is a delusion?

200

The presence of delusions, hallucinations, disorganized speech, and/or grossly disorganized or catatonic behavior AND the disturbance has lasted one day to one month.

What is brief psychotic disorder?

200

The client has excessive fears of persecution.

What is a positive symptom?

200

A pervasive pattern of social and interpersonal deficits, characterized by odd beliefs or magical thinking, strange behavior, odd thinking or speech, and paranoia, but WITHOUT delusions or hallucinations.

What is a personality disorder (schizotypal)?

200

A complete lack of motor responses.

What is stupor?

300

The client reports that someone is whispering to them through the walls.


What is a hallucination?

300

Delusions and/or hallucinations which appeared shortly after the client stopped drinking alcohol.

What is substance-induced psychotic disorder?

300

The client states it feels almost impossible to get out of bed and take a shower.

What is a negative symptom?

300

The client reports "seeing things" following a very traumatic event. The client explains that they see images of the event happening all over again.

What is PTSD?

300

A delusion which focuses on health or the body.

What is a somatic delusion?

400

The client reports that there are insects crawling on their skin, which they can feel all of the time.

What is a hallucination?

400

Symptoms of schizophrenia for at least one month AND a major mood disorder (depression or mania).

What is schizoaffective disorder?

400

The client insists that a celebrity is coming to propose marriage.

What is a positive symptom?

400

The client reports that their body is "misshapen," "ugly," and "disfigured" but no one else can see what the client appears to be describing.  The client reports no other delusions or hallucinations.

What is body dysmorphic disorder?

400

Hallucinations which occur only when one is falling asleep.

What are hypnagogic hallucinations?

500

The client reports that they have observed all of the evidence necessary to predict that we are about to have a massive earthquake.

What is a delusion?

500

Two or more of [delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, and/or negative symptoms] AND symptoms have been present at least one month but less than six months.

What is schizophreniform disorder?

500

The client reports that everything feels boring and being with people is "exhausting."

What is a negative symptom?

500

The client is convinced that they must save massive amounts of food for the coming natural disasters. The client will not dispose of food even when it goes bad, and keeps many other items such as plastic bags, clothing, and newspapers, also in case of disaster.

What is hoarding disorder (with poor or absent insight)?

500

Diminished speech output or "poverty of speech."

What is alogia?

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