Delusions
Negative Symptoms
Speech & Emotional Expression
Wild Card
100

This delusion involves believing you have special powers, fame, or importance.

Delusions of Grandeur

100

Lack of interest in social relationships or interactions is known as this.

Asociality
100

A sudden, complete shift from one topic to an unrelated one is known as this.

Derailment

100

Remaining motionless and unresponsive for long periods reflects this symptom.

Catatonia

200

A person believes neutral events contain hidden personal messages meant only for them.

Delusions of Reference
200

Reduced ability to experience pleasure is referred to as this symptom.

Anhedonia

200

This speech problem makes it difficult for listeners to follow the speaker’s thinking.

Loose Association

200

A person repeatedly collects meaningless objects and becomes distressed when asked to discard them, due to disorganized thinking.

Hoarding

300

A patient insists that a news anchor on TV is sending them secret messages through hand gestures.

Delusions of reference

300

Lack of interest in social relationships or interactions is known as this.

Asociality

300

A patient smiles and laughs while describing the death of a close family member.

Inappropriate Affect

300

A patient shows little motivation to work, socialize, or complete daily tasks. 

Avolition

400

A patient is convinced their coworkers are intentionally trying to poison their lunch, despite no evidence.

Delusions of Persecution

400

During an interview, a patient gives very brief answers and provides little meaningful information.

Alogia

400

A student answers a question in class but goes off-topic and never actually addresses the question.

Tangentiality

400

A patient is convinced coworkers are intentionally trying to sabotage them, while also giving very brief, minimal responses during the interview.

Delusions of Persecution and Alogia

500

A person insists they were chosen for a secret mission because of their unique abilities.

Delusions of Grandeur

500

A person reports that hobbies and activities they once loved no longer feel enjoyable or rewarding.

Anhedonia

500

During an emotional conversation, a patient’s facial expression and voice remain completely flat.

Flat Affect

500

A patient believes they are uniquely powerful and chosen for a special role, but shows flat emotional expression and little reaction when discussing these beliefs. Which two symptoms best explain this presentation?

Delusions of Grandeur and Affective Flattening