Childhood-Onset Schizophrenia Differential Diagnoses
- Author: Annemarie K Loth, MD; Chief Editor: Caroly Pataki, MD more...
The diagnosis of schizophrenia requires the exclusion of mood disorders with psychotic features (bipolar disorder), substance-induced psychotic disorder, and psychosis due to a medical condition. The following conditions should be considered when evaluating a child or adolescent with suspected schizophrenia:
- Psychosis secondary to epilepsy; psychosis not otherwise specified; and psychosis, single episode
- Neurodegenerative disorders
- Multidimensionally impaired syndrome (not a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition [DSM-IV] diagnosis), characterized by emotional lability, distractibility, poor social skills, brief hallucinations, and trouble distinguishing fact from fiction
- Central nervous system (CNS) tumor
- Progressive organic CNS disorder (eg, sclerosing panencephalitis)
- Schizoaffective disorder
Chromosomal disorder: 22q11 deletion syndrome
Pediatric Obsessive-Compulsive Disorder
Personality Disorder: Borderline
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