family, friends relatives, people at work, etc . (iii) rahabilltating the recovered pattern in

reaction family, friends relatives, people at work, etc . (iii) rahabilltating the recovered pattern in to recognisable psychosocial stresses Clinical picture is characterised by preserves of emorional turmoil and florid psychotic symptoms such as delirium hallucinations, incoherence and grossly ofeorganfsed behaviour These syrnptoms should be prsseni for less than 2 weeks Treatment - Antipsycholic drugs as in schizophrenia, although some cases are known to remit spontaneously. IV Schizo-affective disorder - Characterised by the simultaneous occurrence of schizophrenic symptom and symptoms of an affective or mood disorder, after depression or elation This diagnosis carries a better prognosis than schizophrenia. Treatment - Antipsychotic: drug, as in schizophrenia or In combination with antidepressants (in presence of depressive symptoms) Antipsychotic drugs are also efficacious when administered in combination with following mood stabilizers. (a) Lithium carbonate 600-1500 mg/day orally so as to achieve serum lithium levels ranging from 0.6-1.0 Eq /L. (b) Sodium evaporated 600-1500 mg/day orally (c) Divalproex (d) Carbamazepine 600-1200 mg/day orally Drug treatment can be given co currently with ECT and supportive psychotherapy. V. Delusional disorders -Characterized by occurrence of non-bizarre, persistent, well-systematized delusions of persecution of Jealousy In contrast to the bizarre delusions seen in schizophrenia Unlike schizophrenia hallucinations, are absent in delusional disorders. The non-bizarre delusions usually involve situations that could occur In reality. such as being followed, poisoned or deceived by spouse or lover. These delusions should be present or at least one month. The behaviors and emotions are appropriate to the content of the delusional system Apart from the impact of delusions, daily functioning is not markedly Impaired. A related condition is shared Delusional Disorder In which a delusional system develops in a person as a result of his close friendship with another person who has a delusional disorder. 2. MOOD DISORDERS Definition. The mood disorders are so called because their main feature is an abnormality of affect or mood This