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Previously, requires the mood episode be present for the majority of the illness.It probably seems like splitting hairs but the change was made to improve the reliability, validity, and stability of the disorder. Delusional Disorder: The requirement that delusions be non-bizarre has been removed. Shared delusional disorder is no longer a distinct, separate disorder. Differential diagnosis: Delusional Disorder and OCD delusional belief specifier: A change that will be discussed in more detail in another article is the formation of a new category of disorders called Obsessive-Compulsive and Related Disorders.Schizophrenia is not a terribly common disease but it can be a serious and chronic one.
The distinction between bizarre and non-bizarre delusions is no longer diagnostically significant.More commonly the incidence (rate of diagnosis) of new cases of schizophrenia increases in the teen years, reaching a peak of vulnerability between the ages of 16 and 25 years.Men and women show different patterns of susceptibility for developing schizophrenic symptoms.The DSM-IV ‘with poor insight' specifier has been expanded to include good, fair, poor and absent/delusional insight.Therefore, Delusional Disorder has an exclusion criterion that specifies the symptoms cannot be better explained by OCD or similar disorder with absent/delusional insight.