Psychomotor symptoms in primary psychotic disorders
Sintomas psicomotores em transtornos psicóticos primários
CategoryDefinition
This descriptor may used together with a diagnosis from the grouping of Schizophrenia and other primary psychotic disorders to indicate that psychomotor symptoms are a prominent part of the clinical presentation. Psychomotor symptoms include psychomotor agitation or excessive motor activity, usually manifested by purposeless behaviors such as fidgeting, shifting, fiddling, inability to sit or stand still, wringing of the hands, etc., psychomotor retardation, or a visible generalized slowing of movements and speech, and catatonic symptoms such as excitement, posturing, waxy flexibility, negativism, mutism, or stupor. If the full syndrome of Catatonia is present, this should be diagnosed separately.
Coding Note
Diagnostic Criteria
This specifier may be used together with a diagnosis from the grouping of Schizophrenia or Other Primary Psychotic Disorders to indicate the degree to which psychomotor symptoms are a prominent part of the clinical presentation. Psychomotor symptoms include psychomotor agitation or increased motor activity, usually manifested by purposeless behaviours such as fidgeting, shifting, fiddling, inability to sit or stand still, wringing of the hands, stereotypy, and grimacing. Psychomotor symptoms also include psychomotor retardation (a visible generalized slowing of movements and speech), as well as catatonic symptoms such as extreme restlessness with purposeless motor activity to the point of exhaustion, posturing, waxy flexibility, negativism, mutism, or stupor. To be considered psychomotor symptoms for the purpose of this specifier rating, symptoms should not be attributable a Neurodevelopmental Disorder or Disease of the Nervous System or to the direct physiological effects of substances or medications, including withdrawal effects. If the full syndrome of Catatonia is present, the diagnosis of Catatonia Associated with Another Mental Disorder should also be assigned.
The rating should be made based on the severity of psychomotor symptoms during the past week.
Table 6.11: Table 6.X: Rating Scale for Psychomotor Symptoms in Primary Psychotic Disorders
| | |
| - | - |
| None
6A25.4&XS8H
| No significant psychomotor symptoms have been present during the past week. |
| Mild
6A25.4&XS5W
| The majority of the time the person exhibits a normal level of activity, but there are occasional periods of psychomotor excitation or slowing. Psychomotor symptoms do not significantly interfere with important personal, social, or occupational functioning. |
| Moderate
6A25.4&XS0T
| Frequent periods of marked psychomotor agitation or retardation, but psychomotor symptoms are not continuous. Psychomotor symptoms significantly interfere with important personal, social, or occupational functioning. |
| Severe
6A25.4&XS25
| Severe and nearly continuous psychomotor agitation or slowing, which may include the full syndrome of Catatonia. The psychomotor symptoms are sufficiently severe to be potentially harmful to the person or others (e.g., agitation to the point of severe physical exhaustion, stupor that prevents the person from feeding himself). |
| Severity Unspecified
6A25.4
| Psychomotor symptoms have been present during the past week, but it is not possible to make a severity rating based on the available information. |