George Langwasser is a 45 year-old gentleman whose case history describes classic

features of schizophrenia but the social worker notices in his chart that he has always
experienced co-occurring symptoms of depression – that is, feeling “down in the dumps,”
poor appetite, feelings of hopelessness and insomnia – during his episodes of active
psychosis and only during the 2-year period of the active symptoms of schizophrenia.
Currently, his psychotic episodes are successfully controlled by medication and his chart
reflects no further symptoms of depression. In fact, Mr. Langwasser has never met full
diagnostic criteria for major depressive disorder at any time. Should his diagnosis of
schizophrenia be changed?



a) No, the diagnosis of schizophrenia is correct
b) Yes, the diagnosis should be changed to persistent depressive disorder
(dysthymia)
c) Yes, the diagnosis should be changed to schizoaffective disorder
d) Yes, the diagnosis should be changed to schizophrenia and persistent
depressive disorder (dysthymia)


a)

Social Work & Human Services

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