DSM-IV-TR Casebook Diagnosis of "Fearful Girl"
This woman suffers from a variety of symptoms: morbid fears
of possible future events, labile but "shallow" affect,
obsessions (e.g., thinking about the words fuck and worry),
compulsions (e.g., turning off the light and lining up her shoes),
identity disturbance (e.g., that she might be male or become a Christian),
difficulties in interpersonal relations (e.g., she had no close
girlfriends), magical thinking, depersonalization, and markedly
impaired functioning (e.g., spending the last year at home thinking
about her illness). Undoubtedly, this plethora of chronically disabling
symptoms was a major factor in Hoch and Polatin's diagnosis
of Schizophrenia. However, the absence of delusions, hallucinations,
flat affect, and disorganized speech or behavior rules out a DSM-IV-TR
diagnosis of Schizophrenia.