Shizophrenia diagnosis

[George]

Hello,

I understand Shizophrenia is diagnosed by existence of one or more symptoms including

1. hallucination
   2)delusion
   3)disorganised speech
   4)bizarre behavior
2. coma like speech

My question is in relation to delusional thoughts how a psychiatrist decides if a patient is OCD or shizophrenia. In OCD a person may have recurring doubt if he/she has ensured an act of safety as locking etc. Similarly a person may have recurring doubt of certain threat as contamination in a hospital. Could this be diagnosed as shizophrenia. I mean is it suffice to have an intruisive uncommon thought to be diagnosed or should there be conviction in the thought or belief to be diagnosed.
Would be great to know what everybody thinks.

Thanks in advance

[rogueone]

Usually people hit the system and it’s there or there abouts. It is a lot about the skills of the shrinks and medical professionals. For me it was all rather obvious to everyone but me. Things like ocd and depression can lead to similar things with differences that a good shrink will have an idea of.

In reality it’s not uncommon for diagnosis to change over time due to symptoms and medication changes. It’s a pretty fluid system.

[Jayster]

Lots of schizophrenics have OCD as well. It is possible to have both, that is.