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Children with gratification disorder are likely responsive and should stop an episode upon distraction, which is not something that would be seen in movement or seizure disorders. [5] Several studies stress the importance of direct observation and identifying features of gratification disorder to prevent unnecessary invasive testing and diagnoses.
People with schizophrenia often describe their self-disorders as causing more suffering for them than psychosis. [2] Self-disorders underlie most of the first-rank symptoms, those often termed passivity phenomena. There is a current proposal to list self-disorder as one of the symptoms of schizophrenia in the upcoming ICD-11. [25]
Most of the other disorders diagnosed in infancy, childhood, or adolescence involve anxiety. If the child is continually put in anxiety producing situations, they could show symptoms of these disorders. Usually, the symptoms will be mild and the child will not get help, which may cause the symptoms to become worse. [21]
Talking to yourself is only concerning if that self-talk is negative. "While positive self-talk may be very beneficial, negative self-talk may be extremely damaging," Dr. Kain says.
Excessive talking may be a symptom of an underlying illness and should be addressed by a medical provider if combined with hyperactivity or symptoms of mental illness, such as hallucinations. [16] Treatment of logorrhea depends on its underlying disorder, if any.
Individuals who experience disorders such as major depressive disorder, schizoaffective disorder, schizophreniform disorder, brief psychotic disorder, delusional disorder and schizotypal personality disorder have all been known to exhibit similar symptoms to children who have been diagnosed with CS. [53]
Many children or adults with selective mutism have some auditory processing difficulties. About 20–30% of children or adults with selective mutism have speech or language disorders that add stress to situations in which the child is expected to speak. [19] In the DSM-4, the term “elective mutism” was changed to “selective mutism.”
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