<prompt> Waxy flexibility, stereotype verbal, behavioural signs and negative symptoms are feature of?Paranoid schizophreniaHebephrenic schizophreniaCatatonic schizophreniaSimple schizophrenia  <response>: Ans. C. Catatonic schizophrenia. Ref Neeraj Ahuja 5th pg. 68; Kaplan Sadocks synopsis of psychiatry:10thTab 13-5Schizophrenia Catatonic Type A form of schizophrenia that is characterized by marked psychomotor activity, a variety of catatonic symptoms.Features Of Catatonic Schizophrenia Bizarre posturing Rigidity Echolalia, echopraxia Mutism Waxy flexibility Ambitendancy no goal directed actions Stupor Negativism motiveless resistance to all commands and doing opposite Other signs mannerisms, stereotype verbal and behavioural automatic obedience, verbigerationSchizophreniaParanoidHebephrenic DisorganizedCatatonicSimpleOccur in later life3rd or 4th decade.Occurs in early 2nd decade.Occurs in late 2nd or 3rd decade.Occurs in early life 2nd decade.Onset is insidious and course is progressive.Onset is insidious and course is progressive.Onset is usually acute course is episodic.Onset is insidious and course is progressiveProminent preoccupation with a specific delusional system and who otherwise do not qualify as having disorganized-type disease.Disorganized speech and behavior are accompanied by a superficial or silly affect.Clinical presentation is dominated by profound changes in motor activity, negativism, and echolalia or echopraxia. Has best prognosis compared to other subtypes. Completely recovery does not occur.Worst prognosisRecovery from episode is usually complete.Prognosis is usually poor.Schizophrenias Commonest TypeAmphetamine causesEarly onset Bad prognosisLate onset best prognosisVery late 3rd,4th DeacdeWorst pronosis most difficult to diagnose ParanoidParanoidhebephrenicCatatonicParanoidSimple Paranoid- Delusions of persecution or grandeur- Often accompanied by hallucinations voicesCatatonic- Complete stupor or pronounced decrease in spontaneous movements- Alternatively, can be excited and evidence extreme motor agitationDisorganized- Incoherent, primitive, uninhibited- Unorganized behaviors and speech- Active, butr aimless- Pronounced thought disorderUndifferentiated- Psychotic symptoms but does not fit paranoid, catatonic, or disorgazized diagnosesResidual- Previous episode, but not prominent psychotic symptoms at evaluation- Some lingering negatilve symptoms Negative symptomsPositive sympytom- Loss of function- Loose associations- Anhedonia- Hallucinations and delusions- Decreased emotional expression- Bizarre behavior, and- Impaired concentration, and- Increased speech- Diminished social engagementSCHNEIDERS FIRST-RANK SYMPTOMS OF SCHIZOPHRENIA INCLUDE: Withdrawal or broadcasting; Auditory hallucinations; Impulses or actions; Somatic passivity Mnemonic: WAIST MD Thought insertion, Made feelings, Delusional perception.EUGEN BLEULERS FUNDAMENTAL SYMPTOMS OF SCHIZOPHRENIA 4 AS Ambivalence marked inability to decide for or against Autism withdrawal into self Affect blunting disturbance of affect Association disturbances loosening of association, thought disorder 