What should I consider if a patient might have schizophrenia, but the diagnosis is uncertain?

The first step in effective management of schizophrenia is an accurate diagnosis. The Canadian Guidelines for the Assessment and Diagnosis of Patients with Schizophrenia Spectrum and Other Psychotic Disorders is a recent guideline on assessment and diagnosis. Keys to accurate diagnosis include a structured assessment that includes using the Structured Clinical Interview for DSM-5 (SCID-5). Assessment should be based on all sources of information, which can include family, other contacts, other clinicians, and history. If uncertainty remains about the diagnosis of a patient, a second opinion or consultation can be valuable.

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