786 Conditions for Further Study
meet Criterion E for attenuated psychosis sy ndrome. For example, a feeling of being the
focus of undesired attention in the context of social anxiety disorder  would not qualify for
comorbid attenuated psychosis syndrome.
Bipolar II disorder. Reality distortions that are temporal ly limited to an episode of ma-
nia or hypomania and are descriptively more ch aracteristic of bipolar disorder do not meet
Criterion E for attenuated psyc hosis syndrome. For example, inflated self-esteem in the
context of pressured speech and reduced need for sleep would not qua lify for comorbid at-
tenuated psychosis syndrome.
Borderline personality disorder. Reality distortions that ar e concomitant with border-
line personality disorder and are descriptively mo re characteristic of it do not meet Crite-
rion E for attenuated psychosis syndrome. For example, a sense of being unable to
experience feelings in the context of an inte nse fear of real or im agined abandonment and
recurrent self-mutilation  would not qualify fo r comorbid attenuated psychosis syndrome.
Adjustment reaction of adolescence. Mild, transient symptoms typical of normal de-
velopment and consistent with the degree of stress experienced do not qualify for attenu-
ated psychosis syndrome.
Extreme end of perceptual aberration and magical thinking in the non-ill population.
This diagnostic possibility should be strongly entertained when reality distortions are not
associated with distress and functional impairment and need for care.
Substance/medication-induced psychotic disorder. Substance use is common among
individuals whose symptoms meet attenuated  psychosis syndrome criteria. When other-
wise qualifying characteristic symptoms are strongly temporally related to substance use
episodes, Criterion E for attenuated psychosis syndrome may not be met, and a diagnosis