Command phenomena and internal "parts" experiences

Psychotic commands (external, authoritative) vs dissociative (internal, part-like)

UrgentReview due

Compare (7)

At a glance

High-risk causes: 3
Related differentials: 6

Safety snapshot

Watch forCommands to self-harm/harm othersreduced controlprior obedience

Presentation hinge

Often fixed, systematised, accompanied by hallucinations, thought disorder, or negative symptoms.

Separates the Delusions / Paranoia / Thought Interference / Command Phenomena group. It is not specific to Command phenomena and internal "parts" experiences.

Clinical review

Rows marked “Whole group”: Applies to the Delusions / Paranoia / Thought Interference / Command Phenomena group — not specific to Command phenomena and internal "parts" experiences

Why it fits

Psychotic commands (external, authoritative) vs dissociative (internal, part-like)

Key features

Must-not-miss

Commands to self-harm/harm others, reduced control, prior obedience.

High-risk causes3 causes

Commands to self-harm/harm others
reduced control
prior obedience

Bedside question

Applies to the Delusions / Paranoia / Thought Interference / Command Phenomena group.

Often fixed, systematised, accompanied by hallucinations, thought disorder, or negative symptoms.

Helpful clues

Immediate action

Applies to the Delusions / Paranoia / Thought Interference / Command Phenomena group.

None listed

Priority steps

Investigations

Applies to the Delusions / Paranoia / Thought Interference / Command Phenomena group.

None listed

Core tests

Mimics / overlap

Applies to the Delusions / Paranoia / Thought Interference / Command Phenomena group.

None listed

Consider

Clinical reference — not validated decision support. Review before use.