Affective flattening

Affective flattening is a term used in psychiatry to describe a reduction or absence of emotional expression in individuals. It is a common symptom of schizophrenia and other psychotic disorders, but can also be seen in mood disorders and neurological disorders.

Definition

Affective flattening is characterized by a lack of emotional expression, including facial expression, tone of voice, and non-verbal communication. This can make it difficult for others to understand or relate to the individual's emotional state. It is important to note that affective flattening does not necessarily mean a lack of emotion, but rather a lack of outward expression of emotion.

Causes

Affective flattening is most commonly associated with schizophrenia, but it can also be seen in other conditions such as depression, bipolar disorder, and post-traumatic stress disorder (PTSD). It can also be a side effect of certain medications, particularly those used to treat mental health conditions.

Diagnosis

Diagnosis of affective flattening is typically made through clinical observation and patient self-report. Clinicians may use tools such as the Positive and Negative Syndrome Scale (PANSS) or the Brief Psychiatric Rating Scale (BPRS) to assess the presence and severity of affective flattening.

Treatment

Treatment for affective flattening typically involves addressing the underlying condition. This may include medication, psychotherapy, or a combination of both. In some cases, social skills training may also be beneficial.

See also

• Negative symptoms
• Schizophrenia
• Mood disorders
• Neurological disorders