Many of so called schizophrenias are symptomatic, secondary cerebral dysfunction (disorders). The unethiological approach and the symptomatic pharmacotherapy, push this patient automatically in group of chronic mental illneses and in big stigmatisation of patients and their family.

Clinical, neuropsychological, laboratoric, neuroimaging and ethiological analysis of sample of 100 patient with schizophreniform clinical pictures.

In 29 % of patients the cause was the substance abuse, in 25 % extracerebral infection/inflammtion, in 16 % endocrine/metabolic disorders, in 11 % brain damage, in 7 % cardiovascular disorders and in 7 % neurodevelopmental disorders.

In about 70 % of ur patients with schizophrenical and schizophreniform psycotic clinical pictures the primary cause were extracerebral. The real ethiological approach and diagnosis in clinical psychiatry is the only way to targeted ethiological therapy and reduction of chronification and stigmatisation of psychiatric patients