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The notion "the thinner the better" seems to be widely accepted among young Chinese. © 2020 The Institute of Psychology, Chinese Academy of Sciences and John Wiley Sons Australia, Ltd.OBJECTIVES Diagnostic shifts in first episode psychosis (FEP) are not uncommon. Many studies examining diagnostic stability use structured diagnostic interviews. Less is known about the stability of FEP diagnoses made clinically. METHODS We conducted a retrospective chart review of patients enrolled in a transdiagnostic FEP clinic. For the 96 patient