chap 11 schizophrenia Flashcards
schizophrenia
disorder with impaired cognitive processes, personality disintegration, mood disturbances and social withdraw
psychosis
loss of contact with reality or distorted view of it
positive symptoms of schizophrenia
involves unusual thoughts or perceptions hallucinations and delusions, new to the person experiencing them
paranoid ideation
suspect the actions and motives of other people
persecutory delusions
thoughts and ideas that other people are out to get them
What are the four categories for Schizophrenia
positive symptoms, psychomotor, abnormalities, cognitive symptoms, and negative symptoms
cognitive symptoms of schizo
problems with attention memory and developing a plan of action
loosening of associations or cognitive slippage
the continual shifting from topic to topics without any apparent logical or meaningful connection between the thoughts
Overinclusiveness
abnormal way of categorizing items
catatonia
disturbance in motor activity extreme excitement or rigid immobility
Difference between excited catatonia and withdrawn
excited disorganized behavior very agitated, hyperactive and lack inhibitions. withdrawn extremely unresponsive prolong periods of stupor or mutism
negative symptoms of schizo
inability to take actions, can not express emotions or feel pleasure
diagnosis of schizo
two of the following must be present delusions or hallucinations, disorganized speech, gross motor disturbances and negative symptoms. 2 must be hallucination delusions or disorganized speech.
premorbid
before the onset of major symptoms
the three phases of schizo
1 prodromal 2 active and 3 residual
Prodromal phase
buildup of symptoms changes can be noticeable and seem odd to people
active phase
full blown symptoms appear
residual phase
he symptoms are longer prominent or evident may relapse again complete recovery is rare
endophenotypes
measurable traits that can give us clues regarding the specific genes involved in a disorder
which neurotransmitters lead to abnormalities in schizo
dopamine serotonin, gaba and glumate
CBT for schizo 6 steps
1 engagement, 2 assessment, 3 identification of negative belief, 4 normalization, 5 collaborative analysis of symptoms 6 development of alternative explanations
CBT for schizo step 1 engagement
therapist explains how how therapy works and lays out a foundation to understand the stressors and coping skills of those stressors
CBT for Schizo 2 assessment
clients are encourage to discuss fears and anxiety. Info is shared as to how symptoms are formed and maintained
CBT for schizo 3 Identification of negative beliefs
The link between personal belief and and emotional distress is explained and how one can dispute these claims.
CBT for schizo 4 normalization
works on making psychotic experiences normal decatastrophize distortions
CBT for schizo 5 collaborative analysis of symptoms
once a strong connection is created evidence for and against maladaptive beliefs are discussed
CBT for schizo 6 development of alternative explanations
development of alternatives answers to maladaptive beliefs
what are Coping tragedies for family members who have a loved with Schizo
delusional disorder
Persistent delusions without other unusual or odd behaviors must have more than 1 for at least a month
brief psychotic disorder
psychotic episodes with a duration of at least 1 day bit less than 1 month
Schizophreniform disorder
psychotic episodes with a duration of at least 1 month but less than 6 months
Schizoaffective disorder
involves symptoms of schizo and or MDD or manic symptoms
Negative symptoms of schizo
