Chapter 12: Schizophrenia

Question 1

How is schizophrenia characterized

Answer 1

Altered cognition, perception, and reality testing

Question 2

What is the age range for schizophrenia

Answer 2

15-25

Question 3

What are 6 DSM-V Criteria for schizophrenia

Answer 3

Delusions, hallucinations, disorganized speech, gross disorganization, negative symptoms (diminished emotional expression or avolition), functional impairment of some kind

Question 4

Schizophrenia is more frequently diagnosed in

Answer 4

males in urban areas

Question 5

Comorbidities

Answer 5

substance abuse disorder (nicotine especially/self medicating), anxiety, depression, suicide, physical illness, polydipsia

Question 6

Etiology

Answer 6

Genetics, dopamine theory, other neurochemicals, DIATHESIS STRESS MODEL

Question 7

Positive symptoms

Answer 7

Delusion: You think something wrong is a fact

Hallucination: hear, fell, taste, smell something that isn’t there

Illusion: Misinterpretation of real stimuli

Question 8

Prodromal phase

Answer 8

Prodromal phase: beginning phase, when symptoms are subtle

Question 9

Alterations in speech

Answer 9

Associative looseness (word salad is worst version) words spoken together as if it makes sense but its just random words

Clang association (rhyme words when speaking)

Neologisms (words that only have meaning to the patient)

Echolalia (repeat the words of someone else)

Circumstantiality/tangentiality (keep going on tangents without getting to answer)

Cognitive retardation (slow thought)

Pressured speech (excitement causes words to jumble)

Flight of ideas (quick movement from one topic to another))

Question 10

Disorders/distortion of thought

Answer 10

Thought blocking: sudden and involuntary silence within a speech, and eventually an abrupt switch to another topic

Question 11

Negative symptoms all start with

Answer 11

A

Anhedonia: don’t like doing things anymore

Avolition: general lack of motivation

Asociality: lack of social desire

Affective blunting: emotional expression blunting

Apathy: Feeling unfulfilled

Alogia: poverty of speech

Question 12

Cognitive symptoms

Answer 12

Concrete thinking

Impaired memory

Impaired info processing

Impaired executive functioning: hygiene

Question 13

DEFINE PSYCHOSIS

Answer 13

ALRTED COGNITION/PERCEPTION/WHAT IS/ISNT REAL

Question 14

DEFINE DELUSIONAL DISORDER

Answer 14

DELUSION 1 MONTH OR LONGER

GRANDIOSE, PERSECUTORY, SOMATIC, REFERENTIAL

PTS DONR BEHAVE BIZARELY