Class 4 Flashcards
Schizophrenia prevalence
1%
Risk factors Schizophrenia
advanced paternal age, obstetric complications (influenza), genetic factors underlying eye tracking, familial schizophrenia spectrum disorder, familial neurocognitive disorder (attention, executive function, spatial working memory, verbal memory), ASD, THC, ACE
Bad prognosis Schizophrenia
earlier they have it the worse it is, screwed family dynamics, more negative symptoms
Good prognosis schizo
premorbid functioning, observance to treatment, insight
childhood onset schizo
before 12 yo. More impacts of the development (cognitive, social), more genetic, more severe, more comorbidities, low IQ
Comorbidities childhood onset schizo
more mood, ADHD, GAD, SUD, OCD, schizoaffective
Bipolar prevalence
1-2%
Bipolar in children
More rapid cycling
Cardinal sx: elated mood and grandiosity
Most frequent sx of mania: increased energy, irritability, mood lability, distractibility, goal directed activity, hypersexuality
Comorbid bipolar
ADHD (50%), conduct disorder, ODD, SUD, anxiety, ASD, PTSD
Disruptive behavior disorder vs BP
Behavior problems occur only when child is manic/ depressed and the behavior problems disappear when mood increases = BP
If the child has oppositional behavior before onset of mood disorder, both diagnoses may be made
If child has severe behavioral problems that aren’t responding to trx, consider possibility of a mood disorder
If child has behavior problems and a family history of BP, consider BP
If hallucination/ delusions= BP
More at risk for suicidality which state bipolar
mixte