Clinical Approach Psychotic Disorders Flashcards
What is the lifetime prevalence for Schizophrenia
1.1%
Equal in men or women, earlier in men
low SES predisposes to Schizophrenia
What are some precipitating events for schizophrenia
Psychosocial stressors
Trauma
Drugs, alcohol abuse (marijuana use increase risk 6X)
What results in better prognosis for schizophrenia
Positive Symptoms Mood disorders (schizoaffective disorder, depression with psychosis)
What results in poor prognosis for schizophrenia
Negative Symptoms
Insidious onset
poor cognitive performance
What are positive symptoms of schizophrenia
Sx added to the dx
Delusions
Hallucinations
Catatonia
Agitation
What is meant by loose associations
Connection between ideas and thoughts are absent
What are negative symptoms
SX appear missing from presentation
Flat Affect
Apathy
Anhedonia
Poverty of content and thought
How long must one present to be diagnosed with Schizophrenia
6 months
What are some differentials in schizophrenia
Delusional disorder
Mood disorder
OCD
Personality disorders
What is the current physiological hypothesis for schizophrenia
Increased dopamine
increased serotonin and NE
Decreased GABA and GLutamate
Name the symptoms someone with schizophrenia must have at least one of for one month
Delusions
Hallucinations
Disorganized speech
What is the single leading cause of death in schizophrenia
Suicide
What are the symptoms that a catatonic type schizophrenic must have two of for this diagnosis
Motor immobility excessive, purposeless motor activity Extreme negativism or mutism Peculiarities of movement Echolalia or echopraxia
In giving First Generation Antipsychotics, a group of syndromes can appear as side effects, what are they
Acute Dystonic Reaction Drug induced Parkinsonism Akathisia Antipsychotic induced catatonia Tardive Dyskinesia
What are the main diagnostic components of SchizoAFFECTIVE disorder
Uninterrupted period of illness with either major depressive episode or manic episode concurrent with Group A schizophrenia SX
Same period of illness, have delusions or hallucinations for at least 2 weeks in the absence of mood disturbances
