Clinical Approach to Psychotic Disorders (Hill) Flashcards
Schizophrenia presents earlier in which sex?
Men
What is the peak time of onset for schizophrenia?
Late adolescence and early adulthood
Use of what increases the risk of schizophrenia 6X?
Cannabis
With schizophrenia, which type of symptoms have a better prognosis?
Positive symptoms have better prognosis than negative symptoms
What are the positive symptoms of schizophrenia?
1) Delusions
2) Hallucinations
3) Catatonia
4) Agitation
When do the positive symptoms of schizophrenia typically present?
Active phase
What feature of schizophrenia is characterized by when connections among patient’s ideas are absent or obscure and listeners may feel as if understanding of the patient’s thoughts had been suddenly lost?
Loosening of Associations
What feature of schizophrenia is characterized by internal interruption in patient’s speech/thoughts?
Thought Blocking
Besides Loosening of Associations and Thought Blocking, what other form of though feature is seen with schizophrenia?
Poverty of Content and Speech
What are the negative symptoms of schizophrenia?
1) Affective Flattening
2) Apathy
3 Social Withdrawal
4) Anhedonia
5) Poverty of Thought
6) Content of Speech
When do the negative symptoms of schizophrenia typically present?
Residual Phase
How long must symptoms be present for in order to diagnose schizophrenia?
6 months
Schizophrenia has higher rates in patients born in what months?
Winter and early spring
The current hypothesis linked to schizophrenia states that what NTs are increased?
Which are decreased?
1) Dopamine, serotonin, NE
2) GABA
In the current research for diagnosis of schizophrenia, what does eye-tracking reveal?
Delayed saccadic eye movements
What is the single leading cause of death with schizophrenia?
Suicide
At least two of the following below describes which type of Schizophrenia?
1) Motoric immobility as evidenced by catalepsy or stupor
2) Excessive motor activity (apparently purposeless and not influenced by external stimuli).
3) Extreme negativism or mutism.
4) Peculiarities of voluntary movement such as posturing, stereotyped movements, prominent mannerisms or prominent grimacing.
5) Echolalia or echopraxia
Catatonic Type
Haloperidol and fluphenazine are used in the treatment of schizophrenia for?
Acute psychosis (They’re FGA)
New atypical antipsychotics are used in the treatment of schizophrenia during what phase?
Stabilization Phase
Keeping patients free from symptoms while avoiding incapacitating side effects is the goal of what phase?
Maintenance Phase
What is Schizoaffective Disorder?
Combination of schizophrenia symptoms and mood disorder symptoms, such as depression or mania
Presence of at least one or more of the following below and the duration of an episode of the disturbance is at least 1 day and no more than 1 month, with eventual return to premorbid level of functioning is characteristic of?
- Delusions
- Hallucinations
- Disorganized Speech
- Grossly Disorganized or Catatonic Behavior
Brief Psychotic Disorder
What disorder meets criteria A, D, and E for schizophrenia but the episode lasts at least 1 month but less than 6 months?
Schizophreniform
What is characterized by never meeting criterion A for schizophrenia and apart from the impact of the delusion, functioning is not impaired and behavior is not odd or bizarre?
How long must the delusions last for?
1) Delusional Disorder
2) At least one month
Schizophrenia must last for?
Schizophreniform must last for?
Brief psychotic disorder must last for?
1) 6 months or more
2) 1-6 months
3) Less than a month
A person that is very introverted and voluntarily withdraws form social interactions is characteristic of?
Schizoid
Schizoid symptoms along with magical thinking and odd behavior is characteristic of?
Schizotypal
Schizotypal along with psychosis is characteristic of?
Schizophrenia
Schizophrenia along with mood disorders is characteristic of?
Schizoaffective
