Clinical Disciplines-Schizo Flashcards
Alogia
Restricted fluency and production of thought and speech (negative sx)
Avolition
restriction in initiation of goal-directed behavior (negative sx)
Anhedonia
lack of pleasure (negative sx)
Define Schizophrenia
One or more of the following:
- Delusions
- Hallucinations
- Disorganized thinking (speech)
- Grossly disorganized or abnormal motor behavior (including catatonia)
- Negative sx’s
Delusional Disorder DSM5 criteria
The presence of one or more delusions with a duration of one month or longer
Erotomanic type
delusion that another person is in love with that individual
Grandiose type
delusion that the conviction of having some great (but unrecognized) talent or insight or having made some important discovery
Jealous type
Delusion that his or or her spouse/lover is unfaithful
Persecutory type
Delusion involves the individual’s belief that he or she is being conspired against, cheated, spied on, followed, poisoned or drugged, maliciously maligned, harassed, or obstructed in the pursuit of long-term goals.
Somatic type
Delusion involves bodily functions or sensations
Mixed type
No one delusional them predominates
Unspecified type
the dominant delusional belief cannot be clearly determined or is not described in the specific types
What are the most common hallucinations in schizo?
auditory
Define catatonic behavior
marked decrease in reactivity to the environment
What two negative sx’s are particularly prominent in schizo?
- Diminished emotional expression
2. Avolition
DSM5 Brief psychotic disorder
Presence of one (or more) of the following symptoms. At least one of these must be (1), (2), or (3):
- Delusions.
- Hallucinations.
- Disorganized speech (e.g., frequent derailment or incoherence).
- Grossly disorganized or catatonic behavior.
What do you want to specify with brief psychotic disorder
- With marked stressor- Brief reactive psychosis
- Without marked stressor
- With pzeripartium onset
- With catatonia
What is vital in examine a pt with brief psychotic disorder?
Careful mental exam
–>pt’s have severe psychotic agitation
Management of brief psychotic disorder?
- Remove stressor
- Can sedate prn
- Anti-psychotic x1 month (because brief!)
DSM5 criteria for Schizo
. Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated). At least one of these must be (1), (2), or (3):
- Delusions.
- Hallucinations.
- Disorganized speech (e.g., frequent derailment or incoherence).
- Grossly disorganized or catatonic behavior.
- Negative symptoms (i.e., diminished emotional expression or avolition).
Thought broadcasting
The belief one’s thoughts are being broadcast or transmitted to others (delusion)
Though withdrawal
The belief that one’s thoughts are being removed from his/her mind
Delusions of reference
Belief all happening revolve around oneself
Signs and sx’s of schizo
4 domains:
- Positive sx’s- Hallucinations
- Negative sx’- Flat affect
- Cognitive sx’s
- Mood sx’s
