Clinical Disciplines-Schizo

Question 1

Alogia

Answer 1

Restricted fluency and production of thought and speech (negative sx)

Question 2

Avolition

Answer 2

restriction in initiation of goal-directed behavior (negative sx)

Question 3

Anhedonia

Answer 3

lack of pleasure (negative sx)

Question 4

Define Schizophrenia

Answer 4

One or more of the following:

1. Delusions
2. Hallucinations
3. Disorganized thinking (speech)
4. Grossly disorganized or abnormal motor behavior (including catatonia)
5. Negative sx’s

Question 5

Delusional Disorder DSM5 criteria

Answer 5

The presence of one or more delusions with a duration of one month or longer

Question 6

Erotomanic type

Answer 6

delusion that another person is in love with that individual

Question 7

Grandiose type

Answer 7

delusion that the conviction of having some great (but unrecognized) talent or insight or having made some important discovery

Question 8

Jealous type

Answer 8

Delusion that his or or her spouse/lover is unfaithful

Question 9

Persecutory type

Answer 9

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.

Question 10

Somatic type

Answer 10

Delusion involves bodily functions or sensations

Question 11

Mixed type

Answer 11

No one delusional them predominates

Question 12

Unspecified type

Answer 12

the dominant delusional belief cannot be clearly determined or is not described in the specific types

Question 13

What are the most common hallucinations in schizo?

Answer 13

auditory

Question 14

Define catatonic behavior

Answer 14

marked decrease in reactivity to the environment

Question 15

What two negative sx’s are particularly prominent in schizo?

Answer 15

1. Diminished emotional expression

2. Avolition

Question 16

DSM5 Brief psychotic disorder

Answer 16

Presence of one (or more) of the following symptoms. At least one of these must be (1), (2), or (3):

1. Delusions.
2. Hallucinations.
3. Disorganized speech (e.g., frequent derailment or incoherence).
4. Grossly disorganized or catatonic behavior.

Question 17

What do you want to specify with brief psychotic disorder

Answer 17

1. With marked stressor- Brief reactive psychosis
2. Without marked stressor
3. With pzeripartium onset
4. With catatonia

Question 18

What is vital in examine a pt with brief psychotic disorder?

Answer 18

Careful mental exam

–>pt’s have severe psychotic agitation

Question 19

Management of brief psychotic disorder?

Answer 19

1. Remove stressor
2. Can sedate prn
3. Anti-psychotic x1 month (because brief!)

Question 20

DSM5 criteria for Schizo

Answer 20

. 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):

1. Delusions.
2. Hallucinations.
3. Disorganized speech (e.g., frequent derailment or incoherence).
4. Grossly disorganized or catatonic behavior.
5. Negative symptoms (i.e., diminished emotional expression or avolition).

Question 21

Thought broadcasting

Answer 21

The belief one’s thoughts are being broadcast or transmitted to others (delusion)

Question 22

Though withdrawal

Answer 22

The belief that one’s thoughts are being removed from his/her mind

Question 23

Delusions of reference

Answer 23

Belief all happening revolve around oneself

Question 24

Signs and sx’s of schizo

Answer 24

4 domains:

1. Positive sx’s- Hallucinations
2. Negative sx’- Flat affect
3. Cognitive sx’s
4. Mood sx’s

Question 25

What is schizo associated with?

Answer 25

Substance abuse
-Alcohol
-Nicotine
Depression, anxiety, OCD

Question 26

Pharmacologic tx of schizo

Answer 26

Antipsychotics- Neuroleptics

Question 27

Adverse effects of schizo tx

Answer 27

• First generation has most adverse effects-Dopamine II agonist
• Anti-cholineric effect
• Prolongation of QT
• Lipid metabolism effect

Question 28

DSM5 Schizoaffective Disorder

Answer 28

• An uninterrupted period of illness during which there is a major mood episode (major depressive or manic) concurrent with Criterion A of schizophrenia.
• Must include depressed mood

Question 29

What are the two types of Schizoaffective Disorder

Answer 29

1. Bipolar type- Manic + possible mjr. depressive

2. Depressive type- Only major depressive

Question 30

Clinical presentation of Schizoaffective Disorder

Answer 30

1. PRIME test

2. PANSS- Positive and negative sx’s scale

Question 31

Pharm tx for Schizoaffective Disorder

Answer 31

1. antipyschotics
2. tx mood d/o
3. SSRI
4. SNRI