Exam III Pt III Flashcards
Prenatal virus exposure and schiz
Exposure to influenza virus during pregnancy or viruses that enter fetuses brain and interrupt brain development, or remain dormant until puberty or adulthood when triggered
Structural changes in the brain associated with schiz
Enlarged ventricles Smaller temporal and frontal lobes Smaller amounts of cortical gray matter Abnormal blood flow Reduced activity in frontal cortex
Enlarged ventricles (schiz) associated mostly w what symptoms?
May be a sign that parts of the brain did not develop properly or have been damaged, associated with negative symptoms of schiz
Original dopamine hypothesis (schiz)
Too much dopamine
Problems with dopamine hypothesis (schiz)
Many people don’t respond to dopamine lowering drugs
Even though dopamine is increased immediately
Re formulated dopamine hypothesis (schiz)
Excess dopamine activity in the metolimbic system and low dopamine activity in prefrontal cortex
Atypical antipsychotic drugs (schiz)
Often more effective than traditional drugs and suggest schiz is related to abnormal activity of both dopamine and serotonin
State hospitals
Made for patients who could not afford private care
Milieu therapy
Humanistic approach to institutional treatment based on belief that institutions can help patients recover by creating a climate that promotes self respect and responsibility
Token economy programs
Behavioral program in which a desirable behaviors are reinforced systematically by awarding tokens that can be exchanged for goods and privileges
Antipsychotic drugs (schiz)
Help correct grossly confused or distorted thinking, almost always a part of treatment
Neuroleptic drugs (schiz) more effective for what types of symptoms?
Antipsychotic drugs that produce undesired effects similar to those of neuro disorders, more effective w positive symptoms
Extrapyramidal side effects (schiz)
Unwanted movements produced by conventional antipsychotic drugs
Effectiveness of antipsychotic drugs
Reduce symptoms in 65% or more and show to be more effective than any other treatment alone but patients often dislike the powerful effects of the drugs and refuse to take them
Parkinsonian symptoms
Conventional anti psych drug effect that reflects features of Parkinson’s
Neuroleptic malignant syndrome
Severe reaction from traditional anti psych drugs consisting of muscle rigidity fever and altered consciousness
Tardive dyskinesia
Appear in some patients after they have taken conventional antipsychotic drugs for a period of time
Agranulocytosis
Life threatening reduction in white blood cells sometimes produced by antipsychotic drug clozapine
CBT for schiz
Convince clients of the disorder Learn more about delusions Teach them to more accurately interpret symptoms Techniques for coping Main goal is acceptance
Family therapy for schiz
Guidance training and education about the disorder to develop more realistic expectations and become more tolerant in communication
Social therapy for schiz
Practical advice and problem solving
Social Skills
Helps them find work and appropriate assistance and housing
Community approach
Research shows they profit greatly from it but revolving door syndrome can occur
Deinstitutionalization
Exodus of hundreds of thousands of patients with long term mental disorders from state institutions into the community
Features of effective community care
Coordinated services Short term hospitalization Partial hospitalization Supervised residences Occupational training
