PSYCHOSIS + SCHIZOPHRENIA: GENERAL INFO Flashcards
What are the symptoms of schizophrenia?
- +
- -
- Cognitive
What are the positive symptoms?
Delusions
Hallucinations
Disorganisation
What are the negative symptoms?
Social withdrawal
Neglect
Poor hygiene
Cognitive symptoms
- Memory difficulties
- Attention deficit
- Executive functioning
Extrapyramidal symptoms
D2 antagonism in the nigrostriatal pathway.
- Parkinsonism
- Tardive dyskinesia
- Akathisia
- Dystonia
- Dyskinesia
What is first line therapy for
Schizophrenia?
- CBT if prodromal phase
- If first episode of
schizophrenia, then offer antipyschotics + СВТ
Do Antipsychotics cure schizophrenia?
No
They alleviate symptoms, mainly positive symptoms
Antipsychotics in the elderly - risks
Elderly patients + dementia = increased risk of death and stroke/TIA
Susceptible to postural hypotension and hyper/hypothermia
How long must you wait before deeming an antipsychotic ineffective?
4-6 w
Which type of antipsychotics may be better at treating negative symptoms of schizophrenia?
2nd
Which antipsychotic is the most effective?
Clozapine
