Psychotic Disorder/Suspicious Behavior - Unit 2 (3) Flashcards
Paranoid personality disorder
A pervasive, persistent and inappropriate mistrust of others
- Suspects, without sufficient basis, that others are exploiting, harming, or deceiving him or her
- Is preoccupied with unjustified doubts about loyalty or trustworthiness of friends or associates
- Is reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him or her
- Reads hidden demeaning or theatening meanings into benign remarks or events
- Persistently bears grudges
- Perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or to counterattack
- Has recurrent suspicions, without justification, regarding fidelity of spouse or sexual partner
Schizoid Personality Disorder
A profound defect in the ability to form personal relationships or to respond to others in any meaningful way.
- Neither desires or enjoys close relationships, including being part of a family
- Almost always chooses solitary activities
- Has little, if any, interest in having sexual experiences with another person
- Takes pleasure in few, if any activities
- Lacks close friends or confidants other that first-degree relatives
- Appears indifferent to the praise or citicism of others
- Shows emotional coldness, detachment, or flattened affectivity
Schizotypal Personality Disorder
Behavior is odd and eccentric but does not decompensate to the level of schizophrenia. Graver form of less severe schizoid personality pattern
- Ideas of reference (excluding delusions of reference)
- Odd beliefs or magical thinking that influences behavior and is inconsistent with subcultural norms
- Unusual perceptual experiences, including bodily illusions
- Suspiciousness or paranoid ideation
- Inappropriate or constricted affect
- Behavior or appearance that is odd, eccentric, or peculiar
- Lack of close friends or confidants other than first-degree relatives
- Excessive social anxiety that does not diminish with familarity and tends to be associated with paranoid fears rather than negative judgments about self
Delusional Disorder
The presence of delusions that have been experienced by the individual for at least 1 month. If present at all, hallucinations are not prominant and behavior is not bizarre. There are subtypes.
Schizophreniform Disorder
Duration is at least 1 month but less than 6 months. Symtoms mimic schizophrenia and people are often diagnosed with this until the symptoms have went on for long than 6 months, then the diagnosis is changed to schizophrenia. Catatonic features associated with this disorder.
Schizoaffective Disorder
Manifested by schizophrenic behaviors with a strong element associated with mood disorders (depression or mania). The client may appear depressed, with psychomotor retardation and sucidal ideation, or ssymptoms may include euphoria, grandiosity, and hyperactivity. The decisive factor in the diagnosis is the presence of hallucinations and/or delusions that occur for at least 2 weeks in the absence of a major mood episode. However, prominent mood disorder symptoms must be evident for a majority of the time. Catatonic features may be seen.
Communication tips with psychotic disorders
- Acknowledge Fears
- Avoid supporting or challenging delusions and hallucinations with logic or arguments
- Present “I” statements concerning reality
- Use simple, clear, concrete statements
- Give directions in asimple terms one step at a time
- Present and reinforce reality
- Avoid open-ended feeling oriented questions (address client’s fear when appropriate)
- Voice doubt regarding obvious delusions
Positive Symptoms
Alteration or distortion of normal mental functions
- Delusions
- Hallucinations
- Problems with communication
- Illusions
- Lacks sense of self, great deal of confusion regarding his or her identity
- Identification and Imitation
- Depersonalization (feelings of unreality such as one’s extremities have changed in size)
Negative Symptoms
A loss of normal functions
- Inappropriate Affect
- Bland or Flat Affect
- Apathy
- Volition (inability to initiate goal-directed activities)
- Emotional Ambivalence
- Impaired Social Interaction
- Social Isolation
- Anergia (deficiency of energy)
- Anhedonia (inability to experience pleasure)
- Regression
Clozapine (clozaril)
Antipsychotic, Tricyclic dibenzodiazepine derivative
- Management of psychotic symptoms for schizophrenic patients for whom other antipsychotics have failed or recurrent suicidal behavior
- Neuroleptic malignant syndrome
- Seizures
- Leukopenia
- Agranulocytosis
- Eosinophilia
- Death among geriatric patients with dementia
- Bone marrow depression
- Myocarditis
- Hypotension
- Akathisia
- Tardive dyskinesia
- Pseudoparkinsonism
Risperidone (risperdal)
Antipsychotic, Benzisoxazole derivative
Irritability associated with autism, bipolar disorder, mania, schizophrenia
- Seizures
- Neuroleptic malignant syndrome
- Suciddal ideation
- Tachycardia
- Heart failure
- Sudden death in geriatric patients
- Neutropenia
- Granulocytopenia
- EPS
- Serious reactions in geriatric patients
Haloperidol (Haldol)
Antipsychotic, neuroleptic, butyrophenone
Psychotic disorders, control of tics, short-term treatment of hyperactive children showing excessive motor activity, prolonged parenteral therapy in chronic schizophrenia
- EPS
- Seizures
- Neuroleptic malignant syndrome
- Cardiac arrest
- Tachycardia
- Sudden death
- Ileus
- Hepatitis
- Laryngospasm
- Respiratory Depression
- Risk for death in dementia patients
Aripiprazole (Abilify)
Antipsychotic, Quinolinone
Schizophrenia and bipolar disorder, agitation, MDD, short term mania
- EPS
- Neuroleptic malignant syndrome
- Seizures
Olanzapine (zyprexia)
Antipsychotic, neuroleptic, thienbenzodiazapine
Schizophrenia, acute manic episodes with bipolar disorder, acute agitation
- EPS
- Seizures
- Heart Failure
- Sudden death geriatric patients
- Hepatitis
- Neutropenia
- Fatal pneumonia
Haloperidol (haldol decanoate)
Antipyschotic, neuroleptic, butyrophenone
schizophrenia
- Seizures
- Neuroleptic malignant syndrome
- cardiac arrest
- hepatitis
- respiratory depression
- risk for death (dementia)
