Psychotic Disorders

Question 1

Name and explain the positive symptoms for schizophrenia

Answer 1

• hallucinations: disruption in information; auditory and visual most common
• Delusions: false beliefs that persist despite compelling evidence to the contrary
• Disorganized thinking: concrete, flight of ideas, circumstantiality, referential thinking (ideas of reference)
• Disorganized speech: pressures, clang association
• Disorganized behavior: aggression, agitation, wavy flexibility and catatonia

Question 2

What are the negative symptoms of schizophrenia

Answer 2

• decreased emotional expression
• avolition
• anhedonia
• cognitive/difficulty making decisions

Question 3

How are first generation antipsychotic meds used for schizophrenia and the complications of the meds

Answer 3

• used to control positive symptoms
• Complications: agranulocytosis, anticholinergic effects, EPS
• block dopamine, acetylcholine, histamine, and norepi receptors

Question 4

How are second generation antipsychotics meds used for schizophrenia? give complications

Answer 4

• first line treatment for schizophrenia; for the patient receiving initial treatment or breakthrough episodes in clients on conventional meds
• relieves both positive and negative symptoms; decreases depression, anxiety and SI
• blocks mainly serotonin and dopamine
• complications: metabolic syndrome, orthostatic hypotension, anticholinergic effects and mild EPS (tremors)

Question 5

What are second generation meds

Answer 5

Risperidone, clozapine, olanzapine

Question 6

How are third generation antipsychotics used to treat schizophrenia?

Answer 6

• treats both positive and negative symptoms
• lower risk for side effects
• stabilizes dopamine as both agonist and antagonist

Question 7

what is the third generation med

Answer 7

Aripiprazole