Psychotic Disorders Flashcards
Hypnagogic Hallucination
Hallucination experienced only before falling asleep
Hypnopompic Hallucination
Hallucination experienced only upon awakening
Labile affect
Patient rapidly goes from one emotion to the next: “laughing one second and crying the next”
In order to diagnose Schizophrenia, symptoms must be present for….
Symptoms must be present for at least 6 months
Positive Symptoms in Schizophrenia include:
Hallucinations
Delusions
Bizarre Behavior
Disorganized Speech
**These symptoms are responsive to antipsychotic medications
Negative Symptoms in Schizophrenia include:
Blunted Affect Anhedonia Apathy Alogia Lack of Interest in Socialization
**These symptoms are not responsive to medications
Alogia
Poverty of speech and/or speech content, blocking, or latency of response
If a schizophrenic patient fails both typical and atypical antipsychotics, this medication should be considered
Clozapine
The 5 A’s of Schizophrenia describe negative symptoms:
Anhedonia Affect =flat alogia apathy(avolition) attention= poor
Echolalia
Repeats words or phrases they hear someone else say
Echopraxia
Mimics behavior of another person
For the diagnosis of Brief Psychotic Disorder, the disorder lasts….
Psychotic Symptoms are present for less than one month
For the diagnosis of Schizophreniform Disorder, the symptoms are present
Psychotic symptoms are present between 1 month and 6 months
Akathisia
unpleasant, subjective sense of restlessness often manifested by the inability to sit still
Head CTs of Patients with Schizophrenia may show
Enlarged Ventricles
Diffuse Cortical Atrophy
What is a predisposing factor to paranoid psychosis?
Deafness
Negativism
Patient refuses to cooperate with simple requests for no apparent reson
1st Generation Antipsychotics include
Haloperidol
Chlorpromazine
Thioridazine
Trifluoperazine
*Mostly D2 Antagonists
Antipsychotics are effective against which type of Symptoms in Schizophrenia Spectrum Disorders?
Positive Symptoms
Common Side Effects of 1st Generation Antipsychotics
Extrapyramidal Side Effects
Neuroleptic Malignant Syndrome
Tardive Dyskinesia
2nd Generation Antipsychotics include
Aripriprazole Clozapine Olanzapine Quetiapine Risperidone Ziprosidone
*These are Serotonin and Dopamine Receptor Antagonists
2nd Generation Antipsychotics have an increased risk of ________, but decreased incidence of ________.
Increased risk of metabolic syndrome
Decreased Incidence of extrpyramidal side effects
Why is clozapine reserved for multi-drug failure (i.e. a last resort)?
Has increased risk of agranulocytosis, this requires frequent CBC monitoring
What are the more weight neutral antipsychotics?
Aripriprazole
Ziprasidone
