Schizo

Question 1

What are positive sx of schizophrenia & psychosis?

Answer 1

• Delusions
• Hallucinations
• Distortions/exaggerations in language & communication
• Disorganized speech
• Disorganized behavior
• Catatonic behavior
• Agitation

Question 2

What are negative sx of schizophrenia & psychosis?

Answer 2

• Blunted affect
• Emotional withdrawl
• Apathetic social withdrawl
• Alogia: restricted fluency & production of thought/ speech
• Avolition: restriction in initiation of goal-directed behavior
• Anhedonia: lack of pleasure

Question 3

How is schizophrenia defined?

Answer 3

By abnormalities in 1 or more of the 5 domains:

1. Delusions
2. Hallucinations
3. Disorganized thinking (speech)
4. Disorganized/abnormal motor behavior
5. Negative sx

Question 4

What is the DSM5 criteria for delusional disorder?

Answer 4

Presence of 1 (or more) delusions w/ a duration of 1 month or longer

Question 5

What are the 7 subtypes of delusional disorder?

Answer 5

1. Erotomanic
2. Grandiose
3. Jealous
4. Persecutory
5. Somatic
6. Mixed
7. Unspecified

Question 6

What is the tx for delusional disorder?

Answer 6

• Challenging to tx
• Establish an alliance & negotiate tx goals
• Med for sx of depressed mood or irritability
• Outpt (unless harm to self or others)
• Tx co-morbid psychiatric disorder
• Antipsychotics
• Psychotherapy

Question 7

What is the DSM5 criteria for brief psychotic disorder?

Answer 7

Presence of 1 (or more) of the following sx:

1. Delusions
2. Hallucinations
3. Disorganized speech
4. Disorganized or catatonic behavior
   * At least 1 must be (1), (2), or (3)

Question 8

Define: schizophrenia

Answer 8

Disorder of the brain affecting how people think, feel, & perceive

Question 9

What are the hallmark sx of schizophrenia?

Answer 9

Psychosis s/a hallucinations & delusions

Question 10

What is the DSM5 criteria for schizophrenia?

Answer 10

2 (or more) of the following, each present during a 1-month period. At least 1 of these must be (1), (2), or (3).

1. Delusions
2. Hallucinations
3. Disorganized speech
4. Disorganized or catatonic behavior
5. Negative sx

Question 11

Define: Thought broadcasting

Answer 11

The belief that one’s thoughts are being broadcast or transmitted to others

Question 12

Define: Thought withdrawal

Answer 12

The belief that one’s thoughts are being removed from his/her mind

Question 13

Define: delusions of reference

Answer 13

Belief all happenings revolve around oneself

Question 14

What is the DSM5 criteria for schizoaffective disorder?

Answer 14

An uninterrupted period of illness during which there is a major mood episode (major depressive or manic) concurrent w/ Criterion A of schizophrenia.

Question 15

Define: delusions

Answer 15

Fixed beliefs that are not amenable to change in light of conflicting evidence

Question 16

Define: persecutory delusions

Answer 16

Belief that one is going to be harmed, harassed by an individual or organization
- Most common type

Question 17

Define: erotomanic delusions

Answer 17

False belief that another person is in love w/ him/her

Question 18

Define: grandiose delusions

Answer 18

Belief that one’s self has exceptional abilities, wealth, or fame

Question 19

Define: nihilistic delusions

Answer 19

Conviction that a major catastrophe will occur

Question 20

Define: somatic delusions

Answer 20

Preoccupations regarding health & organ fxn

Question 21

Define: jealous delusions

Answer 21

Belief that one’s spouse/lover is unfaithful

Question 22

Define: Mixed delusions

Answer 22

When no one delusional theme predominates

Question 23

Define: Unspecified delusions

Answer 23

When the dominant delusional belief cannot be clearly determined or is not described in the specific types

Question 24

When are delusions deemed bizarre?

Answer 24

If they are implausible, not understandable, & not derived from ordinary life experiences

Question 25

Define: perceptual distortions

Answer 25

• Being distressed by hallucinatory voices, hearing voices that accuse, blame, or threaten punishment
• Seeing visions

Question 26

How do you tx brief psychotic disorder?

Answer 26

• Prevent pts from harming themselves
• Consider hospitalization
• If pt is aggressive –> seclusion or restraint
• Remove stressor
• Antipsychotics (no longer than 1 month)

Question 27

How do you tx schizoaffective disorder?

Answer 27

• Pharmacotherapy & psychotherapy
• Neuro consult to r/o neurologic disease
• Inpatient admission for pts suicidal, homicidal, or disabled
• Smoking cessation
• In depressive subtype: Combo of antidepressants (SSRIs) & antipsychotics

Question 28

Screening tools for schizoaffective disorder?

Answer 28

• Positive & negative sx scale (schizo)
• Hamilton depression & Young mania scales (depression & bipolar)
• The CAGE Questionnaire (alcohol consumption)

Question 29

Define: schizoaffective disorder

Answer 29

Mental illness that has both features of schizo (hallucinations, delusions, & distorted thinking) & features of mood disorder (depression or mania)

Question 30

What is required for dx of schizoaffective disorder?

Answer 30

Pt must have psychosis for at least 2 wks w/out a mood disorder

Question 31

What are the subtypes of schizoaffective disorder?

Answer 31

• Bipolar

- Depressive