Schizophrenia

Question 1

myths/misconceptions

Answer 1

• split personality
• bad parenting
• drug experimentation
• lack of motivation
• rising incidence
• institutionalization and disability
• low intelligence
• danger and violence

Question 2

onset

Answer 2

80% - early onset age 20-30

15% - late onset 40-65

Question 3

positive symptoms (active symptoms)

Answer 3

• delusions and hallucinations

- disorganized speech and behavior

Question 4

negative symptoms (loss/absence of something)

Answer 4

• flat affect
• alogia (poverty of speech)
• avolition (poor initiation or inability to sustain activities)
• anhedonia or hypohedonia

Question 5

cognitive symptoms

Answer 5

• disorganized speech, thought, attention

- difficulty with emotional regulation and social cognition

Question 6

DSM-5 criteria

Answer 6

2+ for 1 month:
- delusions
- hallucinations
- disorganized speech
(^ has to be at least one of these)
- grossly disorganized or catatonic behavior
- negative symptoms (flat affect, alogia, avolition)

some signs of the disorder must be present for 6+ months
social and occupational dysfunction

Question 7

schizophreniform disorder

Answer 7

signs of disturbance are present for more than a month but less than 6 months

Question 8

brief psychotic disorder

Answer 8

psychotic symptoms lasting less than a month

Question 9

diagnostic tests

Answer 9

• no physical diagnostic tests
• physician will rule out other conditions
• tools to assist with rating presence/severity of symptoms

Question 10

OT assessments

Answer 10

OTPF
COPM
Cognitive Disability Model Approach
Assessment of Occupational Performance

Question 11

Treatments

Answer 11

Antipsychotic medications
Psychosocial treatments
Interdisciplinary coordinated care