Schizophrenia Flashcards
What are the 5 key features associated with psychotic disorders?
- Delusions
- Hallucinations
- Disorganized thinking
- Abnormal motor behaviour
- Negative symptoms
What are some comorbidities with psychotic disorders?
- Substance abuse disorders
- Nicotine dependence
- Anxiety, depression, and suicide
- Physical health or illness
- Polydipsia – excessive thirst or excessive drinking
What is the dopamine theory of schizophrenia?
hyperactive dopamine transmission (too much dopamine) results in schizophrenic symptoms
What is the prodromal stage of schizophrenia?
- prepsyhotic stage
-Forewarning symptoms
- May appear one month to a year before the psychotic break or full-blown manifestations of the illness
- Symptoms represent a deterioration in previous function
What phase of schizophrenia is this? Onset or exacerbation of symptoms
phase I/ Acute
What is the focus for phase I/Acute phase?
Patient safety and medication stabilization
What phase of schizophrenia is this? Symptoms diminishing, Movement toward previous level of functioning
Phase II/stabilization
What is the focus for phase II/stabilization?
- Help patient understand illness and treatment
- Stabilize medications
- Control or cope with symptoms
What is this phase of schizophrenia? At or near baseline functioning
Phase III/Maintenance
what are the 4 main symptoms groups of schizophrenia?
- Positive symptoms: add to the person
- Negative symptoms: take away from the person
- Cognitive symptoms
-Affective symptoms: mood, emotions
How do you get diagnosed with schizophrenia under the DSM-5?
- Need to have 2 or more under the DSM-5
-Delusions
-Hallucinations
- Disorganized behaviour
- (neg symptoms) - takes away
What is included in positive symptoms?
- alterations in thinking
- alterations in speech
- alterations in perceptions
-alterations in behaviours
What are some examples of positive symptoms?
- hallucinations
- delusions
- disorganized speech
- bizarre behaviour
What are some negative symptoms?
- affect blunting
- anergia: lack of energy
-anhedonia: lack of pleasure in activities
-avolition: reduced motivation (no self care)
- poverty of content of speech
- poverty of speech (alogia)
What is included with cognitive symptoms?
Difficulty with
○ Attention
○ Memory
○ Information processing
○ Cognitive flexibility
○ Executive functions
