Schizophrenia Flashcards

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1
Q

Characterized by a broad spectrum of cognitive and emotional dysfunctions including delusions and hallucinations, disorganized speech and behavior, and inappropriate emotions.

A

Schizophrenia

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2
Q

Complete recovery is normal in schizophrenia

A

No. It is rare.

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3
Q

Emil Kraepelin

A

Catatonia - Altering immobility and agitation.
Hebephrenia - imature emotionality.
Paranoia - delusions of grandeur.

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4
Q

Positive Symptoms

A

Symptoms around distorted reality

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5
Q

Negative Symptoms

A

Absence or insufficiency of normal behavior

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6
Q

Disorganized Symptoms

A

Rambling speech, erratic behavior and inappropriate affect

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7
Q

Diagnosis of schizophrenia

A
  1. Present at least one month
  2. two or more positive, negative and or disorganized symptoms
  3. At least one includes delusions, hallucinations or disorganized speech
  4. Symptoms should persist for 6 months
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8
Q

Types of Positive Symptoms

A

Delusions
Hallucinations (auditory is most common)

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9
Q

Cotard vs Capgras

A
  1. I am dead
  2. Someone I know has been replaced by a double
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10
Q

Avolition

A
  1. Show little interest in performing even basic day-to-day functions
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11
Q

Alogia

A
  1. Brief Replies
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12
Q

Anhedonia and Affective Flattening

A
  1. Pleasure
  2. Emotions
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13
Q

Disorganized Speech

A

1.Tangentiality - going of on a tangent instead of answering a question
2.Loss of association or Derailment - abruptly changed the topic

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14
Q

Wavy Flexibility

A

Keep their bodies and limb in the position they are out in by someone else

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15
Q

Catatonia

A

Motor dysfunctions that range from agitation to immobility

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16
Q

Three Division have been historically identified:

A

Paranoid, Disorganized and Catatonic.

Dropped in the DSM-5

17
Q

Delusional Disorder

A
  1. one or more delusions for at least one month
  2. Tend not to have flat affect, anhedonia or other negative symptoms
18
Q

Erotomaniac, Grandiose, Jealous, Persecutory, Somatic, Mixed, Unspecified

A
  1. One is loved by another person usually of higher status
  2. Inflated worth, power, knowledge, identity or special relationship to deity or famous person
  3. Believes sexual partner is unfaithful
  4. Believing that I am being treated malevolently
  5. Feels afflicted by a physical defect or condition
19
Q

Can hallucinations be found in a delusional disorder?

A

Yes. As long as it is not dominant.

20
Q

Substance induced and Associated with medical conditions

A

Has a delusion or hallucination with laboratory proof that it (the negative symptom ) occurred after substance intoxication OR you have a medical condition.

21
Q

Schizoaffective

A

Schizophrenia with Mood Disorders though it can eventually be changed to to either a mood or schizophrenia disorder.
1. Presence of one mood disorder concurrent with Criteria A of schizophrenia
2. Delusions or hallucinations for 2 or more weeks in the absence of a major mood episode

22
Q

Schizophreniform

A

Some experience symptoms of schizophrenia for a few months only.

23
Q

When can we say that Schizophreniform has a good prognosis?

A

Two of the following features:
1. Confusion or perplexity
2.. Onset of prominent psychotic symptoms within 4 weeks of the first noticeable changes in usual behavior or functioning
3. good pro-morbid social and occupational functioning
4. Absence of blunted or flat affect

24
Q

Brief Psychotic Disorder

A

Presence of one or more positive symptoms lasting 1 month or less
Often precipitated by extremely stressful situations.

25
Q

3 Specifiers:

A

1.Marked stressors
2. Without marked stressors
3. With Postpartum onset

26
Q

New proposed psychotic disorder

A

Attenuated Psychosis Syndrome.

High risk for developing schizophrenia (prodromal)