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Module 6 > Schizophrenia > Flashcards

Schizophrenia Flashcards

1
Q

Primary psychosis

A

Derived from schizophrenia spectrum disorder

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2
Q

Secondary psychosis

A

Derived from substance intoxicaaation and dementia

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3
Q

So we know that primary and secondary psychosis can

A

Coexist and may potentiate eachother

Ex.. dementia and schizophrenia
Or schizophrenia and substance abuse

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4
Q

How long can Schizopreniform disorder last ?

A

Symptoms must last at least 1 mo but not more than 6 mo

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5
Q

Description of schizophreniform disorder

A

Essential features are identical to those of schizophrenia but of shorter duration

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6
Q

How long does Brief psychotic disorder last

A

Usually no longer than a month
Person can return back to premorbid functioning and usually precipitated by extreme stress

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7
Q

Description of brief psychotic disorder

A

Sudden onset of psychiatric symtpoms

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8
Q

Schizoaffective disorder is

A

Better prognosis than schizophrenia but significantly worse than a mood disorder

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9
Q

Description of schizoaffective disorder

A

Symptom of a mood disorder , major depressive , manic or mixed episode , concurrent with symptoms that meet the criteria for schizophrenia

Common psychotic disorder

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10
Q

Description of schizoaffective disoder

A

Symptom of a mood disorder: major depressive, manic, or mixed episode, concurrent with symptoms that meet the criteria for schizophrenia. Common psychotic disorder

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11
Q

Schizotypal personality disorder may what

A

May progress to developing schizophrenia

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12
Q

Description of schizotypal personality disorder

A

Personality disorder considered part of the schizophrenia spectrum disorders (DSM-5) shares common genetics and neuropsychiatric characteristics
Intense discomfort with close relationships

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13
Q

Delusional disorder is

A

Ranges from remission without relapse to chronic waxing and waning symptoms must last at least 1 month

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14
Q

Delusional disorder description

A

Involves bizarre delusions as being followed, infected, loved at a distance, or deceived by a spouse

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15
Q

Substance/ medication induced psychotic I disorder

A

Psychosis usually resolves

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16
Q

Primary intervention for schyzophrenia

A

Targets people at high risk

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17
Q

Secondary intervention of schizophrenia

A

Intervening early and reducing duration of untreated diagnosis

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18
Q

Prodomal phase of schizophrenia

A

Early recognition of exacerbation and treatment is vital in this time

Some people may ignore

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19
Q

acute phase of schizophrenia

A

Severe and well developed symptoms (positive, negative , cognitive, neuro cognitive and mood symptoms)

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20
Q

Stabilization phase

A

They are not having delusions or psychosis due to meds that are working

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21
Q

Maintenance phase for schizophrenia

A

We want to keep them there as long as possible

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22
Q

What can cause an exacerbation of schizophrenia?

A

Not taking meds, and high stress

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23
Q

Secondary causes to psychosis

A

Brain tumors
Cyst
Dementia
Neurological diseases
Enviromental toxins
Misuse of and addiction of prescription meds

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24
Q

Positive symptoms

A

Hallucination
Delusions
Bizarre behavior
Catatonia
Formal thought disorder

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25
Q

Negative symptoms

A

Apathy
Lack of motivation
Anhedonia
Blunted or flat affect
Poverty and speech
Social withdraw
Anhedonia
Asociality

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26
Q

Cognitive symptoms of schizophrenia

A

Impairment in memory
Disruption in social learning
Inability to reason, solve problems , focus attention

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27
Q

Mood symptoms of schizophrenia

A

Depression
Anxiety
Demoralization
Suicidality
Excitability
Agitation

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28
Q

Mind reading

A

Believe they can read others minds and know what they are thinking

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29
Q

Somatic

A

False belief body is changing in an unusual way ( they may be growing an additional limb)

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30
Q

ideas of reference

A

When they misinterpret the normal day to day events

( two people talking together - they may be plotting against an individual)

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31
Q

Grandiose

A

They believe they are Jesus , famous or even the stank booty devil

32
Q

Jealousy

A

Think their boyfriend or wife is cheating but proof is not tied to reality

33
Q

Control

A

They believe their mind and body is being controlled by outside entity or agency

34
Q

Thought broadcasting

A

They believe their own thoughts can be heard by others and that they can control the thoughts of others

35
Q

Thought insertion

A

People are putting thoughts in their mind

36
Q

Thoughts withdrawal

A

They believe their thoughts are being erased

37
Q

Concrete thinking *

A

Thinking one way of these such as a pt coming to ED and you ask them what brought you here

38
Q

Delusions such as :Mind Reading, Somatic,Ideas of reference, Persecution, Grandiose , Religious , Jealousy, Control, Thought broadcasting, Thought insertion, Thought withdrawal, Concrete Thinking
Are examples of alterations of thinking in :?

A

Positive symptoms

39
Q

Alterations in speech

A

Associative looseness
Tangential
Clanging
Neologisms
Echolalia
Word salad
Circumstantiality
Pressured speech
Thought blocking

40
Q

Associative looseness

A

Flight of ideas
All over the place
Fragmented sentences
Can’t tie to one idea
( starting a sentence with one thought but ending with another)

41
Q

Tangential

A

Train of though wonders off and never returns

42
Q

Clanging

A

Meaningless rhyming or sound alike words
Tik tak clickity cat big mac

43
Q

Neologisms

A

Made up words
Special meaning or a person

44
Q

Echolalia

A

Repeating words
( may repeat what you say to them)

45
Q

Word salad

A

No rhythm, rhyme, reason, can’t form complete thought

46
Q

Circumstantiality

A

Excessive derealization
Cannot seperate relevant from irrelevant

47
Q

Pressured speech

A

Talking fast they dont let you put a word in

48
Q

Though blocking

A

Patient stops talking in the middle of a sentence and remains silence

((Can’t complete a thought)

49
Q

Hallucinations

A

Auditory (voices)
Somatic or tactile
Olfactory
Visual
Gustatory ( taste)

50
Q

Illusions

A

Misinterpretations of real experiences

51
Q

What is the primary thing to do when someone has auditory hallucinations

A

Ask what are they telling you so assess

52
Q

Personal boundary difficulties

A

Depersonalization
Derealization

Will be all up in yo koolaid

53
Q

Depersonalization

A

Loss of identity
Body parts may not feel like their own

54
Q

Derealization

A

Envioronment is different
Things larger or smaller than they really are

55
Q

Catalonia

A

Slow movement or overactive movement keep their bodies in a weird posture

56
Q

Catatonia specifier

A

Stereotypes behaviors
Automatic obedience
Bizzare posturing
Waxy flexibility
Negativism
Stupor

57
Q

Waxy flexibility

A

Holding a posture for a long time

58
Q

Stupor

A

Not responsive when talk to they dont understand what you are talking about

59
Q

Negativism

A

Does the opposite of what is told

60
Q

Automatic obedience

A

Robotic movements to performance commands

61
Q

Avolition

A

No motivation , may not take a bath

62
Q

Alogia

A

Same as poverty of speech

63
Q

Anhedonia

A

Loss of pleasure , what they once found pleasurable not anymore

64
Q

Asociality

A

Social withdraw , not interested in mingling with people

65
Q

Neurocognitive /cognitive symptoms

A

Poor executive functioning
Inability to sustain attention
Problems with working memory
Inability to reason
Inability to problem solve

Can’t learn new things

66
Q

Mood symptoms (negative)

A

Anxiety , depression , suicidality , dysphoria , postpsychotic depressive disorder , demoralization , excitability , agitation , increase substance use

67
Q

How can you share mist trust w/o supporting delusion in paranoia

A

“We understand that you are scared”

68
Q

When we see someone who is disorganizes we know that they have a poor premorbid functioning. What does that mean?

A

Before they were diagnosed the symptoms were pretty bad

(Poor prognosis , social withdrawn severe cognitive impairment , require structured and well supervised setting)

69
Q

Schizophrenia and symptoms of mood disorder of either bipolar or major depression

A

We treat psychosis as well as the mood disorder

70
Q

(AIMS) abnormal involuntary movement scale

A

To see if they have any symptoms or abnormal involuntary movements from medication so this one can be done by others

71
Q

What can we implement if pt is not complaint with meds

A

May need to be apart of home health or long acting meds like invega so they dont have to remember to take meds daily

72
Q

Patients who are highly suspicious and hostile

A

Allow pt as much control as possible within limits , explain treatments , meds , lab test before initiating them

73
Q

Patients who are aggressive and agitated

A

Increase supervision
Decrease stimulus , deescelate verbally , offer medication

74
Q

Patients with hallucination/delusion

A

Ask directly “are you hearing voices and what are they saying” reduce stimulus. Focus on feelings and reality and not delusions

75
Q

How do we treat acute dystonia

A

Give Benadryl IM can’t give PO because they can choke

76
Q

EPS

A

Akasthisia
Pseudoparkinsonism
Acute dystonia
Torticolus

77
Q

Torticolus

A

Neck important to treat can coke

Module 6 (21 decks)

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