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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
Negative symptoms
Apathy Lack of motivation Anhedonia Blunted or flat affect Poverty and speech Social withdraw Anhedonia Asociality
26
Cognitive symptoms of schizophrenia
Impairment in memory Disruption in social learning Inability to reason, solve problems , focus attention
27
Mood symptoms of schizophrenia
Depression Anxiety Demoralization Suicidality Excitability Agitation
28
Mind reading
Believe they can read others minds and know what they are thinking
29
Somatic
False belief body is changing in an unusual way ( they may be growing an additional limb)
30
ideas of reference
When they misinterpret the normal day to day events ( two people talking together - they may be plotting against an individual)
31
Grandiose
They believe they are Jesus , famous or even the stank booty devil
32
Jealousy
Think their boyfriend or wife is cheating but proof is not tied to reality
33
Control
They believe their mind and body is being controlled by outside entity or agency
34
Thought broadcasting
They believe their own thoughts can be heard by others and that they can control the thoughts of others
35
Thought insertion
People are putting thoughts in their mind
36
Thoughts withdrawal
They believe their thoughts are being erased
37
Concrete thinking *
Thinking one way of these such as a pt coming to ED and you ask them what brought you here
38
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 :?
Positive symptoms
39
Alterations in speech
Associative looseness Tangential Clanging Neologisms Echolalia Word salad Circumstantiality Pressured speech Thought blocking
40
Associative looseness
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
Tangential
Train of though wonders off and never returns
42
Clanging
Meaningless rhyming or sound alike words Tik tak clickity cat big mac
43
Neologisms
Made up words Special meaning or a person
44
Echolalia
Repeating words ( may repeat what you say to them)
45
Word salad
No rhythm, rhyme, reason, can’t form complete thought
46
Circumstantiality
Excessive derealization Cannot seperate relevant from irrelevant
47
Pressured speech
Talking fast they dont let you put a word in
48
Though blocking
Patient stops talking in the middle of a sentence and remains silence ((Can’t complete a thought)
49
Hallucinations
Auditory (voices) Somatic or tactile Olfactory Visual Gustatory ( taste)
50
Illusions
Misinterpretations of real experiences
51
What is the primary thing to do when someone has auditory hallucinations
Ask what are they telling you so assess
52
Personal boundary difficulties
Depersonalization Derealization Will be all up in yo koolaid
53
Depersonalization
Loss of identity Body parts may not feel like their own
54
Derealization
Envioronment is different Things larger or smaller than they really are
55
Catalonia
Slow movement or overactive movement keep their bodies in a weird posture
56
Catatonia specifier
Stereotypes behaviors Automatic obedience Bizzare posturing Waxy flexibility Negativism Stupor
57
Waxy flexibility
Holding a posture for a long time
58
Stupor
Not responsive when talk to they dont understand what you are talking about
59
Negativism
Does the opposite of what is told
60
Automatic obedience
Robotic movements to performance commands
61
Avolition
No motivation , may not take a bath
62
Alogia
Same as poverty of speech
63
Anhedonia
Loss of pleasure , what they once found pleasurable not anymore
64
Asociality
Social withdraw , not interested in mingling with people
65
Neurocognitive /cognitive symptoms
Poor executive functioning Inability to sustain attention Problems with working memory Inability to reason Inability to problem solve Can’t learn new things
66
Mood symptoms (negative)
Anxiety , depression , suicidality , dysphoria , postpsychotic depressive disorder , demoralization , excitability , agitation , increase substance use
67
How can you share mist trust w/o supporting delusion in paranoia
“We understand that you are scared”
68
When we see someone who is disorganizes we know that they have a poor premorbid functioning. What does that mean?
Before they were diagnosed the symptoms were pretty bad (Poor prognosis , social withdrawn severe cognitive impairment , require structured and well supervised setting)
69
Schizophrenia and symptoms of mood disorder of either bipolar or major depression
We treat psychosis as well as the mood disorder
70
(AIMS) abnormal involuntary movement scale
To see if they have any symptoms or abnormal involuntary movements from medication so this one can be done by others
71
What can we implement if pt is not complaint with meds
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
Patients who are highly suspicious and hostile
Allow pt as much control as possible within limits , explain treatments , meds , lab test before initiating them
73
Patients who are aggressive and agitated
Increase supervision Decrease stimulus , deescelate verbally , offer medication
74
Patients with hallucination/delusion
Ask directly “are you hearing voices and what are they saying” reduce stimulus. Focus on feelings and reality and not delusions
75
How do we treat acute dystonia
Give Benadryl IM can’t give PO because they can choke
76
EPS
Akasthisia Pseudoparkinsonism Acute dystonia Torticolus
77
Torticolus
Neck important to treat can coke

Module 6 (21 decks)

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