schizophrenia (2)

Question 1

what does a schizophrenia “split mind” mean

Answer 1

irrational divergence between behavior and thought content

Question 2

what is an illusion?

Answer 2

misperception of REAL EXTERNAL stimuli

Question 3

what is a hallucination?

Answer 3

sensory perceptions NOT generated by external stimuli

Question 4

what are delusions

Answer 4

abnormalities in thought content

ex. delusion that you are being watched by the government

Question 5

what are ideas of reference?

Answer 5

false conviction that one is subject of attention by other ppl (crowds, TV, internet)
ex. someone scratches their nose and you think that they are trying to tell you that you have a booger

Question 6

what does algoia mean?

Answer 6

patient is mute or speaks very few words

Question 7

what is echolalia?

Answer 7

repeating statements of others/associating words by their sounds, not by meaning

Question 8

what is neologisms?

Answer 8

inventing new words

Question 9

what is circumstantiality

Answer 9

when answering a question, one presents unnecessary and voluminous details

Question 10

what is tangentially

Answer 10

getting further and further away from the point and failing to answer the question

Question 11

explain the prodrome of schizo

Answer 11

prior to 1st psychotic break
avoidance of social activities, quite and passive or irritable, sudden interest in religion or philosophy, may have physical complaints

Question 12

explain the “psychotic/active” phase of schizo

Answer 12

loss of touch with reality

associated with positive symptoms

Question 13

explain the “residual” phase of schizo

Answer 13

period between psychotic episodes
in touch with reality but doesn’t behave normally
assoc with negative symptoms

Question 14

what are negative symptoms of schizo

Answer 14

peculiar thinking, eccentric behavior and with drawl from social interactions

Question 15

whats age of onset for
men
women

Answer 15

men 15-25 yrs

women 25-35 yrs

Question 16

what factor puts you most at risk for tardive dyskinesia due to anti-psychotic meds?

Answer 16

the DURATION of time on medication

Question 17

what are some environmental factors associated with schizo?

Answer 17

viral & drug exposure in utero
3rd trimester diuretics
anti-NMDA receptor antibodies

Question 18

in schizo, where in the brain would you see decreased glucose?

Answer 18

prefrontal cortex

Question 19

what part of schizo brain is enlarged?

Answer 19

3rd and 4th ventricles

Question 20

schizo’s lack brain “spin”, what does this lead to?

Answer 20

loss of asymmetry in the brain

Question 21

what are schizo eyes?

Answer 21

loss of smooth pursuit of eye movement

hurky, jerky eyes

Question 22

what causes the positive symptoms seen in schizo?

Answer 22

excess dopamine activity in the mesolimbic tract

Question 23

what causes the negative symptoms in shizo?

Answer 23

HYPOactivity in the mesocortical dopamine tract

Question 24

giving someone an anti-psychotic that blocks D2 would help with which track but hurt another?

Answer 24

• help with the excess dopamine in the mesolimbic

- HURT the hypoactive mesocortical track

Question 25

what do antagonists of NMDA (subtype of GLU receptor) result in?

Answer 25

psychosis

Question 26

explain the GLU-GABA-GLU-DA model and what symptoms does it cause

Answer 26

causes the POSITIVE SYMPTOMS -mesolimbic

too little glu–too little GABA–too much glu–too much dopamine

Question 27

explain the GLU-GABA-GLU-GABA-DA model and what symptoms does it cause

Answer 27

causes NEGATIVE symptoms- mesocortical

too little glu-too little GABA–too much glu–too much GABA–no dopamine

Question 28

do schizo patients have clouding of consciousness?

Answer 28

NO but delirium & substance abuse patients DO

Question 29

what symptoms of schizo can drugs fix?

Answer 29

only the positive symptoms

NOT the negative symptoms

Question 30

what can cognitive behavioral therapy provide?

Answer 30

improve executive dysfunction-memory, concentration, planning, prioritizing

Question 31

what disorder

“person with schizo symptoms for 1-29 days”

Answer 31

brief psychotic disorder

Question 32

what disorder?

“schizo symptoms for 1-6 months”

Answer 32

schizophreniform disorder

Question 33

what is schizoaffective disorder?

Answer 33

schizophrenia + mania and/or depression

Question 34

what is delusional disorder

Answer 34

delusions and no other schizo symptoms

Question 35

what is shared psychotic disorder

Answer 35

one person is delusion then another person follows