Schizophrenia Flashcards

1
Q

Schizophrenia Spectrum and Other Psychotic Disorders (SSOPD) - dx?

A
1+ of 5 domains:
delusions
hallucinations
disorganized thinking (speech)
grossly disorganized or abnormal motor behavior (including catatonia)
negative sx (absence of sx)
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2
Q

SSOPD domain- delusion?

A

fixed beliefs that are not amendable to change in light of conflicting evidence
-Persecutory: i’m going to be harmed, harassed by person
-Referential: certain gestures, comments, environmental cutes
-Grandiose: I have exceptional abilities
-Erotomanic: false believe someone is in love w/me
-Nihilistic: major catastrophe is going to occur
-Somatic: preoccupied w/ health or organ fxn
Bizarre (not likely to happen)
-though withdrawal: gov stole my thoughts
-though insertion alien thoughts were put in my mind
-delusions of control: my body or actions are being determined by a force outside of me

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3
Q

SSOPD domain-Hallucinations - key features?

A

perception like experiences that occur without external stimulus
vivid and clear w/ full force and impact of life - not voluntary control
MUST occur in senosrium- not drunk/high, hyphagogic, hypnopopmic

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4
Q

SSOPD domain-Disorganized thinking - key features?

A

inferred from speech
derailmen of loos associations (joints about law then talks about joints about bones)
incoherence is rare
sever enough to impair communication

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5
Q

SSOPD domain-Grossly disorganized or abnormal motor behavior (catatonia)?

A
wide range (childlike silliness)
difficulties in goal directed behavior
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5
Q

Delusional disorder - dx?

A

1+ delusion/1+mo
+/- hallucination: if + –> HAS to be related to the delusion
timeline is important and what is prominent

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6
Q

Catatonic behavior?

A

marked decrease in reactivity to the environment

  • rigid, inappropriate posture
  • negativism (doesn’t follow directions)
  • mutism/stupor: no verbal/motor responses
  • repeated movements, echolalia
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7
Q

Delusional disorder type, mixed type?

A

no 1 delusional theme is predominate

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8
Q

Delusional disorder types?

A
  • erotomanic type
  • grandiose type
  • persecutory type
  • somatic type
  • mixed type
  • unspecified type
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10
Q

Delusional type, erotomanic type?

A

another person is in love w/ pt

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11
Q

Delusional type, grandiose type?

A

pt is convinced of having some great talent

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12
Q

Delusional type, persecutory type?

A

pt believes they are being conspired, against, cheated

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13
Q

Delusional type, somatic type?

A

involving bodily fxn or sensation

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13
Q

Delusional - prevalence?

A

persecutory type is most common

consider culture

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14
Q

Delusional type, unspecified type?

A

delusion cannot be described - OTHER

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15
Q

Brief psychotic disorder-prevalence?

A

female > male

mid 30yo

16
Q

Brief psychotic disorder -dx?

A
1+:
DELUSION*
HALLUCINATION*
DISORGANIZED SPEECH*
Grossly disorganized/catatonic behavior 
@least 1 day, no longer than1 mo
17
Q

Schizophreniform disorder-dx?

A
2+/1-6mo
*DELUSIONS
*HALLUCINATIONS
*DISORGANIZED SPEECH
grossly disorganized or catatonic behavior
negative sx
18
Q

Schizophrenia - dx?

A
2+/6mo
*DELUSION
*HALLUCINATIONS
*DISORGANIZED SPEECH
grossly disorganized or catatonic behavior
negative sx
19
Q

Associated features: schizophrenia

A
*SLEEP DISTURBANCES
inappropriate affect
dysphoric mood
reduced attn
anxiety, phobias, anger/irritability
decreased interest in food/food refusal
20
Q

Schizophrenia - caution?

A

SUCCESSFUL SUICIDE

21
Q

Schizophrenia - population?

A

early to mid 20s: male

late 20s: female

22
Q

What is the most important thing when dx?

A

frequency and duration

23
Q

Schizoaffective disorder-dx?

A

*depressed mood - req
*hallucination or delusion
2+/wk
schizo AND mood

24
Q

Schioaffective disorder - types?

A

bipolar: manic episode, +/- MDD (HALLUCINATION + DELUSION)
depressive: ONLY MDD

25
Q

Schizoaffective disorder - population?

A

female > male

early adulthood

26
Q

Substance/medication induced psychotic disorder-dx?

A

1 or both:
-delusion
-hallucination
substances involved

27
Q

Catatonia?

A

NOT independent class
-associated w/another mental disorder
d/t another disorder
unspecified catatonia

28
Q

Other specified schizophrenia spectrum and other psychotic disorder?

A

criteria is NOT met for ANY SSOPD

-used w/ specifiers

29
Q

What are the subtypes of other psychotic disorders (SSOPD)?

A
delsuional
catanoias
brief psychotic
schizophreniform
schizoaffective
substance/medication induced pyschotic
psychotic disorder d/t another medical condition
other specified
unspecified 
schizotypal personality disorder
30
Q

SSOPD domain-Negative dx?

A
alogia/aphysia d/t mental prob
avolition (no motivation in goals)
asociality (no motivation in social groups)
anhedonia
diminished emotion expression
31
Q

Psychotic disorder d/t another medical condition-dx?

A

hallucination OR delusions

DIRECT physiological consequence d/t ANOTHER medical condition

32
Q

Catatonic disorder d/t another medical condition - dx?

A
3+:
-stupor
-catalepsy
-waxy flexibility
-mutism
-negativism
-posturing
-agitation
-echolalia
-echopraxia
DIRECT physiological consequence d/t ANOTHER medical condition
33
Q

Unspecified catatonia-dx?

A

nature of underlying mental disorder is unclear
criteria for catatonia are not met
insufficient info to make dx