Schizophrenia Flashcards
Schizophrenia Spectrum and Other Psychotic Disorders (SSOPD) - dx?
1+ of 5 domains: delusions hallucinations disorganized thinking (speech) grossly disorganized or abnormal motor behavior (including catatonia) negative sx (absence of sx)
SSOPD domain- delusion?
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
SSOPD domain-Hallucinations - key features?
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
SSOPD domain-Disorganized thinking - key features?
inferred from speech
derailmen of loos associations (joints about law then talks about joints about bones)
incoherence is rare
sever enough to impair communication
SSOPD domain-Grossly disorganized or abnormal motor behavior (catatonia)?
wide range (childlike silliness) difficulties in goal directed behavior
Delusional disorder - dx?
1+ delusion/1+mo
+/- hallucination: if + –> HAS to be related to the delusion
timeline is important and what is prominent
Catatonic behavior?
marked decrease in reactivity to the environment
- rigid, inappropriate posture
- negativism (doesn’t follow directions)
- mutism/stupor: no verbal/motor responses
- repeated movements, echolalia
Delusional disorder type, mixed type?
no 1 delusional theme is predominate
Delusional disorder types?
- erotomanic type
- grandiose type
- persecutory type
- somatic type
- mixed type
- unspecified type
Delusional type, erotomanic type?
another person is in love w/ pt
Delusional type, grandiose type?
pt is convinced of having some great talent
Delusional type, persecutory type?
pt believes they are being conspired, against, cheated
Delusional type, somatic type?
involving bodily fxn or sensation
Delusional - prevalence?
persecutory type is most common
consider culture
Delusional type, unspecified type?
delusion cannot be described - OTHER
Brief psychotic disorder-prevalence?
female > male
mid 30yo
Brief psychotic disorder -dx?
1+: DELUSION* HALLUCINATION* DISORGANIZED SPEECH* Grossly disorganized/catatonic behavior @least 1 day, no longer than1 mo
Schizophreniform disorder-dx?
2+/1-6mo *DELUSIONS *HALLUCINATIONS *DISORGANIZED SPEECH grossly disorganized or catatonic behavior negative sx
Schizophrenia - dx?
2+/6mo *DELUSION *HALLUCINATIONS *DISORGANIZED SPEECH grossly disorganized or catatonic behavior negative sx
Associated features: schizophrenia
*SLEEP DISTURBANCES inappropriate affect dysphoric mood reduced attn anxiety, phobias, anger/irritability decreased interest in food/food refusal
Schizophrenia - caution?
SUCCESSFUL SUICIDE
Schizophrenia - population?
early to mid 20s: male
late 20s: female
What is the most important thing when dx?
frequency and duration
Schizoaffective disorder-dx?
*depressed mood - req
*hallucination or delusion
2+/wk
schizo AND mood
Schioaffective disorder - types?
bipolar: manic episode, +/- MDD (HALLUCINATION + DELUSION)
depressive: ONLY MDD
Schizoaffective disorder - population?
female > male
early adulthood
Substance/medication induced psychotic disorder-dx?
1 or both:
-delusion
-hallucination
substances involved
Catatonia?
NOT independent class
-associated w/another mental disorder
d/t another disorder
unspecified catatonia
Other specified schizophrenia spectrum and other psychotic disorder?
criteria is NOT met for ANY SSOPD
-used w/ specifiers
What are the subtypes of other psychotic disorders (SSOPD)?
delsuional catanoias brief psychotic schizophreniform schizoaffective substance/medication induced pyschotic psychotic disorder d/t another medical condition other specified unspecified schizotypal personality disorder
SSOPD domain-Negative dx?
alogia/aphysia d/t mental prob avolition (no motivation in goals) asociality (no motivation in social groups) anhedonia diminished emotion expression
Psychotic disorder d/t another medical condition-dx?
hallucination OR delusions
DIRECT physiological consequence d/t ANOTHER medical condition
Catatonic disorder d/t another medical condition - dx?
3+: -stupor -catalepsy -waxy flexibility -mutism -negativism -posturing -agitation -echolalia -echopraxia DIRECT physiological consequence d/t ANOTHER medical condition
Unspecified catatonia-dx?
nature of underlying mental disorder is unclear
criteria for catatonia are not met
insufficient info to make dx
