Schizophrenia

Question 0

Delusions

Answer 0

Unfounded beliefs.
Persecution- somebody’s out to get you
Grandeur- exaggerated view of importance( religious savior, power)
Reference-behaviors/events specific meaning for them on tv or the radio
Control-thoughts being controlled by other force (aliens)
Thought insertion- putting thoughts directly into mind

Question 1

Positive symptoms

Answer 1

Pathological excesses

Additions abnormal to behavior

Question 2

Thought speech disorders

Answer 2

Disorganized incoherence no structure or meaning (word salad). Flight of ideas. Fast
Neologism- new words they invent ex smeep
Clanging- rhyme, sound over context
Perseveration- repeating same word/phrase

Question 3

Hallucinations

Answer 3

Auditory hallucinations inside or outside the head

Visual command hallucinated heightened perceptions

Question 4

Inappropriate affect

Answer 4

Inappropriate to situation

Emotions giggling smiling when bad news

Question 5

Negative emotions

Answer 5

Deficits missing in emotion or behavior

Question 6

Alogia

Answer 6

Lack of speech
Don’t say much in content or meaning
Silent

Question 7

Flat affect

Answer 7

No emotion

Very blunt emotion

Question 8

Avolition

Answer 8

Decrease in motivation, grooming, exhausted

Question 9

Social withdrawal

Answer 9

Friends family work all isolated from

Question 10

Psychomotor symptoms

Answer 10

Unusual movements
Catatonia stupor- not move/ speak, wax figure
Catatonic rigidity- stand in upright, resistance hard to move
Catatonic posturing-weir position, stand there for hours
Catatonic excitement-limbs flailing kicking

Question 11

Diagnosed with schizophrenia

Answer 11

Need two of the following in delusions, hallucinations, disorganized speed and negative symptoms, psychomotor symptoms.
Florid for one month. Persists for 6 months.
Type 1-aka positive
Type 2- negative

Question 12

Causes of positive symptoms( type 1)

Answer 12

Biochemistry
Increase in glutamate, dopamine, serotonin
Decrease in GABA
Receptors hypersensitive to them. 6 times as many dopamine receptors.

Question 13

Causes for negative (type 2) symptoms

Answer 13

Brain structure
Larger ventricles- less brain tissue
Increase in cracks in the brain wider and deeper.
Smaller thalamus( relay center )
Small corpus callosum
Less active frontal lobes
Increase activity in amygdala (fear center ) and hippocampus ( memory)

Question 14

Triggers

Answer 14

Drugs
Parenting 
Stressful events 
Viral infection from mom 
Oxygen deprivation during delivery.

Question 15

Genetics

Answer 15

48% twins 
17% maternal twins 
10% genetic predisposition 
1 in 100 people. 60% men 
Develops gradually. Sibling or parent wth schizophrenia increases to 1 in 10.