Schizophrenia

Question 1

Why organic psych important?

Answer 1

implications for Treatments: Sx. Or drugs

Question 2

What is a delusion?

Answer 2

Fixed false belief

Question 3

3 kinds of auditory hallucination?

Answer 3

3rd person derogatory
Commentary
Command

Question 4

What is hallucination?

Answer 4

Seeing, hearing, smelling feeling something that isn’t there

Question 5

3 things important for treatment of schizo?

Answer 5

1. Treatment - meds
2. No illicit drugs
3. Family

Question 6

Don’t forget about negative symptoms

Answer 6

Avolition
Social withdrawal
decreased affect

Question 7

What is a bizarre delusion?

Answer 7

No plausibility to it.

Question 8

Why ask about psychotic symptoms at all?

Answer 8

Dx
Safety
Treatment options

Question 9

What are 2 types of positive symptoms

Answer 9

1. Disorganization

2. positive symptoms: delusion/hallucination

Question 10

Cognitive symptoms of schizophrenia?

Answer 10

Frontal: judgement/planning
Working memory
Planning, organization, motivation

Question 11

Schizophrenia person with symptoms, need to make sure what?

Answer 11

Co-morbidities, they can still have other issues

Question 12

Clusters to think of in Schizophrenia?

Answer 12

Positive
Negative
Cognitive
Function
Comorbidities
Drugs/alcohol
Insight

Question 13

4 different differentials for ‘negative symptoms’

Answer 13

Negative syndrome
MEds-over sedation
depression
Drugs/alcohol

Question 14

How to treat negative symptoms in schizo?

Answer 14

Hard to treat.

Clozapine trial maybe. (Sometimes augmented with aripiprizole)

Multidisciplinary team.

Question 15

Acute presentation of psychosis DDx?

Answer 15

Organic: Age? Late onset?
Brain? Dementia? Delirium? Comorbidities?

Nonorganic: Relapse of schizo

Substance abuse? Meth/ICE

Question 16

Delirium cardinal features?

Answer 16

• Inattention
• Confusion
• Altered level of consciousness

Question 17

25yo PhD student with acute psychosis, no previous psychiatric Hx. No drugs. What’s the DDX?

Answer 17

Organic: infections, bleeds, lesion, seizures, encephalitis

Affective vs. non-affective
Depression/Mania
Mood congruence.

Which one is first? Schizo or mania then psychosis? Or Depression for a month, then psychosis?

Question 18

How to determine personality disorder?

Answer 18

Take a developmental Hx. It’s enduring.

Question 19

Delusional disorder is what?

Answer 19

Tends to come on later in life. 40s/50s

Preoccupation with a single reason eg. Morbid jealously (Infidelity)

Non-bizarre
No hallucinations
Not disorganized