Schizophrenia Flashcards
Why organic psych important?
implications for Treatments: Sx. Or drugs
What is a delusion?
Fixed false belief
3 kinds of auditory hallucination?
3rd person derogatory
Commentary
Command
What is hallucination?
Seeing, hearing, smelling feeling something that isn’t there
3 things important for treatment of schizo?
- Treatment - meds
- No illicit drugs
- Family
Don’t forget about negative symptoms
Avolition
Social withdrawal
decreased affect
What is a bizarre delusion?
No plausibility to it.
Why ask about psychotic symptoms at all?
Dx
Safety
Treatment options
What are 2 types of positive symptoms
- Disorganization
2. positive symptoms: delusion/hallucination
Cognitive symptoms of schizophrenia?
Frontal: judgement/planning
Working memory
Planning, organization, motivation
Schizophrenia person with symptoms, need to make sure what?
Co-morbidities, they can still have other issues
Clusters to think of in Schizophrenia?
Positive Negative Cognitive Function Comorbidities Drugs/alcohol Insight
4 different differentials for ‘negative symptoms’
Negative syndrome
MEds-over sedation
depression
Drugs/alcohol
How to treat negative symptoms in schizo?
Hard to treat.
Clozapine trial maybe. (Sometimes augmented with aripiprizole)
Multidisciplinary team.
Acute presentation of psychosis DDx?
Organic: Age? Late onset?
Brain? Dementia? Delirium? Comorbidities?
Nonorganic: Relapse of schizo
Substance abuse? Meth/ICE
Delirium cardinal features?
- Inattention
- Confusion
- Altered level of consciousness
25yo PhD student with acute psychosis, no previous psychiatric Hx. No drugs. What’s the DDX?
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?
How to determine personality disorder?
Take a developmental Hx. It’s enduring.
Delusional disorder is what?
Tends to come on later in life. 40s/50s
Preoccupation with a single reason eg. Morbid jealously (Infidelity)
Non-bizarre
No hallucinations
Not disorganized
