Schizophrenia Flashcards
What are the 7 criteria for schizophrenia? 2 of these must be present to dx.
Bizarre delusions, AUDITORY (not visual) hallucinations (75% will present with this), blunted affect (meaning speaking in a monotone with no tone differentiation), loose associations (dog sky thursday), deficiency in reality testing (one foot in reality another in their own world), disturbances in form and content of language (think they are napolean is content, loose association is form), changes in psychomotor behavior (loses gracefulness in motion, just moves weird).
What is the difference between Schizophreniform, schizophrenia and brief psychotic disorder?
Schizophreniform is someone suffering from schizo symptoms for less than 6 months, whereas schizophrenia is more than 6 months. Brief psychotic disorder is schizo symptoms for less than a month, then a return to full normal function.
What is the demographics of schizophrenia?
Men get it from 15-24, women from 25-34. 1% of all humans have it, but it is more prevalent in people of lower socio economic status. Over 50% live alone and not in an institution.
How many classes of schizophrenia are there and what are they?
5 classes, Disorganized, Catatonic, Paranoid, Residual, or undifferentiated.
Generally describe what exactly is schizophrenia?
It is a disorder of though process having both positive and negative symptoms.
In addition to the 7 criteria for schizophrenia, what else must be present to dx schizophrenia?
Social or occupational dysfunction and the presence of the symptoms for greater than 6 months.
What is the spectrum of schizo?
Schizoaffective > Schizophrenia > Schizotypical personality disorder > Schizoid personality disorder.
What increases the risk of schizophrenia?
Seems to be genetically related moreso than environmental but both need to be present to trigger it.
What is “paranoid schizophrenia?”
The more milder type of schizophrenia because the onset is later and the mental and emotional defects are mild. Marked by prominent delusions of persecution or grandeur. Often accompanied by auditory hallucinations.
Describe the complete stupor variety of “catatonic schizophrenia?”
They will have long periods of complete stupor, they can be mute, have and maintain rigid postures, they can be negative and not do as you say, do exactly as you say, or copy exactly what you do (echopraxia), and can have brief outbursts of violence and return to stupor.
Describe the excited catatonic schizophrenic?
Extremely excited, extreme motor agitation, “bouncing off the walls,” then fall in exhaustion. They are incoherent and are prone to repetitious behaviors in milder forms.
Describe the disorganized schizophrenic
The more extreme form, the person is “crazy.” Incoherent, primitive, uninhibited, aimless activity, poor personal appearance and hygene, pronounced thought disorder, explosive laughter, silliness, and incongruous grin.
Describe the undifferentiated schizophrenic?
We know the patient is schizophrenic but does not fall under any specific category because they have some symptoms of everything or doesnt fit into any.
What is the “residual schizophrenic?”
Patient had previous bouts of schizophrenia but no current symptoms, some negative lingering symptoms perhaps.
What is the difference between positive and negative symptoms?
Positive symptoms are things that schizophrenics have but normal people do not, and negative symptoms are what normal people have but schizo’s don’t.
