Schizophrenia Flashcards
What is schizophrenia
Type of psychosis
May not be able to distinguish their own thoughts and feelings from reality
What are the positive symptoms of schizophrenia
Hallucinations - mainly auditory. Can be 2nd person or 3rd person, can have command hallucinations
Delusions
Disordered thoughts - formal thought disorder
Disorders of self - inability to differentiate self from others - thought insertion and thought broadcast
Thought echo and thought withdrawal
What are the negative symptoms of schizophrenia
Flat expression Little emotion Poverty of speech Inability to experience pleasure Lack of desire to form relationships Lack of motivation Lack of will and interest
How do negative symptoms affect a patients life
Contribute to poor quality of life
Impaired functional ability
These symptoms often less responsive to medications
How long must patients have symptoms for
Symptoms for 1 month
What are the different types of delusions
Guilt - large amounts of guilt at minor things
Erotomanic - believing people are in love with you
Grandiose - thinking you are royalty/Jesus/God, have magical powers
Persecutory - thinking people are persecuting you/are out to get you
Hypochondriacal - thinking you have an illness
Reference - believing everyday events have a massive significance - blowing coincidences out of proportion
What is schizophrenia?
Psychotic disorder
may not be able to distinguish their own thoughts and feelings from reality
What are the positive symptoms?
Hallucinations Delusions Disordered thoughts - formal thought disorder Thought echo Thought insertion Thought withdrawal Thought broadcast
What is disorder of self
inability to differentiate self from others
What are the negative symptoms of Schizophrenia
Flat expression Little emotion Poverty of speech Inability to experience pleasure Lack of desire to form relationships Lack of motivation Lack of will and interest
Which symptoms are less responsive to medication
negative symptoms which contribute more to poor quality of life and functional ability
What are the symptoms of cognitive impairment in schizophrenic patients?
Unable to sustain attention
Memory problems
Unable to take on information
Poor decision making
What are 2nd person auditory hallucinations?
When the voice addresses the patient
What are 3rd person auditory hallucinations?
Voice(s) talk about the patient, do not talk to the patient
What is the diagnostic criteria for schizophrenia?
Patient must have had symptoms for 1 month
1+ clear cut positive symptom
or
either 2 or more mild positive symptoms or one or more mild positive symptoms accompanied by negative symptoms
