Schizophrenia Flashcards
What are the phases of schizophrenia?
prodomal, acute, recovery, relapse
What are the s&s of the prodomal phase?
early signs, barley noticeable, moments of paranoia, negative thought loops, can last for a long time
What are the s&s of the acute phase?
clear psychotic s&s, less able to meet basic needs, substance abuse, functioning decrease, dependence on others increases, high suicide risk, hospitalization
What are the s&s of the recovery phase?
treated +/- s&s
What are the 6 problematic communication patterns?
blocking, clang association, echolalia, neologisms, word salad and preservation
What is blocking?
stopping mid sentence
What is clang association?
random rhyming
What is echolalia?
repeating others
What is neologisms?
using fake words
What is word salad?
saying random words
What is preservation?
repeating self
What are the positive symptoms?
delusions, illusions, hallucinations
What are the negative symptoms?
flat affect, alogia, avolition, anhedonia and apathy
What is alogia?
poverty of speech
What is avolition?
poverty of motivation
What is anhedonia?
loss of pleasure
What is apathy?
loss of interest
What s&s has to be present in schizophrenia?
delusions, hallucinations or disorganized speech
How long do the s&s of schizophrenia need to be present?
at least 6 months
What is the criteria for schizoaffective?
at least 2 s&s of schizophrenia plus
- a major mood episode
- delusions or hallucinations for at least 2 weeks
- mood s&s present for majority of illness
What are the 4 other types of psychotic disorders?
- schizophreniform
- delusional
- substance induced
- post partum psychosis
What are the pharm tx?
Typical and atypical antipsychotics
What is the acute pharm tx?
Typical and atypical antipsychotics
benzos
PRN injectables
What is the maintenance pharm tx?
atypical, depots, mood stabilizers, antidepressants and ECT
Non pharm tx?
reduce stimulation, don’t feed delusions, rapport, refocus, limit interactions, 1:1 activities, assist with social skills, monitor diet, cognitive techniques, hygiene, regular schedule and assertive community tx
