Schizophrenia

Question 1

What are the phases of schizophrenia?

Answer 1

prodomal, acute, recovery, relapse

Question 2

What are the s&s of the prodomal phase?

Answer 2

early signs, barley noticeable, moments of paranoia, negative thought loops, can last for a long time

Question 3

What are the s&s of the acute phase?

Answer 3

clear psychotic s&s, less able to meet basic needs, substance abuse, functioning decrease, dependence on others increases, high suicide risk, hospitalization

Question 4

What are the s&s of the recovery phase?

Answer 4

treated +/- s&s

Question 5

What are the 6 problematic communication patterns?

Answer 5

blocking, clang association, echolalia, neologisms, word salad and preservation

Question 6

What is blocking?

Answer 6

stopping mid sentence

Question 7

What is clang association?

Answer 7

random rhyming

Question 8

What is echolalia?

Answer 8

repeating others

Question 9

What is neologisms?

Answer 9

using fake words

Question 10

What is word salad?

Answer 10

saying random words

Question 11

What is preservation?

Answer 11

repeating self

Question 12

What are the positive symptoms?

Answer 12

delusions, illusions, hallucinations

Question 13

What are the negative symptoms?

Answer 13

flat affect, alogia, avolition, anhedonia and apathy

Question 14

What is alogia?

Answer 14

poverty of speech

Question 15

What is avolition?

Answer 15

poverty of motivation

Question 16

What is anhedonia?

Answer 16

loss of pleasure

Question 17

What is apathy?

Answer 17

loss of interest

Question 18

What s&s has to be present in schizophrenia?

Answer 18

delusions, hallucinations or disorganized speech

Question 19

How long do the s&s of schizophrenia need to be present?

Answer 19

at least 6 months

Question 20

What is the criteria for schizoaffective?

Answer 20

at least 2 s&s of schizophrenia plus

1. a major mood episode
2. delusions or hallucinations for at least 2 weeks
3. mood s&s present for majority of illness

Question 21

What are the 4 other types of psychotic disorders?

Answer 21

1. schizophreniform
2. delusional
3. substance induced
4. post partum psychosis

Question 22

What are the pharm tx?

Answer 22

Typical and atypical antipsychotics

Question 23

What is the acute pharm tx?

Answer 23

Typical and atypical antipsychotics
benzos
PRN injectables

Question 24

What is the maintenance pharm tx?

Answer 24

atypical, depots, mood stabilizers, antidepressants and ECT

Question 25

Non pharm tx?

Answer 25

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