Schizophrenia Flashcards

1
Q

What is schizophrenia?

A

It is a thought processing disorder that causes distortions in perceptions, experiences and relationships.

It interferes with a person’s ability to think clearly, make decisions, organize/share information, or “stay in touch” with reality.

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2
Q

When does schizophrenia usually develop?

A

Ages 16 - 25

Cases after 40 are rare.

Women tend to have later onset than men.

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3
Q

What are the three kinds of symptoms for schizophrenia?

A

Positive, negative, cognitive

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4
Q

What is a positive symptom?

What does it describe?

A

It is a symptom of mental illness that DOES NOT HAPPEN to healthy people and DOES HAPPEN to people with mental illness.

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5
Q

What are examples of positive symptoms in schizophrenia?

A

Delusion

Hallucination

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6
Q

What is a delusion?

Provide an example of a delusion.

A

Delusion - A strongly held belief that is not, or cannot be, changed due to mental illness. It is a symptom of the illness that this belief continues to exist, and it is very real to the person experiencing it.

Ex. “My neighbor wants to frame me for a murder I didn’t commit. He is controlling me with his mind. The FBI is after me.”

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7
Q

What is a hallucination?

Provide an example of a hallucination.

A

A physical symptom of mental illness where a person believes that what they see, hear, sense or experience is actually real and present. The experience is not present to us. Hallucinations are real to the person experiencing them.

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8
Q

What is the definition of a negative symptom?

A

Symptom that HAPPENS with healthy people and STOP HAPPENING to people with mental illness.

It is not about something “lacking” or “missing” but more that emotions/feelings, thinking and other functions/abilities ARE AFFECTED due to the illness (in ways that healthy people are not affected).

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9
Q

What are examples of negative symptoms for schizophrenia?

A

Emotional symptoms - emotional flatness (face and voice) loss of pleasure/enjoyment, withdrawing, lack of energy

Thought/Speech Symptoms - problems with thinking, distorted speech (word salad)

Executive symptoms - unable to complete goals/tasks, unable to care for oneself

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10
Q

What is a cognitive symptom?

A

Describes affected abilities (disorganized) in cognition - thinking, memory, organizing, understanding, executive functioning

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11
Q

What are examples of cognitive symptoms in schizophrenia?

A

Memory - issues with memory recall, disorganized memories

Thinking/organizing - issues with mental clarity, disorganized thinking, struggling to understand or organize information, issues with sharing information clearly, speech or content may not make sense

Executive dysfunctioning - impaired ability to start or complete action or task, impaired ability to understand steps of task or create/follow through steps of task,

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12
Q

How long does it take to make an accurate diagnosis of schizophrenia?

A

6 months or 6 weeks. It can be diagnosed instantly (much quicker)

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13
Q

What is anosognosia as a symptom of schizophrenia?

A

It is when a person doesn’t recognize their illness BECAUSE of the illness. It is a symptom of the illness itself, not a conclusion of the person it affects.

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14
Q

Based on symptoms, why can schizophrenia be difficult to diagnose?

A

The symptoms of schizophrenia are present in other mental illnesses, such as bipolar, Alzheimer’s or substance abuse.

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15
Q

What causes schizophrenia?

What is unbalanced or abnormal in the brain?

A

There is no certain answer. There are different factors - genetic, hereditary, developmental, environmental.

Brain chemistry and brain structure is unbalanced/abnormal.

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16
Q

What illnesses often co-exist with schizophrenia?

A
Substance abuse (nicotine, alcohol)
Anxiety disorders
17
Q

What kinds of medications help people with schizophrenia?

A
Atypical psychotics (2nd generation)
Typical psychotics (1st generation)
18
Q

What are the most common atypical psychotics prescribed to people with schizophrenia?

There are 4.

A

Haldol (haloperidol)
Risperdal (risperidone)
Seroquel (quetiapine)
Abilify (aripiprazole)

19
Q

What are other atypical psychotics are prescribed to people with schizophrenia?

A

Clozaril (clozapine)
Geodon (ziprasidone)
Zyprexa (olanzapine)

20
Q

What kinds of treatment, planning and support do people with schizophrenia need?

9-10 suggestions.

A
Medication
Therapy (CBT)
Coping skills/coping mechanisms
Plans for coping, handling regressions/escalations
WRAP-style plans
Peer support
Family support
Skill building and management skills
Job training/vocational training
Integrated treatment with co-occurring disorder/illness