Schizophrenia

Question 1

What are type of symptoms in schizophrenia?

Answer 1

Positive; delusions, hallucinations, change in thoughts or behaviour

Negative; withdrawal from world, no interest in things around them, appear emotionless and flat

Question 2

Describe some negative symptoms of schizophrenia

Answer 2

• losing motivation/interest in life and activities incl. relationships and sex
• reduced concentration
• not wanting to leave house
• altered sleeping patterns
• less likely to initiate conversations, less comfortable with people or feeling there’s nothing to say

Question 3

What are triggers for development of schizophrenia in those at risk?

Answer 3

• stress i.e. bereavement, work etc.

- drug abuse

Question 4

What pregnancy and birth complications are thought to be implicated in schizophrenia?

Answer 4

Asphyxia during birth
Low birth weight
Premature labour

Question 5

Describe diagnosis of schizophrenia

Answer 5

Uses a checklist, generally includes;

• 1 or more of the following for duration 1 month; delusions, hallucinations, negative symptoms i.e. apathy
• other causes ruled out i.e. bipolar and drug use
• affecting life

Question 6

What are the subtypes of schizophrenia?

Answer 6

Not majorly used anymore

• Paranoid
• hebenephric
• catatonic
• undifferentiated
• residual
• simple
• unspecified

Question 7

Describe paranoid schizophrenia

Answer 7

Most common type
Hallucinations and/or delusions
Speech and emotion may be unaffected
Paranoia

Question 8

Describe hebephrenic schizophrenia

Answer 8

AKA “disorganised”

Usually develops in 15-25yos

Disorganised behaviours and thoughts, short lasting delusions and hallucinations

May have disorganised speech patterns

Often little emotion in facial expression, voice tone, mannerisms

Question 9

Describe catatonic schizophrenia

Answer 9

Unusual, limited and sudden movements
May switch between v active and v still
May not talk much
May mimic others speech and movement

Question 10

Describe undifferentiated schizophrenia

Answer 10

Some signs of paranoid, hebephrenic and catatonic but doesn’t obviously fit into one category alone

Question 11

Describe residual schizophrenia

Answer 11

Hx of psychosis but only -ve symptoms

Question 12

Describe simple schizophrenia

Answer 12

-ve symptoms most prominent early and get worse

Rare to experience positive symptoms

Question 13

Describe unspecified schizophrenia

Answer 13

Meet general conditions for schizophrenia but not any category specifically

Question 14

What are the stages of a CPA?

Answer 14

Care Programme Approach

1. Assessment
2. Care plan
3. Key worker appointed
4. Reviews

Question 15

How can antipsychotics be taken?

Answer 15

Orally as a pill

Injection known as depot; one every 2-4 weeks

Question 16

Define an illusion

Answer 16

misperception of real external stimulus

Question 17

Define a delusion

Answer 17

Unshakable, false belief that is not shared by other members of the patients culture, that cannot be shaken within patient despite contradictory evidence

Question 18

Define a hallucination

Answer 18

false sensory perception in absence of real external stimulus

Usually perceived as originating from the outside world

Question 19

Define idea of reference

Answer 19

belief that irrelevant occurrences in world relate directly to oneself