Schizophrenia Flashcards
What is schizophrenia?
A disorder characterised by psychotic episodes and negative symptoms
What are Schneider’s first rank symptoms?
Hearing one's own thoughts spoken aloud Hallucination - statement + reply Hallucination - running commentary Physical hallucinations Thought broadcasting Thought withdrawal/insertion Delusional perception Influence of others on feelings, drive, volition
How is the diagnosis of schizophrenia made?
- Rule out organic causes + mood disorders
- 1 month of
- 3rd person auditory hallucination
- thought interference
- passivity symptoms
- persistent bizarre delusions
Or 2 of
- 2nd person auditory hallucination
- hallucination in other modalities
- formal thought disorder
- negative symptoms
- catatonic symptoms
What are negative symptoms?
Blunted affect
Ambivalence
Autism
Loose associations
What is blunted affect?
Restricted emotional response
What is ambivalence?
Holding conflicting attitudes
What is autism?
Social withdrawal
What is loose associations?
Formal thought disorder
What is biological management of schizophrenia?
Anti-psychotics
What is psychological management of schizophrenia?
Family interventions
CBTp
Psychoeducation
What is social management of schizophrenia?
Support group
Life structure
What other management of schizophrenia is required?
Risk assessment
Use of mental health act
Acute management
