Schizophrenia Flashcards
DSM Criteria
2 symptoms for 1 month
- delusions
- hallucinations
- incoherent speech, loose associations
- catonic, disorganized behavior
- negative symptoms
Positive sx
- delusions
- hallucinations
- thought disorders
- bizarre behaviors
Negative sx
- flat affect
- anhedonia: can’t feel pleasure
- alogia: incoherent speech
- avolition: lack of motivation
- attention impairment
Schizophrenic Predisposing Factors
- genetics
- neurobio: dopamine & serotonin, brain development/structure
- viral
Stress
makes schizophrenia worse
nihilistic delusions
delusional belief of being dead, decomposed or annihilated
Loose Associations
thoughts unrelated
Clang Associations
rhyming or alliterative
neologisms
create own words
echolalia
parrot back words
thought insertion
thought from external source
magical thinking
thoughts make things happen
ideas of reference
special meaning or importance of unrelated events
Schizophreniform Disorder
lasts from 1-6 mos
-rapid onset
schizoaffective disorder
psychosis and mood disorder
delusional disorder
non bizarre delusions
no hallucinations, thought disorders
Brief psychotic disorder
< 1 mo
Folie a deux
symptoms of a delusional belief, and sometimes hallucinations, are transmitted from one individual to another
Care
- establish trust
- promote distraction
- reorient
- confirm reality
