Schizophrenia and Other Psychotic Disorders

Question 1

What is the difference between mood disorders and schizophrenia?

Answer 1

schizophrenia requires psychosis idependent of mood symptoms.

Question 2

What is the difference between delusional disorder versus schizophrenia?

Answer 2

delusions are less bizarre and not accompanied by prominent hallucinations or disorganized behavior

Question 3

When schizophrenia is in an active phase how long does it need to last?

Answer 3

1 month

Question 4

Is psychosis a diagnosis or symptom?

Answer 4

symptom

Question 5

What is the difference between brief psychotic disorder vs schizophrenia?

Answer 5

the duration is the main differentiator (less than and greater than six months)

Question 6

What is the difference between schizophrenia, schizoid, schizoaffective, schizotypal, and schizophreniform?

Answer 6

• Schizophrenia: long term mental illness with symptoms like hallucinations, delusions, disorganized thinking and flat affect
• Schizoaffective: includes symptoms of schizophrenia alongside a distinct mood disorder like major depression or bipolar disorder
• Schizophreniform: shares symptoms with schizophrenia but lasts for a shorter period less than 6 months
• Schizoid: (personality disorder) marked by social withdrawal lack of interest in relationships and limited emotional expression typically without prominent psychotic symptoms like hallucinations or delusions
• Schizotypal: (personality disorder) characterized by odd beliefs unusual perceptions social anxiety and eccentric behavior but typically without a full blown psychosis seen in schizophrenia

Question 7

What happens in a psychotic episode (AVOT)

Answer 7

Auditory, Visual, Olfactory, Tactile (and sometimes gustatory)

Question 8

What are the components of Schizotypal Personality Disorder?

Answer 8

Characterized by odd beliefs. This disorder CANNOT co-occur with schizophrenia, bipolar, ASD MDD with psychotic features or any other psychotic disorder. The onset is in adulthood

Question 9

What are the symptoms of Schizotypal Personality Disorder?

Answer 9

• social/interpersonal deficits
• odd beliefs or magical thinking that influences behavior and is inconsistent with subcultural norms
• unusual perceptual experiences including bodily illusions
• odd thinking and speech (vague, metaphorical, overelaborate)
• suspiciousness or paranoid ideation
• inappropriate or constricted affect
• lack of close friends
  High Insight

Question 10

What are the key components of Delusional Disorder?

Answer 10

Fixed beliefs not altered by evidence that occur at 1 month. NOT attributed to substance use

Question 11

What are the symptoms of Delusional Disorder?

Answer 11

• persistent delusions less than 1 month without other significant psychotic symptoms
• outside of the delusions functioning is not impaired

Question 12

What are the delusions disorder specifiers?

Answer 12

• erotomanic
• grandiose
• jealous
• persecutory
• somatic
• mixed
• unspecified

Question 13

What are the key components related to Brief Psychotic Disorder?

Answer 13

Sudden onset of one or more psychotic symptoms (delusions, hallucinations) lasting 1 day to 1 month. often linked to stressors and has generally favorable prognosis with full recovery

Question 14

What are the symptoms of brief psychotic disorder?

Answer 14

• hallucinations
• delusions
• disorganized speech
• grossly disorganized/catatonic behaviors

Question 15

What are the key components of Schizophreniform?

Answer 15

The symptoms lasting 1 and less than 6 months. It similar presentation to schizophrenia with a shorter duration. no requirement for declined functioning

Question 16

What are the symptoms of Schizophreniform?

Answer 16

• Hallucinations
• Delusions
• Disorganized speech
• Grossly disorganized/ catatonic behaviors
• Negative symptoms (diminished emotional expression)
  better insight into the symptoms results in a better outcome

Question 17

What are the key components of Schizophrenia Disorder?

Answer 17

Long term illness characterized by hallucinations, delusions disorganized speech, disorganized thinking and flat affect. Functional decline in work, social, or self-care domains.

Question 18

What are the symptoms of Schizophrenia Disorder?

Answer 18

• Hallucinations
• Delusions
• Disorganized speech
• Grossly disorganized/ catatonic behaviors
• Negative symptoms (diminished emotional expression)

Question 19

What are the key components of Schizoaffective Disorder?

Answer 19

psychotic symptoms concurrent with mood episodes (depression or mania). high suicide rates

Question 20

What are the symptoms of Schizoaffective Disorder?

Answer 20

Psychosis must be persistent independently of mood symptoms for at least 2 weeks and the symptoms can last 6 months or more.

Question 21

What is the difference between positive and negative symptoms?

Answer 21

Neg: causes more difficulties in functioning (speech, thought, affect, psychomotor retardation, poor motivation and self care, social withdrawal) atypical antipsychotics are used to treat these symptoms**
Pos: hallucinations, delusions, agitations, confusion inappropriate affect *use typical antipsychotics to treat