Schizophrenia and Other Psychotic Disorders Flashcards
When is the peak onset time for schizophrenia?
- late adolesence and early adulthood
- negative sx have a poor prognosis
+ sx of schizophrenia
- sx added to the presentation
- typically present in the active phase
- Delusions
- Hallucinations
- Catatonia
- Agitation
What is loosening of associations
- when connections among the pts ideas are absent or obscure
- listeners may feel as if understanding of the pts thoughts had been suddenly lost
What does the form of though look like in schizo ppl?
- loosening of associations
- poverty of content and speech
- thoguht blocking: internal interruption in pts speech/thoughts
What does the content of thought llok like in schizo ppl?
- delusions of persecution, reference, influence
- thought broadcasting
- grandiose delusions, somatic delusions
what is the schizo affect like?
-blunted/flat/inappropriate
Negative sx of schizophrenia
- sx that appear missing from the presentation
- typically present in the residual phase
- affective flattening
- apathy
- social withdrawal
- anhedonia: they don’t have any fun
- poverty of thought
- content of speech
How long do the sx for schizo have to be present?
-6 months!!!!!!***** importante
What are some things we have do be able to rule out when making the dx of schizo?
- seizure disorders
- metabolic disorders
- thyroid df
- brain tumor
- neurosyphillis
- street drug use****
psychiatric ddx for schizo
- delusional disorder
- mood disorders
- OCD
- personality disorders
- “normal adolescence”
When are ppl with schizo born?
-higher rates in pts born in winter and early spring months
What will schizo eyes look like?
-saccadic eye movements, not smooth when reading over something
What will brain imaging look like in schizo?
- structural volume reduction in cortical structures
- enlarged ventricles (3rd and 4th)
What were some of the big sx that they have to have for most of 1 month?
- delusions
- Hallucinations
- Disorganized speech
are schizos more likely to commit homicide?
-nah
