Schizophrenia And Other Psychotic Disorders Flashcards
Schizophrenia Diagnostic Criteria
2+ psychotic symptoms 1 must be: - Delusions, - Hallucinations, - Disorganized Speech
Additional symptoms:
- Grossly disorganized or catatonic behavior
- Negative symptoms
6+ months of prominent disturbance, including 1+ months of prominent psychotic symptoms
No prominent mood symptoms
Phases of Schizophrenia
Occur over 6 months:
-Prodromal- time we can intervene and possibly prevent psychosis, deterioration of functioning, negative symptoms
- Active- symptoms blossoming
- Residual- as symptoms fade, a lessening
- Baseline- “in between”
Schizophrenia Specifiers
Only to be used after 1 year duration
Hallucinations vs Delusions
Both positive symptoms
Hallucinations: perception-like- auditory, visual, tactile, gustatory
Delusions: persecutory or referential
Positive Symptoms
Adding to.
- Hallucinations
- Delusions
- Disorganized Behavior
- Distractibility
- Disordered thinking and speech
Negative Symptoms
Remove something we’d expect to see
- Blunted affect
- Flat affect
- Avolition- lack of motivation
- Alogia- reduction of speech
- Anhedonia- lack of pleasure
- Asociality
Schizophrenia Psychological Treatments
Psychotic clients are least likely to benefit from CBT and homework
Typical (1st gen) vs Atypical (2nd gen) Antipsychotics
1st Gen- normally treats positive symptoms, Causes neurological problems. More Extrapyramidal symptoms than 2nd Gen: Dyskinesia, etc.
2nd Gen- treats both positive and negative symptoms. Causes metabolic issues. More frequently prescribe 2nd gen
Etiology or Psychotic disorders
Strong genetic and biological components
Dopamine and/or glutamate may be at fault
Duration of Brief Psychotic Disorder, Schizophreniform and Schizophrenia
Brief Psychotic Disorder: Less than 1 month
Schizophreniform: 1-6 months
Schizophrenia: 6 months+
Schizoaffective Disorder
Symptoms of schizophrenia and mood disorder
6 months+
Delusional Disorder
Persistent delusions not due to schizophrenia; persecutory, jealous, grandiose and somatic delusions are common
No prominent hallucinations
1 month+
Shared Psychotic Disorder
Person adopts delusions that are held by another individual, such as parent or sibling
No minimum length
Treatment of Psychosis
Individual, group and family therapy
Skill building for prodromal symptom recognition, safety planning
Side effect psychoeducation
Typical/First Gen Antipsychotics Atypical/2nd Gen Antipsychotics Lithium Benzo Betablockers
