Schizophrenia and Psychosis Flashcards
what are the diagnostic criteria for schizophrenia
at least 1 of peristent delusions hallucinatory voices alientation of thought delusional perception
and at least 2 of hallucinations of any kind every day for a month catatonia neologisms negative symptoms
what are the negative symptoms
apathy, blunted affect, anhedonia, lack of motivavation, interest and emotions
risk factors for schizophrenia
high THC cannabis use in early teens FH migration obstetirc complications overly critical parents malnutrition
briefly outline 2 theories of psychosis
migration - causes loss of sense of identity
collective human consciousness
what chromosome abnormality is associated with psychosis
DiGeorge (22q11)
give 5 presentations of schizophrenia
hallucinations delusional perceptions thought disorders grandiosity paranoia
give 5 differentials for schizophrenia
schizoaffective mania with psychosis alcoholic hallucinosis drug induced psychosis temporal lobe epilepsy
what symptoms might make you think of depressive episodes with psychosis
derogatory auditory hallucinations and delusions of persecutin, worthlessness or guilt
management of schizophrenia
antipsychotics for at least a year CBT Group therapy ECT social skills training motivational interviews
give two examples of antipsychotics
risperidone and olanzapine
if someone doesn’t respond to an antipyschotic what should you do
increase dose or change drug - clozapine can be a good one
main side effect of clozapine
neutropenia
give 3 good prognostic factors for schizophrenia
acute onset early intervention no FH good premorbin personality maintainence of intiative and motivation
give 2 poor prognostic factors for schizophrenia
slow, insidious onset
prominent negative symptoms
give 4 kinds of thought disorder
withdrawal/blocking
insertion
broadcasting
echo
