Schizophrenia and Psychotic Disorders Flashcards
Mood Affect
what individual reports about emotional state vs. your description of the individual’s emotional response
- range
- intensity
- appropriateness
- stability
Somatic Delusion
- believes that they have physiological condition they don’t have
Thought Insertion Delusion
- experiencing one’s own thoughts as someone else’s
Persecutory
believes they are being persecuted
Risk Assessment
- thoughts about harming self
- thoughts about harming others
- assess every shift
Hallucinations
- auditory
- visual
- tactile
- gustatory
- olfactory
- *all five senses
Sensorium
- LOC
- orientation
- intellectual ability
- memory
- judgement
- abstract reasoning
What Impacts Judgement?
Culture
Cause of Positive Symptoms in Schizophrenia
- Positive- dopamine
- Negative- lack of serotonin
Positive Symptoms Schizophrenia
presence of symptom that should not be there
- Word Salad
- Neologisms
- Echolia
Negative Symptoms Schizophrenia
absence of behaviour that should otherwise be there
- Blunted affect
- Avolition
- Anhedonia
- alogia
Dysphoria
persistent low mood
Avolition
low levels of motivation
Anhedonia
can’t experience pleasure
Alogia
poverty of speech
Prodromal
early symptoms of a disease
4 Stages Of Illness
- Prodromal (early symptoms)
- odd thinking or paranoia
- Acute
- onset/exacerbation of symptoms
- often requires hospitalization and medication
- Stabilization
- symptoms diminishing
- Maintenance
- near baseline functioning
5 Key Features Associated with Psychotic Disorders
- Delusions
- Hallucinations
- Disorganized Thinking
- Abnormal Motor Behaviour
- Negative Symptoms
Therapeutic Millieu
- physical environment
- emphasis on safety
First Generation Antipsychotics
- dopamine antagonists
- positive symptoms
- less expensive
- lots of side effects
Second Generation Antipsychotics
- both positive and negative symptoms
- no extrapyramidal side effects
- significant weight gain
Third Generation Antipsychotics
- dopamine system stabilizer
- treats positive, negative and cognitive function
Anticholinergic Delirium
- hyperpyrexia- extreme high fever leading to seizure
Dangerous Responses to Meds
- anticholinergic toxicity
- MNS
- agranulocytosis (sore throat, fever, rigors)
- necrotic ulceration in throat and mouth
- septicemia
Anosognosia
delusion a person isn’t sick
