Schizophrenia - MacIntyre Flashcards
psychosis
symptoms, not diagnosis
distorted perception of reality
delusion
fixed false belief
bizarre - not possible
non-bizarre - could be true
hallucinations
false sense perception - not with external stimulus
borderline personality disorder
only PD with hallucinations
schizophrenia
dementia praecox
split mind
epidemiology of schizophrenia
M = F
late teens early 20s
increased suicide risk
more likely victim of violence
prodromal period
of schizo
first break
diagnosis of schizophrenia
> 2 of following - for significant portion of 1 month
- delusions
- hallucinations
- disorganized speech
- grossly disorganized or catatonic behavior
- negative sx
social occupational dysfunction
for at least 6 months
positive symptoms
have something you don’t want
hallucinations and delusions
mainly auditory hallucinations
disorganized speech/behavior
negative symptoms
lack of motivation
affective blunting of emotion
cognitive blunting
impaired social fxn and social withdrawal
path of schizophrenia
cause unknown
increase genetic family risk
infection - toxoplasmosis gondii
marijuana - accelerate change toward schizo
ventricular enlargement - 3rd** and alteral
prefrontal cortex connections altered
NT of schizophrenia
dopamine
serotonin
glutamate
tx schizophrenia
antipsychotics first line
typicals and atypicals
akathisia
jump out of skin
4 As of schizophrenia
association - loose
autism - social behavior issues
ambivalent - no motivation
affect - flat