Schizophrenia & other Psychotic Disorders

Question 1

What is included in Schizophrenia Spectrum and Other Psychotic disorders?

Answer 1

• Schizophrenia
• Other Psychotic disorders (delusional, catatonias, brief psychotic, Schizophreniform, Schizoaffective, substance/med-induced)
• Schizotypal Personality Disorder

Question 2

Diagnostic criteria for SSOPD

Answer 2

Abnormalities in 1+ of 5 domains:

• Delusions
• Hallucinations
• Disorganized thinking (speech)
• Grossly disorganized or abnormal motor behavior (including catatonia)
• Negative symptoms

Question 3

Define delusions

Answer 3

“Fixed beliefs that are not amenable to change in light of conflicting evidence”

Question 4

Persecutory delusion

Answer 4

I’m going to be harmed, harassed, etc. by a person, organization, or other group

Question 5

Referential delusion

Answer 5

certain gestures, comments, environmental cues, etc. are directed at me

Question 6

Grandiose delusion

Answer 6

I have exceptional abilities, wealth, or fame

Question 7

Nihilistic delusion

Answer 7

a major catastrophe is going to occur

Question 8

Somatic delusion

Answer 8

preoccupied with health or organ functions

Question 9

Erotomanic delusion

Answer 9

false belief someone is in love with me

Question 10

What are “bizarre” delusions? Thought withdrawal delusion

Answer 10

Thought withdrawal delusion: government stole my thoughts

Thought insertion: alien thoughts were put in my mind

Delusions of control: my body or actions are being determined by a force outside of me

Question 11

Non-bizarre vs bizarre delusions

Answer 11

non-bizarre may actually happen in real life

bizarre are clearly impossible, not derived from ordinary life experiences

Question 12

Define hallucinations

Answer 12

Sensory perception without an external stimulus and not under voluntary control

Question 13

What is catatonic behavior?

Answer 13

marked decrease in reactivity to the environment

may include bizarre postures, negativism (resist instructions), mutism, stupor, repeated stereotyped movements

Question 14

What are negative symptoms?

Answer 14

= deficits of normal emotional response or thought process; not responsive to meds

Alogia
Avolition 
Asociality
Anhedonia 
Diminished emotion expression (flat affect)

Question 15

Delusional disorder - mixed type

Answer 15

no 1 delusional theme predominates

Question 16

Most common type of delusional disorder

Answer 16

persecutory type

Question 17

Brief psychotic disorder criteria

Answer 17

presence of 1+ (1 must be 1, 2, or 3)

1. Delusions
2. Hallucinations
3. Disorganized speech
4. Grossly disorganized or catatonic behavior

Duration: less than 1 month

Question 18

Schizophreniform disorder diagnostic criteria

Answer 18

2+ present (1 must be 1, 2, or 3)

1. Delusions
2. Hallucinations
3. Disorganized speech
4. Grossly disorganized or catatonic behavior
5. Negative symptoms

Duration: 1-6 months

Question 19

2/3 of Schizophreniform disorders will progress to ________.

Answer 19

Schizophrenia

Question 20

Schizophrenia disorder diagnostic criteria

Answer 20

2+ present for significant portion of 1-month period (1 must be 1, 2, or 3)

1. Delusions
2. Hallucinations
3. Disorganized speech
4. Grossly disorganized or catatonic behavior
5. Negative symptoms

Duration: at least 6 months

Question 21

Associated features Schizophrenia

Answer 21

TONS!!!

**sleep disturbance, inappropriate affect, dysphoric mood, reduced attention, anxiety, cognitive deficits, etc.

Question 22

delusions + hallucinations =

Answer 22

psychosis

Question 23

Diagnostic criteria of Schizoaffective Disorder

Answer 23

Uninterrupted period of major mood episode (MDD or manic) concurrent with criteria of Schizophrenia

Delusions or hallucinations for 2+ wks in absence of mood d/o

Question 24

2 types of Schizoaffective disorder

Answer 24

Bipolar type

Depressive type

Question 25

Define Substance/Med-induced psychotic disorder

Answer 25

delusions and/or hallucinations in response to substances or meds

Question 26

Most common causes of psychotic disorder due to another medical condition

Answer 26

untreated endocrine, metabolic disorders, autoimmune disorders, temporal lobe epilepsy

Question 27

Catatonic associated with another mental disorder

Answer 27

3+: stupor, catalepsy, waxy flexibility, mutism, negativism, posturing, mannerism, stereotypy, agitation, grimacing, echolalia, echopraxia