schizophrenia + psychotic disorders

Question 1

Delusions, Hallucinations, Disorganized thinking (formal thought disorders), Disorganized abnormal motor behavior (catatonia), Negative symptoms

Answer 1

Schizophrenia and other Psychotic Disorders

Question 2

Usually begins before age 25

Diagnosis based on psychiatric history and mental status examination

No laboratory tests

Answer 2

Schizophrenia

Question 3

Demence precoce

Described deteriorated patients whose illness began in adolescence

Answer 3

BENEDICT MOREL (1809-1873)

Question 4

Dementia precox- change in cognition and early onset (precox) of disorder

Long term deteriorating course and clinical symptoms of hallucinations and delusions

Answer 4

EMIL KRAEPELIN (1856-1926)

Question 5

Schizophrenia

Schism- “separation”

Presence of schism among thought, emotion and behavior

Answer 5

EUGENE BLEULER (1857-1939)

Question 6

Identified 4 primary symptoms (4As) of Eugene Bleuler

Answer 6

Associations
Affect
Autism
Ambivalence

Question 7

Prevalence of Schizphrenia

Answer 7

0.3-0.7%; US 1%

M=F

Question 8

Peak age of onset of Schizophrenia

Answer 8

10-25yo in M; 25-35 yo and onset after 40 yo (bimodal) in F

Onset before age 10 and after 60 is extremely rare

Question 9

Type I

Normal brain structures by CT scan
Relatively good response to treatment

Hallucination, delusions, bizarre behavior and positive formal thought disorder

Answer 9

Positive Symptoms of Schizophrenia

Question 10

Type II

Structural brain abnormalities by CT scan
Poor treatment response

Diminished emotional expression

Avolition, Alogia, Anhedonia, Asociality

Answer 10

Negative Symptoms of Schizophrenia

Question 11

decrease in motivated self-initiated purposeful activities

Answer 11

Avolition

Question 12

diminished speech output

Answer 12

Alogia

Question 13

apparent lack of interest in social interactions

Answer 13

Asociality

Question 14

Criterion A for schizophrenia has never been met.

Apart from the impact of the delusion(s) or its ramifications, functioning is not markedly impaired, and behavior is not obviously bizarre or odd.

Answer 14

Delusional Disorders

Question 15

Types of Delusional Disorder

Answer 15

Erotomanic, Grandiose, Jealous, Persecutory, Somantic

Question 16

This subtype applies when the central theme of the delusion is that another person is in love with the individual.

Answer 16

Erotomanic type

Question 17

This subtype applies when the central theme of the delusion is the conviction of having some great (but unrecognized) talent or insight or having made some important discovery.

Answer 17

Grandiose type

Question 18

This subtype applies when the central theme of the individual’s delusion is that his or her spouse or lover is unfaithful.

Answer 18

Jealous type:

Question 19

This subtype applies when the central theme of the delusion involves the individual’s belief that he or she is being conspired against, cheated, spied on, followed, poisoned or drugged, maliciously maligned, harassed, or obstructed in the pursuit of long-term goals.

Answer 19

Persecutory type:

Question 20

This subtype applies when the central theme of the delusion involves bodily functions or sensations.

Answer 20

Somatic type

Question 21

Most common type of delusional disorder

Answer 21

Persecutory type

Question 22

Duration of an episode of the disturbance is at least 1 day but less than 1 month, with eventual full return to premorbid level of functioning

Answer 22

Brief Psychotic Disorder

Question 23

At least one of these 3 symptoms should be present in brief psychotic disorder

Answer 23

Delusions
Hallucinations
Disorganized Speech (e.g., frequent derailment or incoherence)

Question 24

onset of brief psychotic disorder

Answer 24

at least 1 day but less than 1 month

Question 25

An episode of the disorder lasts at least 1 month but less than 6 months. When the diagnosis must be made without waiting for recovery, it should be qualified as “provisional”

Answer 25

Schizophrenic Disorder