Schizophrenia & Related Disorders Flashcards
Brief Psychotic Disorder aka “Reactive Psychosis”
Often triggered by a major stressor or traumatic event
At least 1 of the following
- delusions
- hallucinations
- disorganized speech
- disorganized behavior or catatonia
Duration >1 week, < 1 month
Which personality disorders are commonly associated with Brief Psychotic Disorder?
- Borderline
- Schizotypal
Treatment of Brief Psychotic Disorder
Antipsychotic’s early!
*Don’t need to be on antipsychotic for the rest of their life…they will recover completely within 1 month
Schizophreniform Disorder
At least TWO of the following…
- delusions
- hallucinations
- disorganized speech
- disorganized behavior, catatonia
- negative symptoms
Duration >1 month, < 6 months
Treatment is the same as it is for schizophrenia
Schizophrenia Diagnosis
Two or more of the following in a 1 month period
- delusions
- hallucinations
- disorganized speech
- *Need one of ^^^ + one symptom below**
- disorganized/catatonic behavior
- negative symptoms
Social/occupational dysfunction
Duration MUST be at least 6 months!
Positive Symptoms?
-Hallucinations (auditory, visual, tactile, somatic, olfactory)
-Disorganized Thoughts & Speech
(loose associations & word salad)
-Disorganized/Abnormal Motor Behavior
(agitation, self-neglect, odd behavior, catatonia)
Negative Symptoms
These are the absence of things…harder to diagnose
- Restricted or Flattened affect
- Anhedonia (don’t want to do anything fun)
- Avolition (difficulty engaging in common goal-directed activities)
- Cognitive deficits (problems with memory & focus)
Phases of Schizophrenia
Prodrome- negative symptoms
Active - Positive symptoms
Residual - Similar to prodrome, lesser degree of illness
Relapse- return to active phase
Remission- no symptoms; only 5-10% of people
Delusion Disorder
> /= 1 delusions
Bizarre -> Aliens are tracking me
Nonbizarre -> FBI is watching me
> 1 month
*Don’t see in clinic often because they don’t think they have a problem
Delusions Disorder Subtypes
- Erotomanic (someone of power is in love with me)
- Grandiose (I’m the smartest person ever)
- Jealous (mostly seen in men)
- Persecutory (convinced they are being harmed)
- Somatic (have some illness, giving off odor, etc.)
Delusional Disorder Treatment
1st or 2nd Antipsychotic meds
Somatic subtype -> SSRI or Pimozide
Types of Catatonia
Stupor (no response to the environment)
Negativism (lack of response to instruction)
Posturing (spontaneous posture despite gravity)
Stereotypy (repetitive non-goal oriented movements)
Grimacing ( repetitive facial movements)
Echopraxia (mimicking another person’s movements)
Medications that can cause psychosis
- Hallucinogens (LSD/PCP)
- Cannabis
- Alcohol
- Cocaine
- Anticholinergics
- Antihistamines
- Prozac
- Baclofen
- Thyroid hormone meds
1st Generation Antipsychotic medications
- Fluphenazine
- Haloperidol**
- Thioridazine
Side Effects of 1st gen antipsychotics
- Tardative Dyskinesia
- Neuroleptic Malignant Syndrome (can be fatal)
