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EOR: Behavioral Health > Schizophrenia Spectrum and Other Psychotic Disorders > Flashcards

Schizophrenia Spectrum and Other Psychotic Disorders Flashcards

1
Q

what are the psychotic disorders (4)

A

delusional disorder
schizoaffective disorder
schizophrenia
schizophreniform disorder

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2
Q

otherwise normal functioning person with a belief in something that does not exist

A

delusional disorder

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3
Q

what type of delusions are included in delusional disorder

A

non-bizarre delusions of thinking that occur in real life:
-being poisoned
-being stalked
-being loved or deceived
-having an illness

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4
Q

dsm 5 for delusional d.o

A

-one or more non bizarre delusions of thinking with NO
accompanying hallucinations, thought disorder, or flattening of affect
-beliefs lasting > 1 mo
-functioning is otherwise unimpaired

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5
Q

tx for delusional d.o

A

psychotherapy
atypical antipsychotics

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6
Q

a brief psychotic disorder has sx that last for _

A

1 day to 1 month

(after 1 month it is delusional d.o)

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7
Q

mental health condition including schizophrenia AND mood disorder sx

A

schizoaffective disorder

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8
Q

2 mood disorders that commonly occur w. schizoaffective d.o

A

dpn
bipolar

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9
Q

dsm 5 for schizoaffective d.o

A

-delusions or hallucinations for 2 or more weeks in the absene of a major mood episode (depressive or manic) during the lifetime duration of the illness
-sx that meet criteria for a major mood episode are present for the majority of the total duration of the active and residual portions of illness

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10
Q

tx for schizoaffective disorder

A

psychotherapy
atypical antipsychotics - 1st line pharm
anticonvulsants
SSRIs

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11
Q

major psychosis for > 6 mo PLUS difficulty functioning

A

schizophrenia

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12
Q

dsm 5 for schizophrenia (this one’s a doozie)

A

-2 or more of the following (each present for a significant portion of time during a 1 month period) - at least one must be 1, 2, or 3:
1. delusions
2. hallucinations
3. disorganized speech/thought process/tangential response
4. sx impair ADLs
5. disorganized/inappropriate behavior
6. negative symptoms
7. inability to hold job or maintain relationships

-continuous signs of the disturbance must persist for at least 6 mo

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13
Q

examples of negative symptoms (4)

A

blunted affect
poor posture
lack of goal-directed activities
lack of initiative

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14
Q

negative symptoms are same-same

A

deficit symptoms

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15
Q

examples of positive symptoms (4)

A

psychotic symptoms:
-hallucinations
-delusions
-disorganized speech
-disorganized or catatonic behavior

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16
Q

what feature is most suggestive of schizophrenia

A

the presence of both positive and negative symptoms

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17
Q

tx for schizophrenia

A

atypical antipsychotics - 1st line
typical antiosychotics
benzos
carbamazepine
valproate
lithium

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18
Q

examples of atypical antipsychotics

A

risperidone
olanzapine
aripiprazole
ziprasidone
quetiapine
asenapine
paliperidone

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19
Q

moa for atypical antipsychotics

A

DA AND 5HT 2 receptor blockers

20
Q

atypical antipsychotics are used to treat what sx of schizophrenia

A

negative symptoms

21
Q

what atypical antipsychotic is not considered first line for schizophrenia?
why?

A

clozapine
causes agranulocytosis and sz

22
Q

what are examples of typical antipsychotics (neuroleptics)

A

haloperidol
chlorpromazine
thiordazine
loxapine
fluphenazine

23
Q

what symptoms are typical antipsychotics best for in schizophrenia

A

positive symptoms

24
Q

tx for resistant schizophrenia

A

-clozapine
-antipsychotic PLUS benzo, carbamazepine, valproate, or lithium

25
Q

tx for acute psychosis in pt w. schizophrenia

A

benzos
antipsychotics: fluphenazine, haldol, olanzapine

26
Q

2 meds that have no benefit for acute psychosis in schizophrenia pt

A

antidepressants
lithium

27
Q

non pharm tx for schizophrenia

A

behavior-oriented/group/family therapy

28
Q

s.e of antipsychotics

A

EPS
parkinsononian sx
neuroleptic malignant syndrome
TD
agranulocytosis - clozapine

29
Q

s.e are more likely to occur w. _ antipsychotics (neuroleptics)

A

typical

30
Q

what side effect is minimal to absent with atypical antipsychotics

A

EPS movement s.e

31
Q

in order for dx of schizophrenia, sx must last longer than

A

6 mo

32
Q

what is schizophreniform disorder

A

major psychosis for > 1 mo BUT < 6 mo and NO social or occupational impairment

33
Q

what separates schizophreniform disorder from schizophrenia and schizophreniform disorder (2)

A

schizophreniform lasts longer than 1 mo and less than 6 mo

schizophreniform has no affect on social/occupation

34
Q

tx for schizophreniform disorder

A

psychotherapy
atypical antipsychotics

35
Q

tx for resistant shizophreniform disorder

A

-switch to another atypical antipsychotic
-combine atypical antipsychotic w. lithium or anticonvulsant
-switch to typical antipsychotic

36
Q

work up for new osnet psychosis should include

A

CBC
CMP
TSH
UA
urine tox
STI
blood levels of therapeutic meds
+/- EKG, CT/MRI, EEG, LP

37
Q

otherwise normally functioning person with a belief in something that does not exist, but no other symptoms of schizophrenia

A

delusional d.o

38
Q

psychotic d.o featuring sx of both schizophrenia AND mdd, such as dpn, or bp d.o

A

schizoaffective d.o

39
Q

t/f: sx of schizoaffective d.o may occur at the same time or different times

A

t!

40
Q

psychotic d.o characterized by delusions, hallucinations, disorganized speech, and/or diminished inappropriate emotional expression for > 6 mo PLUS difficulty functioning

A

schizophrenia

41
Q

major psychosis for > 1 week but < 6 mo and no social or occupational impairment

A

schizophreniform d.o

42
Q

psychotic d.o involving the sx of schizophrenia but lasting < 6 mo

A

schizophreniform d.o

43
Q

75 yo pt began thinking her daughter was telling her caretakers to steal her money, although both daughter and caretaker deny this

A

delusional d.o

44
Q

45 yo truck driver who c/o hearing things that are not there x 2 weeks - he was severely depressed five months ago and was placed on prozac by his pcp - he recently started hearing voices

A

schizoaffective d.o

45
Q

25 yo c/o visual and auditory hallucinations x 2 months - he is a graduate student and states his hallucinations have been getting worse - he is able to attend class but it is becoming difficult to concentrate

A

schizophreniform d.o

EOR: Behavioral Health (13 decks)

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