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Behavioral Med > Schizophrenia Spectrum and Other Psychotic Disorders > Flashcards

Schizophrenia Spectrum and Other Psychotic Disorders Flashcards

1
Q

group of psychotic disorders characterized by loss of contact with reality and severe dysfunction in cognitive, emotional, perceptive, and behavioral abilities

A

schizophrenia spectrum and other psychotic disorders

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2
Q

broad term referring to having paranoia, hallucinations, or delusions

A

psychosis

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3
Q

massive disruption of thinking, mood, and overall behavior coupled with poor filtering of stimuli

A

schizophrenic disorder

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4
Q

what kind of disorder is schizophrenia?

A

multifactorial

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5
Q

what is the hypothesized pathophysiology of schizophrenia?

A

dysregulation of neurotransmitters

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6
Q

hyperactive dopamine in the _____ tract leads to _____ symptoms

A

mesolimbic
positive

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7
Q

hypoactive dopamine in the _____ tract leads to _____ symptoms

A

mesocortical
negative

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8
Q

at least 1 episode of psychosis and persistent disturbance of thought, behavior, appearance, speech, and affect

A

schizophrenic disorder

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9
Q

when in a psychotic episode of schizophrenia, how is the patient’s memory capacity?

A

intact and oriented x3

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10
Q

a psychotic episode can be _____ or follow a _____ event

A

spontaneous
traumatic/stressful

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11
Q

what is a diagnostic used to rule out other things causing schizophrenic disorder?

A

labs

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12
Q

how many positive/negative symptoms must be present to diagnose schizophrenic disorder, and for how long?

A

at least 2
1 month

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13
Q

how long must continuous signs of disturbance be present to diagnose schizophrenia?

A

at least 6 months

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14
Q

phase in schizophrenia that is prior to the 1st psychotic episode, patient is still functioning in reality, presents with increase in social withdrawal, and increase interest in religion, the occult and philosophy

A

prodromal

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15
Q

phase in schizophrenia that is the psychotic break from reality

A

psychotic

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16
Q

phase in schizophrenia that is the period between psychotic episodes, negative symptoms are still present, and the patient is not back to “normal”

A

residual

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17
Q

in schizophrenic disorder, what kind of hallucinations are the most common?

A

auditory

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18
Q

delusions that revolve around issues of bodily decay or infestation

A

somatic delusions

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19
Q

what is the most common somatic delusion?

A

bugs in the body

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20
Q

what can polydipsia in schizophrenic disorder lead to?

A

water intoxication / hyponatremia

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21
Q

what can be done when a patient with schizophrenic disorder is grossly disorganized or represents a potential threat to themselves or others?

A

hospitalization

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22
Q

removes the patient’s rights and ability to check out from care for 48 hrs due to potential threat to their own or others safety

A

emergency detention

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23
Q

in Texas, who can place a patient under emergency detention?

A

police officer or judge

24
Q

what is the treatment of choice for schizophrenic disorder?

A

antipsychotics

25
Q

what 2 typical antipsychotics can be used to treat schizophrenic disorder?

A

haloperidol
chlorpromazine

26
Q

what are the side effects of typical antipsychotics?

A

extrapyramidal side effects

27
Q

what can too much antipsychotic or stopping of an antipsychotic lead to?

A

neuroleptic malignant syndrome

28
Q

what can dyskinesia and dystonia from taking typical antipsychotics be treated with?

A

diphenhydramine

29
Q

what 3 atypical antipsychotics can be used to treat schizophrenic disorder?

A

clozapine
risperidone
olanzapine

30
Q

what side effects can atypical antipsychotics cause? (2)

A

QT prolongation
weight gain

31
Q

what psychological treatment used for schizophrenia disorder helps the patient gain insight and become more self-observant recognizing early signs of stress?

A

psychotherapy

32
Q

what psychological treatment used for schizophrenia disorder helps the patient challenge their own psychotic thinking and alter their responses?

A

CBT

33
Q

what psychological treatment used for schizophrenia disorder helps prevent hospitalizations?

A

acceptance and commitment therapy

34
Q

what psychological treatment used for schizophrenia disorder helps patients become better able to focus their disorganized thinking?

A

cognitive remediation therapy

35
Q

what psychological treatment used for schizophrenia disorder helps alleviate the patient’s stress and assist relatives in coping with the patient’s disease?

A

family therapy

36
Q

what symptoms of schizophrenic disorder can be treated successfully with medication?

A

positive symptoms

37
Q

a psychosis in which the predominant symptoms is a persistent delusion for over 1 month, and intellectual and occupational activities are not necessarily affected

A

delusional disorder

38
Q

beliefs that are false and not based on reality, yet cannot be changed despite being shown evidence; not based on culturally acceptable beliefs or ignorance

A

delusions

39
Q

delusions disorder subtype in which the patient believes that another person, who is usually famous or in some kind of higher status, is secretly in love with them

A

erotomanic type

40
Q

delusions disorder subtype in which the patient believes they have special prominence or talent, unusual fame, or major achievements

A

grandiose type

41
Q

delusions disorder subtype in which the patient believes that a spouse or lover is unfaithful and finds “evidence” to support the delusion , accuses them, and relentlessly tries to substantiate the offense

A

jealous type

42
Q

delusions disorder subtype in which the patient is typically preoccupied by a delusion that he or she is being persecuted, conspired against, or potentially harmed

A

persecutory type

43
Q

delusions disorder subtype in which the patient believes that something awful is wrong with their body

A

somatic type

44
Q

delusions disorder subtype in which no one delusional theme predominates

A

mixed type

45
Q

delusions disorder subtype in which the dominant delusions belief cannot be clearly determined

A

unspecified type

46
Q

what is the first-line treatment for delusional disorder?

A

atypical antipsychotics

47
Q

besides medication, what can be used to treat delusional disorder?

A

supportive psychotherapy

48
Q

affective symptoms precede or develop at the same time as psychotic manifestations, and the psychotic symptoms linger for longer than the affective symptoms (2 weeks longer) but are not permanent

A

schizoaffective disorder

49
Q

what 3 medications can be used to treat schizoaffective disorder?

A

mood stabilizers
antidepressants
atypical antipsychotics

50
Q

what 2 types of therapy are helpful in schizoaffective disorder?

A

CBT
family therapy

51
Q

similar symptoms to schizophrenic disorder, except that the duration of prodromal, acute, and residual symptoms is between 1-6 months

A

schizophreniform disorder

52
Q

what medication is used to treat schizophreniform disorder?

A

atypical antipsychotics while symptoms last

53
Q

what 2 types of therapy are helpful in schizophreniform disorder?

A

CBT
family therapy

54
Q

psychotic symptoms lasting less than 1 month as a result of psychological stress

A

brief psychotic disorder

55
Q

what medication is used to treat brief psychotic disorder?

A

atypical antipsychotics

Behavioral Med (9 decks)

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