Schizophrenia Spectrum and Other Psychotic Disorders

Question 1

Schizophrenia Spectrum and Other Psychotic Disorders

Answer 1

• DURATION make it different
• five domains are delusions, hallucinations, disorganized thinking (usually in speech), grossly disorganized motor behaviors and negative symptoms

Question 2

Delusions

Answer 2

• fixed beliefs that are not amenable(適合) to change in light of conflicting evidence
• these are fixed and set in stone, rigid cannot be broken
• persecutory, grandiose, erotomanic, nihilistic,somatic

Question 3

Hallucinations

Answer 3

-perception-like experiences that occur without an external stimulus

Question 4

Disorganized Thinking(speech)

Answer 4

• the individual may switch from one topic to another, answers to questions may be obliquely(不直接的) related or completely unrelated
• they are speaking fluently but the context makes no sense

Question 5

Grossly Disorganized or Abnormal Motor Behavior

Answer 5

-may manifest in a variety of ways, ranging from childlike “silliness” to unpredictable agitation

Question 6

Negative Symtoms

Answer 6

-two negative symptoms are particularly prominent in schizophrenia: diminished emotional expression and avolition(decrease in motivated self-initiated purposeful activities)

Question 7

Delusional Disorder

Answer 7

• the presence with a duration of one month or longer

- even they know the consequences, they still wanna do it

Question 8

Brief Psychotic Disorder

Answer 8

• presence of at least one of the following: delusions, hallucinations and disorganized speech
• THESE THREE ARE THE HALLMARK OF ALL THESE DISORDERS
• must have one of these symptoms and then it must disappear and then they go back to normal functioning
• lasting at least one day but less than 1 month

Question 9

Schizophreniform Disorder

Answer 9

• two symptoms in total, one from of the following delusions, hallucinations, disorganized thinking and the other can be other options
• lasting at least 1 month but less than 6 months

Question 10

Schizophrenia

Answer 10

• two symptoms in total, one from of the following delusions, hallucinations, disorganized thinking and the other can be other options
• lasting at least 6 months
• sometimes able to go back to premorbid functioning but since their big psychotic break they never get back to normal really
• cycles through prodromal active and residual phases

Question 11

Schizoaffective Disorder

Answer 11

• meet criteria for schizophrenia (A)
• lasting at least 6 months
• have to have a major mood episode co occurring with those symptoms
• YOU HAVE PSYCHOSIS AND SOMETIMES MOOD BUT YOU CAN HAVE PSYCHOSIS BY ITSELF

Question 12

Differences between Psychotic Disorder and Mood Disorder

Answer 12

• MOOD DISORDERS WITH PSYCHOTIC FEATURES YOU HAVE MOOD BY ITSELF BUT NEVER PSYCHOTIC FEATURES BY THEMSELVES
• SCHIZOPHRENIA DOES NOT HAVE THE MOOD DISORDER PRESENT

Question 13

Catatonia

Answer 13

stupor(麻木), catalepsy(全身僵硬), waxy flexibility, mutism(緘默), negativism, posturing(故作姿態), mannerism(怪癖), stereotypy, agitation, grimacing(鬼臉), echolalia(模仿言語), echopraxia(模仿行為)