Schizophrenia Spectrum and Other Psychotic Disorders

Question 1

Peak ages of psychotic disorders and gender

Answer 1

15-25 for men
25-35 women

Onset before 10 or after 50 rare

Men - more likely to be impaired and have worse social functioning

Question 2

Schizo and suicide

Answer 2

Half attemtp
10-15 die

Equal in gender

Question 3

Schizo and drugs…other things

Answer 3

30-50 alcohol

Others are marijuana and cocaine

more liley born in winter/early spring (virl?_

Question 4

imaging of schizo

Answer 4

Ventricular enlargement

Question 5

Key features of schizo

Answer 5

Delusions - bizarre if clearly implausible

Hallucinations - auditory most common…those when falling asleep/waking up are within normal range

Disorganizing thinking - thought process
disorders

Disorganized or abnomral motor behaior

Question 6

Negative symptoms of schizo

Answer 6

Diminished emotions
Avolition - lack of goal directed
Alogia - can’t speak
Anhedonia - can’t experience pleasure

Question 7

Diagosis of schizo

Answer 7

at least 1 month2 or more of delusions, hallucinations, disorg speech, motor, neg symptoms (need 1 to be 1-3)

Level of functing decrease

Signs of distubrnace persist for 6 months

Others ruled out and no drugs

If autism, then only if prominent or hallucinations

Question 8

Prognosis of schizo

Answer 8

Good is later onset, acute onset, mood symptoms, married

Poor is insidious onset, no remission in 3 years

Question 9

Prodromal schizo

Answer 9

Somaplaints about somatic

Abstract ideas, philosophy, occult, or religion

Question 10

Violence and schizo

Answer 10

Violent is mor common

Impulsive behavior

More likely to commit murder

Question 11

Schizo course

Answer 11

No retunr to baseline (like mood disorders)

ositive symps become less severe

Question 12

Bheavior therapy

Answer 12

Address abilities through use of token economies and social skills

Question 13

Family oriented therapy

Answer 13

Educating the family

Question 14

Case management

Answer 14

House visits

Question 15

Group therapu

Answer 15

Helps reduce social isolation and improves reality testing

Question 16

Indiidual therapy

Answer 16

Form alliance with the therapist…need ot be more flexible in length

Question 17

Anti-psychotic meds

Answer 17

Non-compliance is an issue

Issues related to positive symptoms

Long-acting IM may be needed

Question 18

Brief psychotic disorder

Answer 18

One of more:
Delusion, hallucinations, disorg speech, motor symps (1 must be 1-3)

Duration at least 1 day but lesss than a month with return to premorbind level

Specify with stressors, without, or postpartum

Question 19

Schizophreniform dz

Answer 19

2 or more present during a 1 month (same as schizo)

Episode at least 1 month but less than 6

Good be good prognostic - onset within 4 weeks, no flat affec

Without good prognostic

Could have Catatonia

Question 20

Schizoaffective disorder

Answer 20

Uninterrupted period of illness during which there is a maojr mood episode with criteria A of schizo

Delusion or hallu for 2 or more weeks in absnece of major mood episdoe during lifetime udration of the illness

Need symptoms that meet criteria for a major mood episode

Could be bipolar, depressive, with catatonia

Question 21

Catatonia

Answer 21

3 or more of a bunch of symptoms

Question 22

Stupor
Catalepsy
Waxy felxibility
Mutism
Negativisim
Posturing
Mannerism

Answer 22

No psychomotor activing
Passive induction of a posture against gravity
Slight, even resistance ot positioning by examiner
Very little to no verbal response
Opposition to or no response ot instruction
Active maintennace against gravity
Odd caricature of normal actions

Question 23

Stereotypy
Agitation
Grimacing
Echolalia 
Echopraxia

Answer 23

Repetitive, abnormal, frequent non-goal directed movements

Repeating words

Repeating movements

Question 24

Delusional disorder

Answer 24

One of more delusions with a duration of 1 month or longer

No crtieria A for schizo

Functioning not markedly impaired

If modd episodes, brief

Specify type