Schizophrenia Spectrum And Other Psychotic Disorders Flashcards
5 domains of Schizophrenia Spectrum and OPD
- delusions
- hallucinations
- disorganized thinking (speech)
- grossly disorganized/abnormal motor bx
- negative symptoms
Delusions:
Fixed beliefs that are not amendable to change in light of conflicting evidence
6 types of delusions
Persecutory Referential Grandiose Erotomatic Nihilistic (major catastrophe will occur) Somatic
When is delusion deemed bizarre?
Clearly implausible and not understandable to same-culture peers and do not derive from ordinary life experiences I.e,
- thought withdrawal
- thought insertion
- delusions of control
Types of negative symptoms
- Diminished emotional expression
- Avolition (decrease in self-initiated activities)
- anhedonia
Dx Schizophrenia Category includes
Schizotypal (Personality) Disorder Delusional Disorder
Brief Psychotic Disorder Schizophreniform Disorder Schizophrenia
Schizoaffective Disorder
Substance/Medication-Induced Psychotic Disorder
Psychotic Disorder Due to Another Medical Condition
Catatonia Associated With Another Mental Disorder
Catatonic Disorder Due to Another Medical Condition
Unspecified Catatonia
Other Specified Schizophrenia Spectrum & Other Psychotic Disorder Unspecified Schizophrenia Spectrum & Other Psychotic Disorder
Phases of Schizophrenia
• Prodromal Phase -Showing signs of deterioration prior to full blown symptoms • Active Symptoms Phase -Full blown symptoms are present • Residual Phase -Some but not all symptoms remain, similar to prodromal phase
Delusional Disorder Diagnostic Criteria
A. One or more delusion one month or more
B. Criterion A for Schizophrenia has never been met
C. Aside from delusions, there is no markedly
impaired functioning, & behavior is not obviously odd or bizarre
D. If manic or MD episodes have occurred, they are brief relative to the duration of delusions
E. Exclusion
Delusion disorder Tx
- Medication
- CBT
Brieft Psychotic Disorder Diagnostic Criteria
A. One or more of the following sx, with at least one being 1, 2, or 3
1. Delusions
2. Hallucinations
3. Disorganized Speech
4. Grossly disorganized or catatonic behavior
B. One day to one month, with full return to premorbid functioning
C. Exclusion
Specifiers for Brief Psychotic Disorder
Specify if: With marked stressor(s) Without marked stressor(s)
With postpartum onset Specify if: With catatonia
Schizophreniform Disorder Diagnostic Criteria
A. Two or more, for a significant portion of the time during a one month period (or less if successfully treated), at least one must be 1, 2, or 3
B. 1 month to 6 months, with provisional if waiting for recovery
C. & D. Exclusions
Specifiers for Schizophreniform Disorder
Specify if: With or Without good prognostic features (page 97 - 2 of 4 needed) Specify if: With catatonia
Schizophrenia Diagnostic Criteria
A. Two or more, for one month, with at least one being 1, 2, or 3 (page 99)
B. Marked decrease in level of functioning previously achieved
C. For at least 6 months that may include prodromal & residual periods
D. Exclusion
E. Exclusion
F. If there is a hx of a dx in childhood, this dx may be
given if delusions or hallucinations are prominent
Specifiers for Schizophrenia
Specify if: (page 100)
First episode, current in acute episode
First episode, currently in partial remission
First episode, currently in full remission Multiple episodes, currently in acute episode Multiple episodes, currently in partial remission Multiple episodes, currently in full remission Continuous
Unspecified
Specify if: With catatonia
Specify current severity: may be used but is not needed
