Schizophrenia Spectrum & Psychotic Disorders Flashcards
The characteristics of schizotypal personality disorder are:
- Deficits in social and interpersonal skills
- With acute uneasiness
- Struggles to maintain close relationships
- Perceptions are distorted and have odd thoughts, speech, beliefs, and behaviors
Schizotypal personality disorder can be treated with the following medications:
** The FDA hasn’t approved a drug for this particular condition. Medications are prescribed to manage symptoms. **
Schizotypal personality disorder can be managed by these therapeutic techniques:
- CBT
- Supportive therapy
- Family therapy
Delusional Disorder is
When someone is experiencing enduring delusions (possibly hallucinations) that don’t affect function. Types of delusions include:
* Erotomanic (someone is in love w/ them)
* Grandiose
* Jealousy
* Persecutory
* Somatic
* Mixed
Brief Psychotic Disorder:
- Lasts for 1 day to 1 month
- Symptoms include:
- Delusions
- Hallucinations
- Disorganized speech
- Extremely disorganized / catatonic behavior
Schizophreniform Disorder:
At least two of the following conditions must last between 1 and 6 months:
* Delusions
* Hallucinations
* Disorganized speech
* Extremely disorganized / catatonic behavior
* Negative symptoms (I.e. reduced emotional expressiveness or avolition - lack of ability to/ motivation to complete a task)
Schizophrenia:
- A person experiences at least 2 of the following symptoms for at least 6 months:
- Delusions
- Hallucinations
- Disorganized speech
- Extremely disorganized or catatonic behavior
- Negative symptoms (reduced emotional expressiveness or ability/motivation to complete tasks - avolition)
Schizophrenia is often treated by these medications:
- First generation / typical antipsychotics
- Haloperidol (Haldol)
- Fluphenazine (Prolixin)
- Chlorpromazine (Thorazine)
- Thiothixene (Navane)
Medications can affect: tardive dyskinesia*, sex drive, mood, menstrual cycles, and growth of breast tissue in both men and women.
- Second generation / atypical antipsychotics:
- Aripiprazole (Abilify)
- Aripiprazole lauroxil (Aristada)
- Clozapine (Clozaril)
- Lurasidone (Latuda)
- Olanzapine (Zyprexa)
- Quetiapine (Seroquel)
- Risperidone (Risperdal)
Side effects include: tardive dyskinesia*, weight gain and trouble regulating your blood sugar and cholesterol levels
- tardive dyskinesia - makes your facial, tongue, and neck muscles move uncontrollably
These therapeutic techniques help people manager their schizophrenia:
- Cognitive therapy (cognitive behavioral and cognitive remediation therapy)
- Psychoeducation
- Family intervention
- Social skills training
- Assertive community treatment.
Schizoaffective disorder is:
Ongoing schizophrenic symptoms with major mood (depressive or manic) episodes through most of the duration.
Someone diagnosed with a schizoaffective disorder may be prescribed the following:
- Antipsychotics
- The only medication approved by the FDA is paliperidone (Invega). However, doctors may prescribe other antipsychotic drugs to help manage psychotic symptoms
- Mood-stabilizing medications
- Antidepressants
These therapeutic techniques help people schizoaffective disorder manage their symptoms:
- Individual therapy
- Family therapy
- Group therapy
- Skills training
Catatonia is a state in which three or more of the following are present:
- Catalepsy - muscular rigidity and immobility
- Waxy flexibility - slow/stiff movement
- Mutism
- Negativism - deep sadness/ limited range of emotions
- Posturing - imitating people’s posture
- Mannerism
- Stereotypy - repetition
- Agitation
- Grimacing
- Echololia (phrasia)- repeating what someone says
- Echopraxia - repeating a person’s actions
Catatonia is commonly treated by these medications:
- Benzodiazepines (primary)
- Lorazepam (Ativan)
- Clonazepam (Klonopin and Rivotril)
- Diazepam (Valium)
- Zolpidem (Ambien)
- Mood stabilizers
- Antipsychotics
Delusional Disorder is measured by the following tool:
Simple Delusional Syndrome Scale (SDSS)
