Schizophrenia (wk 6)

Question 1

What is Psychosis?

Answer 1

• Loss of reality testing

* Misinterpretation and misapprehension of reality

Question 2

What is Schizophrenia?

Answer 2

a flat affect and speech that is difficult to follow - some may have paranoid delusions and others may not.

Question 3

Epidemiology (incidence) of schizophrenia

Answer 3

• prevalence is about 1%

- Peak onset: males 15-25 years, females 25-35 years

Question 4

Positive Symptoms:

Answer 4

• Hallucinations
• Delusions
• Disorganised thinking & behaviour

Question 5

Cognitive Symptoms?

Answer 5

• Problems w/ work memory
• Attention
• Executive functioning (ability to organise)
• 50% report depression

Question 6

Diagnosis of Schizophrenia?

Answer 6

must have 2/5 symptoms for at least one month:
1/2 symptoms must be delusions, hallucinations, or disorganized speech.
1. Delusions
2.Hallucinations
3. Disorganized Speech-
4. Disorganized/Catatonic behavior
5. Negative symptoms

Question 7

Phases of a psychotic episode?

Answer 7

Phase 1: Prodrome
Phase 2: Acute
Phase 3: Recovery / Residual

Question 8

What is the prodromal phase in Schizophrenia?

Answer 8

• Poor concentration
• Vague thinking
• Depression &/or anxiety
• Delusional mood
• Social withdrawal
• Symptoms develop over months/years

Question 9

What medications are available to treat Schizophrenia?

Answer 9

• Antipsychotic medications diminish the positive symptoms of schizophrenia and prevent relapses.
• Clozapine is the most effective medication but is not recommended as first-line therapy.

Question 10

Negative Symptoms?

Answer 10

• Limited emotional expression
• Social Withdrawal
• A-motivation
• Lack of interest

Question 11

Risk of Suicide in people suffering from Schizophrenia?

Answer 11

• 40% report suicidal thoughts
• 20 - 40% attempt suicide
• 4.9% of individuals with schizophrenia die by suicide

Question 12

Why is early intervention important?

Answer 12

• ↓ recurrence of psychosis
• control symptoms
• prevent long-term disability
• psychoeducation
• cognitive psychological interventions

Question 13

What does EPPIC stand for?

Answer 13

Early Psychosis and Intervention Centre Model

Question 14

What are the three core functions of the EPPIC

Answer 14

• Early Detection
• Acute Care during and following a crisis
• Recovery focused interventions during the first 2-5 yrs

Question 15

What 4 things do consumers value about early intervention?

Answer 15

• a strong and effective therapeutic relationship
• medication
• psychological therapies
• practical help and support

Question 16

What impact does Schizophrenia have on occupational performance?

Answer 16

• Cognition
• Executive functioning
• Negative symptoms - difficult to initiate domestic & community ADLs, loss of volition, energy, enjoyment and satisfaction
• Positive symptoms – create anxiety, depression, unusual experiences or beliefs

Question 17

What is the role of the OT in the treatment of a Schizophrenic patient?

Answer 17

• OT assessments
• individual & group interventions
• vocational rehab
• shopping
• budgeting & money management
• social skills