Sz Flashcards
DSM-5 symptoms
- delusions
- hallucinations
- disorganised speech
- grossly disorganised behaviour
- negative symptoms
- diagnosis involves the presence of symptoms, but also impairment of social or occupational functioning
Criterion A
- delusions
- hallucinations
- disorganised speech
- grossly disorganised behaviour
- catatonic behaviour
Delusions
Persecutory Referential Somatic Religious Grandiose
Hallucinations
Auditory Visual Alfactory Gustatory Tactile
Grossly disorganised behaviour
Childlike silliness, unpredictable agitation
- difficulties with daily tasks or routines
- dishevelled or unusual appearance
- inappropriate behaviour
Disorganised speech
- derailment
- tangentiality
- word salad
Catatonic behaviour
Catatonic stupor
Catatonic rigidity
Catatonic posturing
Catatonic excitement
Criterion B
Affective flattening
Alogia
Avolition
Affective flattening
Lack of facial expression
Poor eye contact
Reduced body language
Alogia
Restrictions in the fluency and productivity of thought and speech
Is criterion A pos or neg
Positive
What are the two phases?
- Prodromal
2. Residual
What is prodromal phase?
- occurs prior to the onset of the main symptoms
- some mild or subtle signs of the disorder
Residual phase
- occurs after the active symptom phase
- mild symptoms
What groups are more vulnerable?
Second generation African Caribbean living in the UK
- urban born individuals
Prodromal phase?
- slow and gradual development of a variety of symptoms
Active symptoms?
Manifestation of active positive and negative symptoms for more than 6 month
Residual phase
- the course is variable with exacerbations and remissions
- for others, the course is chronic and they remain ill most of the time
Relapse?
For most people negative symptoms remain even in the absence of positive symptoms
Mason et al (1995)
13 year follow up:
- 17% full recovery
- 52% symptom free for last 2 years
- 55% showing fair good level of functioning
Diagnosis
Presence of symptoms but also impairment of social or occupational functioning
