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Schizophernia > Treatments > Flashcards

Treatments Flashcards

1
Q

What are the two different therapies for SZ?

A

CBT
Family therapy

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2
Q

What is used in drug therapy?

A

antipsychotics

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3
Q

What are the two types of antipsychotic drugs?

A

typical antipsychotic
atypical antipsychotic

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4
Q

Which antipsychotic is first generation?

A

Typical

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5
Q

Which antipsychotic is second generation?

A

atypical

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6
Q

What happens if typical antipsychotics don’t clear up symptoms?

A

Move into atypical antipsychotics

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7
Q

Example of typical antipsychotics?

A

Chlorpromazine

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8
Q

What is Chlorpromazine?

A

a dopamine antagonist

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9
Q

What does dopamine antagonist mean?

A

Reduce levels of dopamine activity within the brain

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10
Q

How does chlorpromazine work?

A

Binding to the D2 receptors on the post synaptic neuron

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11
Q

What does a reduction of dopamine mean for SZ symptoms?

A

Reduce positive symptoms (hallucinations)

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12
Q

What is chlorpromazine also used as?

A

A sedative

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13
Q

Example of atypical antipsychotics?

A

Clozapine

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14
Q

What is clozapine?

A

Dopamine antagonist
Serotonin agonist

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15
Q

What does serotonin agonist mean?

A

Increase levels of serotonin in the brain

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16
Q

How does Clozapine work?

A

binds to D2 dopamine receptor sites on the post synaptic neuron
Act as agonist upon serotonin receptor sites (2A and 2C)

17
Q

What does an increase of seretonin mean for SZ symptoms?

A

Reduces negative symptoms such as reducing low mood and avolition

18
Q

Difference between atypical and typical antipsychotics?

A

Atypical psychotics can be used to treat both positive and negative symptoms WHEREAS typical only treats positive symptoms

19
Q

Why are typical antipsychotics used first?

A

Atypical antipsychotics are associated with a life threatening illness

20
Q

What illness are atypical antipsychotics associated with?

A

Agranulocytosis

21
Q

What is agranulocytosis?

A

Blood condition where there are low levels of white blood cells

22
Q

What is bad about low levels of white blood cells

A

limits an individuals ability to fight disease and illness

23
Q

Aim of CBT with sz?

A

Help patients identify irrational/delusional thoughts, change them to more rational ones

24
Q

What happens once the irrational thought has been identified in CBT?

A

The psychiatrist would challenge the patients irrational thoughts in order to encourage patients to come up with more plausible explanation

25
Q

Therapists use ? disputing in CBT

A

Empirical

26
Q

What does empirical disputing help patients understand?

A

The delusions/hallucinations are not real

27
Q

What does offering a more plausible explanation for symptoms reduce and help?

A

Reduces anxiety/distress
helps realise beliefs are not based in reality, makes thoughts less threatening

28
Q

What are the 3 techniques used in CBT?

A

Empirical disputing
Positive self talk
Self distraction techniques

29
Q

How is positive self talk used in CBT?

A

If an individual hears negative voices, they can say more positive statements to challenge the auditory hallucinations

30
Q

Example of a self distraction strategy?

A

Listening to music to drown out voices

31
Q

What are the two treatments for SZ?

A

Drug therapy
Psychological therapies

32
Q

What idea is family therapy based on?

A

Family dysfunction can play a role in the development of SZ

33
Q

How does family therapy work?

A

By reducing expressed emotion and stress levels within the family

34
Q

One main aim of family therapy is to “improve the families ? about and ? towards SZ”

A

Beliefs
Behaviour

35
Q

One main aim of family therapy is to “reduce the ? of ? for a relative with SZ”

A

Stress
Caring

36
Q

One main aim of family therapy is to “decrease feelings of ? and ? in family members”

A

guilt
anger

37
Q

One main aim of family therapy is “helping family members achieve ? between caring for individual and ?”

A

balance
maintaining their own lives

38
Q

How long does family therapy often last?

A

9 months to 1 year

39
Q

What are patients and family members encouraged to do in family therapy?

A

Open and talk about symptoms, behaviour and progress

Schizophernia (6 decks)

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