Week Five: Schizophrenia Flashcards
What is schizophrenia?
A syndrome or disease process of the brain that causes distorted and bizarre thoughts, perceptions, emotions, movements, and behaviours
most disruptive and disabling of the mental disorders
What is the peak incidence of onset for men and women who have schizophrenia?
men: 15-25 years
women: 25-35 years
What are the two classifications of symptoms for schizophrenia?
- positive or hard
- Negative or soft
What is the classification positive or hard of schizophrenia consist of?
hallucinations, flight of ideas, delusions, ideas of reference(false impressions), preservation, bizarre behaviour
What is the classification negative or soft of schizophrenia consist of?
alogia (limited speech), apathy (suppression of emotions), sociality, blunt or flat effect, catatonia, avolition (lack of motivation, inattention
When does the DSM-5 diagnosis occur with pt with schizophrenia?
when the pt has two+ symptoms for 1 months. These symptoms include:
- delusions, hallucinations, disorganized speech, grossly disorganized or catatonia behaviour, and/ or negative symptoms
What is a schizoaffective disorder?
mixture of psychotic and mood disorder
- signs and symptoms of both schizophrenia and a mood disorder
What is the immediate course of action after a pt is diagnosed with schizoaffective?
clinical pattern one
- ongoing psychosis
- never a full recovery despite shift in symptom severity
clinical pattern two
- episodes of psychotic symptoms alternating with episodes of complete recovery from psychosis
How do you treat someone with schizoaffective?
NO CURE
- antipsychotics play a huge rule in the disease process and individual outcomes
- longer periods of uncontrolled psychosis leads to poorer long term outcomes
What is schizophreniform disorder?
symptoms of schizophrenia are experienced for less than 6 months required for a diagnosis of schizophrenia
What is catatonia?
marked psychomotor disturbance, excessive or virtually immobile
What is a delusion disorder?
one or more non bizarre delusions (focus on the delusion is believable) psychosocial functioning not darkly impaired and behaviour is not bizarre
What is brief psychotic disorder?
one psychotic episode with symptoms lasting 1 day to 1 month; may or may not have identifiable stressor (ie childbirth)
What is shared psychotic disorder?
similar delusion shared by two people, one of whom has psychotic delusions most commonly siblings or parent and child
What is schizotypical personality?
odd eccentric behaviours, transient psychotic behaviour