WK5: SzAffective and other thought disorders

Question 1

Schizoaffective disorder: diagnostic criteria

Answer 1

lifelong course of mood disorder

In the DSM-5, the diagnosis of SA disorder can only be made if full Mood Disorder episoes have been present for the majority of the total active and residual course of illness, from the onset of psychotic syms up until the current dx

Question 2

Schizoaffective Disorder: epidemiology

Answer 2

less than 1% prevalence

high risk for suicide

onset in early adulthood

more likely in women

more likely in whites

increased risk in relatives (possible maternal familial association)

possible association with substance abuse

Question 3

SA disorder: Txs

Answer 3

Pharmacologic (atypical antipaychotics), mood stabilizers

ECT for refractory sympts

psychotherapy

social services

Question 4

SA disorder: Nursing mgmt

Answer 4

Assessment (careful History) review of systems and med use

Nursing Dx - disturbed thought process, disturbed sensory perception, insomnia

Question 5

Whats the difference between szh and SA disorder?

Answer 5

person isn’t just having delusions and hallucinations; they also have a mood disorder (depression or mania)

Question 6

Delusional Disorder

Answer 6

nonbizarre, logical, stable, well-systematized delusions that occur in the absence of other psychiatric dosrders

Delusions: fixed false beliefs

Nonbizarre delusions: plausible but still fixed false beliefs

Ex: pt is convinced they are abeing cheated on w/o any evidence or reason for thinking this

Question 7

Delusional Disorder Subtypes

Answer 7

erotomanic delusions

grandiose delusions

jealous, somatic, mixed, unspecified, persecitory (most common type)

Question 8

schizophreniform

Answer 8

features of schizophrenia but lasting less than 6 months

Question 9

shared psychotic disorder

Answer 9

two people believe and share one of the person’s delusional beliefs