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20 Cards in this Set
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- Back
- 3rd side (hint)
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psychosis
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loss of contact w/ reality
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symptoms o fpsychosis
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hallucinations: false sensory beliefs
delusions: false beliefs |
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symptoms of schizophrenia
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+ symptoms: bizzare additions to behavior (pathological excesses)
-symptoms: pathalogical deficits disorganized symptoms: pattern of behavior is inconsistent/irratic |
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postive symptoms of schizophrenia
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delusions: psychotic-level hallucinations
hallucinations delusion of persecution: believes being plotted/discriminated against delusions of reference: special mean to actions of others or to various objects/events rleated to the person personally |
delusions:
hallucinations types of delusions |
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negative symptoms of schizophrenia
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avolition: a motivation/disinterest in activities, not goal oriented
alogia: reduction in speech/speech content (many patients quite/content unclear) anhedonia: inability to feel pleasure Affective flattening: expression of mood flat, seeming depressed, tec. Social withdrawl: not interested in social contact n general |
avolition
alogia Affective flattening Social withdrawl |
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disorganized symptoms of schizophrenia
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disorganized speech: loos associations-rapidly shifts form 1 topc to another and loosely associated
clang/rhym: use rhyme almost exclusively neologisms: made up words w/ only meaning for them inappropriate affect: emotions unsuited to situation catatonic immobility : freezes in stature, waxy flexibility |
disorganized speech: loos association
clang/rhym neologisms inappropriate affect catatonic immobility |
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what is the course of schizophrenia?
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onset: late teens, mid -30s
3 phases: prodromal: prior to full psychotic break, psychotic symptoms not yet obvious active: psychosis becomes apparent Residual: patient returns to prodromal-like level of functioning 1/100 experience schizophrenia |
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better prognonis for who?
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higher premorbid functioning
disorder was triggered by stress w/ rapid onset-earlier psychosis=worse (stronger bio underpinning) w/ later onset: later see psychosis=better |
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other psychotic disorders
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brief psychotic disorder; symptoms present 1 month/less
schizophreniform disorder: 1-6 months schizophrenia: symptoms 6+ months schizoaffective disorder: symptoms of schizophrenia and mood disorder all have symptoms of schizophrenic disorder |
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DSM IV subtypes of schizophrenia
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disorganized: disorganized speech/behavior, confusion, incoherence, flat/inapp affect
catatonic: psychomotor disturbance paranoid: organized system of delusions and auditory hallucinations undifferentiated: symptoms fit no subtype residual: symptoms which have lessened in strength and number |
disorganized
catatonic paranoid undifferentiated: residual: |
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types of schizoaffective disorder
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bipolar
depressive |
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Type I schizophrenia
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dominated by + symptoms
better adj prior to onset later onset of symptoms symptoms tied to biochem abnormalities + symptoms (dopamine) and meds target these, thus easier to take away + symptoms |
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Type II schizophrenia
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dominated by - symptoms
pooer adj prio to onset earlier onset of symptoms less + outcome symptoms tied to structural abnormalities -enlarged ventricals, smaller frontal lobe (minimally treated by meds) |
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biological views on schizophrenia
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genetic predisposition: diathesis stress
biochem abnormalities: too much dopamine abnormal brain structure: enlarged ventricles (symptoms of type II) -smaller temporal/frontal lobes, and abnormal blood flow to certain brain areas viral probs brain abnormalities result fom exposure to viruses before birth (2nd trimester) |
genetic predisposition
biochem abnormalities abnormal brain structure viral probs |
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reasons against dopamine hypothesis
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1. some people not helped by anti-psychotics
2. dopamine hypothesis not full explaination b/c antipsychotic meds only partially treat - symptoms |
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psychodynamic views on schizophrenia
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schizophrenogenic mother=not true!
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sociocultural views on schizophrenia
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linked to family stress:
high expressed emotion= increased risk of relapse (double blind communication harmful) treatment: make sure family does not express such high levels of emotion |
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antipsychotic meds for schizophrenia
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"conventional": phenothiazines (thorazine)
"Atypical" clozaril, risperdal, zyprexa....block dopamine, but work on diff dopamine receptors |
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unwanted effects of conventional antipsychotic drugs
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muscle tremor/rigidity
bizarre movements of face, neck tongue, back akathisia (great restlessnes, agistation, discomfort in limbs) tardive dyskinesia: involuntary movements, usually of the mouth, lips, tongue, legs or body (can be irreversible) |
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psychotherapy
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family therapy: decrease expressed emotion and double blind communication)
case management: get basic needs met CBT: reality testing, talk therapy (help them to see what is reality/what is not) |
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