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13 Cards in this Set
- Front
- Back
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Schizophrenia
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Alts in emotions/thoughts/perceptions/consciouness; 1%, 20/30s
BRAIN disorder |
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DSM-IV Subtypes of SCHIZ
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1) Paranoid = delusion/aud halls
2) Disorganized = speech/behav, inapp/flat affect 3) Catatonic = motor immob/ purposeless > motor/ extreme -/ mutism/ echolalia/ peculia volunt mvt (ECHOLALIA) 4) Undifferentiated = don't fit above but meet SCHIZ symps 5) Residual = No/little +, - symps |
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Bio factors?
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- Genetics, ID twins
- multi genes - > ventricles = < brain tissue - multi brain regions, esp. < FRONTAL/TEMPORAL - Neurotransmit abnorm = > DOPAMINE (use drugs to block <) - Abnorm glial cell |
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+ vs. -
Symptons |
+ Delusions/hallucinations
+ Antipsycho meds help (neuroTRANSMIT dysfunc) - Apathy/lack of emotion/ slowed speech + mvt - NO Antipsycho meds (NeuroANATOM) |
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Envrio factors?
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-Urban (2X) = stress
- "SchizoVIRUS" (city closeness spread >) - Prenatal (2nd trimester pregnancy = fetal brain dev, contract flu/virus) + late split/opphand twins means same placenta w/ virus |
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Delusion vs. Hallucination
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Delusion = False personal belieft on incorrect inferences about reality
Hall = False sensory percep w/out ext source, usu. audio (unable to diff inner speech from ext sounds) |
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Delusion (CRIPGG)
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C ontrol (by ext forces)
R eference (believe specific thing signific to them) I dentity *P ersecution *G randeur G uilt (commit sin) |
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Loosening of Associations
Clang Assocations Echolalia |
speech pattern, thoughts disorg/no meaning
Stringing rhyme words together Repeat back words/parrot |
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Treatment? 1 Best. (Think 3)
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PHARMA
Best = MED + SOCIAL SKILLS + FAMILY THERAPY X = Brain surgery/"LOBOTOMY" of prefrontrol cortex |
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Pharma Treatment?
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*CLOZAPINE = multi neuroT not just dopamine, +/- symps!, < SEs (no Parkinson's/Tardive Dyskinesia) but SERIOUS/$ (fatal WBC <, heart arrhythm, wght gain, seizure)
**2nd gen anti-psychotics "risperidol/olanzapine" > "clozapine" (no WBC <) >>>> Chlorpromazine/haloperidol (1st, only + symps, sedates, motor dys Park's/TARDIVE DYSKINESIA) |
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Psycho-social/CBT Treatment?
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Social skill training
Self-care/Behav skills CBT < + symps better? |
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Tardive Dyskinesia
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Involuntary/Irrevers mvts of lips, tongue, face, legs...
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Good Prognosis is?
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Treat early/aggressive
Older age Women Developing country |
