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23 Cards in this Set

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a severe mental illness characterized by a disturbance in affect, thinking, language, perceptions and behavior resulting in severe deterioration in social & occupational functioning
schizophrenia
when do symptoms typically surface for the first time
late adolescence to early adulthood
term that applies to people that don't like to be around other people, high school student not getting along with peers
premorbid personality
what is the cause of schizophrenia
no one cause -- many factors and usually a combination of them
biochemical cause for schizophrenia
dopamine excess
biological cause for schizophrenia
genetic/familial vulnerability
physiological cause for schizophrenia
big ventricles & viral infections have been linked
environmental cause for schizophrenia
stress is thought to allow illness to emerge in someone who’s already vulnerable; going off to college for first time
sociocultural cause for schizophrenia
lower economic status is increased. They tend to have increased stressors which make them more vulnerable
4 A's of schizophrenia - hallmark signs
Autism
Ambivalence
Affect disturbance
Associations loose
autistic signs that point towards schizophrenia
inwardly focused, withdrawn into own world
ambivalence signs that point towards schizophrenia
difficulty making choices, emotionally & relationships – they want to be social and connected but they are fearful at same time
affect disturbance signs that point towards schizophrenia
can be flat, blunted (same) or inappropriate – not congruent with what they are talking about. The role of their affect is their defense to protect them from real emotional impact of what they are going through.
associations loose signs that point towards schizophrenia
thoughts aren’t always connected. Hard to get thoughts sequenced, disorganized thinking so what they say is disorganized
positive symptoms of schizophrenia
hallucinations
delusions
disorganized thinking/speech
disorganized behavior
negative symptoms of schizophrenia
disturbed affect
diminished emotional responses
poverty of speech
avolition/apathy
anhedonia/social isolation
Symptoms of schizophrenia and affective component (diagnosable mood disorder) typically depression. Mood lability (mood up & down). Will need dual treatments.
Can be hospitalized for one component but not the other.
schizoaffective disorder
psychotic break that’s brief, few hours up to a month, many times a overwhelming catastrophic event in their eyes, that causes it, usually will return to pre-morbid functioning
brief psychotic disorder
initial diagnosis of schizophrenia less than 6 mo
schizophreniform disorder
prominent symptoms are 1 or more bizarre delusions. Can have hallucinations but not prominent. Fixed delusion – despite treatment/medication, generally benign, can usually live w/delusions. Can be jealousy – mistrustful of people (partner cheating on them) – lots of projections. Erotic delusions - May believe a famous person is in love with them. Somatic delusions that they have a physical problem.
delusional disorder
“folie-a deux”, dominant not well person with more dominant personality. Second person doesn’t have a strong personality. 2 separate people, one with strong personality and one with weak personality. Couples, friends that are isolated. Strong person imposes delusion on weaker one.
shared psychotic disorder
Psychotic disorder due to a medical condition
brain tumor or other medical conditions.
cocaine, PCP and stimulant induced. Return to premorbid condition after stopping substance
substance-induced psychotic disorder