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23 Cards in this Set
- Front
- Back
a severe mental illness characterized by a disturbance in affect, thinking, language, perceptions and behavior resulting in severe deterioration in social & occupational functioning
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schizophrenia
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when do symptoms typically surface for the first time
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late adolescence to early adulthood
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term that applies to people that don't like to be around other people, high school student not getting along with peers
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premorbid personality
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what is the cause of schizophrenia
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no one cause -- many factors and usually a combination of them
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biochemical cause for schizophrenia
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dopamine excess
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biological cause for schizophrenia
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genetic/familial vulnerability
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physiological cause for schizophrenia
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big ventricles & viral infections have been linked
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environmental cause for schizophrenia
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stress is thought to allow illness to emerge in someone who’s already vulnerable; going off to college for first time
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sociocultural cause for schizophrenia
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lower economic status is increased. They tend to have increased stressors which make them more vulnerable
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4 A's of schizophrenia - hallmark signs
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Autism
Ambivalence Affect disturbance Associations loose |
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autistic signs that point towards schizophrenia
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inwardly focused, withdrawn into own world
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ambivalence signs that point towards schizophrenia
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difficulty making choices, emotionally & relationships – they want to be social and connected but they are fearful at same time
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affect disturbance signs that point towards schizophrenia
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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.
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associations loose signs that point towards schizophrenia
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thoughts aren’t always connected. Hard to get thoughts sequenced, disorganized thinking so what they say is disorganized
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positive symptoms of schizophrenia
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hallucinations
delusions disorganized thinking/speech disorganized behavior |
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negative symptoms of schizophrenia
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disturbed affect
diminished emotional responses poverty of speech avolition/apathy anhedonia/social isolation |
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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
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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
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brief psychotic disorder
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initial diagnosis of schizophrenia less than 6 mo
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schizophreniform disorder
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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.
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delusional disorder
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“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.
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shared psychotic disorder
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Psychotic disorder due to a medical condition
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brain tumor or other medical conditions.
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cocaine, PCP and stimulant induced. Return to premorbid condition after stopping substance
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substance-induced psychotic disorder
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