Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
24 Cards in this Set
- Front
- Back
Diagnostic Criteria (DSM-IV) for Schizophrenia/Psychotic Disorder
|
2 or more of the following;
-Delusions -Hallucinations -Disorganized speech / incoherence -Disorganized / catatonic behavior -Negative symptoms Social / occupational dysfunction* Duration > 6 months PDD hall/del > 1 month Other mental d/o excluded Substance / medical conditions excluded |
|
Positive symptoms
|
del / hall / disorg speech / behavior
what schizophrenics have that normals don't |
|
Negative symptoms
|
flat affect / anergia / withdrawal / anhedonia
What normals have that schizophrenics don't |
|
most common type of sensory schizophrenic hallucination
|
auditory
|
|
***HISTORICAL
Bleuler’s 4 A’s of SZFN |
Autism
Ambivalence Affect (flattened) A-volition |
|
HISTORICAL
Kraepelin distinguishing bipolar from early SCN(dementia praecox) Dementia is: |
remitting,
Non-cognitive impairment Late onset (4th decade) Good vocational / social outcome |
|
HISTORICAL
Kraepelin distinguishing bipolar from early SCN(dementia praecox) Dementia praecox: |
Early onset (2nd 3rd decade)
Cognitive impairment, permanent Poor out-come |
|
Bleuler suggested Schizophrenia more appropirate name
|
splitting of thought and affect prominent
|
|
***Kurt Schneider
First rank symptoms (pathognomonic) |
Thought diffusion
Thought insertion Voices arguing / commenting No longer considered specific to SCP |
|
SCN Sub-types
|
Paranoid – highest fxning
Undifferentiated – most common Disorganized Residual catatonic |
|
SCN percent of pop.
|
1%
|
|
mean onset for males & females
|
males 25/females 30
|
|
SES
|
lower
|
|
parents w/ SCN
|
10%
|
|
MZ twin studies
|
46%
|
|
Schizo-affective d/o
|
major depression or manic/depression signs and symptoms with superimposed SCN signs and symptoms
delusions and hallucinations for more than 2 weeks mood disorder is prevolent |
|
Delusional d/o
|
Non-bizarre delusions
Functioning spared Types -Erotomanic -Grandiose -Jealous -Persecutory -Somatic -mixed |
|
Brief Psychotic d/o
|
Same as SCP but < 1 month duration
|
|
Schizophreniform
|
Same as SCP but duration less (1 – 6 months)
Functioning preserved Absence of blunted / flat affect Good premorbid social and occupational funct. |
|
Side Effects: Clozaril (Clozapine)
|
WBC, Sz, Hypr Sal
|
|
Zyprexa (Olanzapine)
|
sedation / DM/wt gain
|
|
Risperdal (Risperdone)
|
inc prolac / galactorrhea
|
|
Seroquel (Quetiapine)
|
cataract
|
|
Clozapine is excellent drug because
|
little or no EPS side effects
|