Psychotic Disorders

Question 1

Typical onset of schizophrenia in men

Answer 1

18-25 years old

Question 2

What are the risk factors for schizophrenia?

Answer 2

• living in a densely populated urban city
• born in late winter and spring
• genetics
• single/divorced/separated

Question 3

Describe the onset of schizophrenia

Answer 3

Usually gradual in nature with an active phase- “first psychotic break”

Question 4

What are the positive signs of schizophrenia?

Answer 4

psychotic symptoms: delusions, hallucinations, disorganized speech

Question 5

What are the negative signs of schizophrenia?

Answer 5

represent deficits in normal function: no outward reaction to stimuli, lack of motivation, decrease in production, inability to experience pleasure

Question 6

T/F: schizophrenia can cause neurologic dysfunction: memory loss, inability to recall memories

Answer 6

True

Question 7

What is the cardinal feature of schizophrenia?

Answer 7

lack of insight that symptoms and difficulties that stem from them are products of a mental illness that requires treatment

Question 8

To diagnosis schizophrenia the patient must have two or more of what of the following? How long must the symptoms persist?

Answer 8

1. delusions
2. hallucinations
3. disorganized speech
4. grossly disorganized or catatonic behavior
5. negative symptoms (flat affect)
   Symptoms must exist for at least 6 months, with at least one month of symptoms that meet the above criteria

Question 9

What is indicative of a good prognosis in schizophrenia?

Answer 9

• onset older than 20
• stable occupational record
• acute onset

Question 10

Suicide risk of those with schizophrenia

Answer 10

10-13% completion

18-55% for attempted

Question 11

What comorbid condition is MOST likely to exist in a schizophrenic patient?

Answer 11

smoking! 70-80% will smoke

Question 12

Life expectancy of a schizophrenic patient?

Answer 12

20% lower than the average population

Question 13

Psychotic symptoms that occur after a significant external stressor for one month or less and the resolve completely

Answer 13

brief reactive psychosis

Question 14

Tx for brief reactive psychosis

Answer 14

improving coping skills because this can be instigated by lack of them

Question 15

a serious mental illness that has features of two different conditions: schizophrenia and an affective (mood) disorder that may be diagnosed as either depression or bipolar disorder

Answer 15

schizoaffective disorder

Question 16

A rapid onset of acute psychosis that may precede the development of schizophrenia

Answer 16

schizophreniform disorder

Question 17

what is most important about the treatment of schizophreniform disorder?

Answer 17

rapid treatment and social reintegration otherwise pt will deteriorate if symptoms last > 6 months