Schizophrenia Spectrum and other Disorders Lecture Powerpoint

Question 1

Psychosis definition

Answer 1

Severe disruption of thought, perception, and behavior resulting in loss of reality caused by conditions, sleep deprivation, abuse of alcohol or other drugs

Question 2

Key features of psychotic disorders (5)

Answer 2

• delusions
• hallucinations
• disordered thinking/speech
• grossly disorganized or abnormal motor behavior
• negative symptoms

Question 3

Bizarre and non bizarre delusions

Answer 3

Bizarre are completely not based in reality, nonbizarre could be conceivable but are likely not true (could be validated or disproven by family member)

Question 4

Most common delusion type in psychosis

Answer 4

Persecutory - that one is going to be harmed/harassed by an individual, organization, or other group

Question 5

Most common hallucination type in schizophrenia

Answer 5

Auditory

Question 6

Referential delusions

Answer 6

A common delusion type in psychosis characterized by certain gestures, comments, environmental cues directed at oneself

Question 7

Hallucinations

Answer 7

Perception like experiences that occur without external stimulus, are vivid and clear but not under voluntary control

Question 8

Disorganized thinking

Answer 8

Inferred from individuals speech where they switch from one topic to another through derailment or loose associations

Question 9

Grossly disorganized or abnormal motor beavior (including catatonia)

Answer 9

Manifestation ranging from sdf

Question 10

Negative symptoms

Answer 10

Account for substantial portion of morbidity associated with schizophrenia but are less common with other psychotic disorders, include diminished emotional expression and avolution (decrease in motivated self initiated purposeful activities)

Question 11

Schizophrenia definition

Answer 11

Chronic recurrent psychosis associated with impairments in social and occupational functioning for at least 6 months**, strongly associated with both genetic factors and environmental ones, much higher suicide rate than general population

Question 12

Schizophrenia pathophysiology

Answer 12

Overactive dopaminergic and serotonin pathways that lead to psychosis

Question 13

Schizophrenia positive symptoms (4)

Answer 13

• Fixed false delusions either bizarre or nonbizarre
• hallucinations (auditory hallucinations most common)
• disorganization of behaviors and thoughts interpreted from speech
• cognitive impairment early on

Question 14

Cotard’s delusion

Answer 14

Delusional belief that one is already dead, does not exist, or have lost their blood and internal organs

Question 15

Schizophrenia associated physical manifestations

Answer 15

• neurological
• catatonia
• metabolic disturbances

Question 16

Catatonic

Answer 16

A state of immobility and stupor from abnormality of movement and behavior arising from disturbed mental state

Question 17

Schizophrenia first rank symptoms (4)

Answer 17

• audible thoughts
• somatic passivity (feeling of being touched or unusual sensation)
• thought insertion (feeling external force putting thoughts in mind)
• voices arguing about the patient

Question 18

Schizophrenia labs (5)

Answer 18

• Chemistry panel for electrolytes
• hormone levels
• urinalysis
• tox screen
• lumbar puncture

Question 19

Treatment principle for psychosis

Answer 19

Earlier they get treatment the better the outcome, start slow, go slow, be patient, adjust dose

Question 20

Tardive dyskinesias

Answer 20

Side effect of antipsychotic medications or some psychotic states characterized by involuntary movements of tongue, face, lips, etc with repeated jerking movements that can become irreversible if not carefully treated

Question 21

Schizophrenia treatment (1)

Answer 21

-antipsychotic drugs

Question 22

Schizophrenia recovery

Answer 22

Only 20% achieve complete recovery, many reach no more than mild psychotic symptoms

Question 23

Remission

Answer 23

State of which individual has no symptoms, or minimal symptoms that do not interfere with behavior for a period of at least 6 months

Question 24

Schizophreniform vs schizophrenia

Answer 24

Schizophreniform is the same criteria met but has not lasted for more than 6 months

Question 25

Schizoaffective disorder vs schizophrenia

Answer 25

Schizoaffective disorder is the same criteria met but has a prominent mood component that occurs in the absence of a mood episode

Question 26

Delusional disorder

Answer 26

Presence of 1 or more delusions for a month or longer, but absent hallucinations or other marked mood symptoms

Question 27

Brief psychotic disorder

Answer 27

Presence of one or more psychotic symptoms with sudden onset and full remission within one month

Question 28

Example of brief psychotic disorder

Answer 28

Post partum psychoses