Flashcards in Psychotic Disorders - Hill Deck (12):
How to diagnose schizophrenia?
2+ of the following (w/ 1 from the first 3)
- Hallucinations (auditory often)
- Disorganized speech
- Disorganized or catatonic behavior
- Negative symptoms (affect flattening, avolition, anhedonia, asociality, alogia)
Avolition = no motivation to perform normal life activities
Anhedonia = no pleasure or motivation from hobbies/music/etc.
Asociality = lack of motivation to engage socially
Alogia = poor speech
- Schizophreniform disorder
- Schizoaffective disorder
- Delusional disorder
Schizophrenia = 6+ months
Schizophreniform = 1-6 months
Schizoaffective = 2+ weeks of hallucinations or delusions WITHOUT major mood episode (depression or mania), plus other periods of major mood episode w/ schizophrenic symptoms
Delusional disorder = 1 or 2 fixed delusions for >1 month, normal functioning otherwise
Patient w/ schizophrenia symptoms. Things to rule out w/ labs/imaging/EEG/etc.
Explain types of catatonia in schizophrenia
Catatonic stupor - immobile for long period of time
Catatonic excitement - hypermetabolic, manic state
Catatonic posturing - assume strange positions and hold them for long period of time
Positive symptoms in schizophrenia (4)
Negative symptoms in schizophrenia (6)
Delusions, hallucinations, catatonia, agitation
Flattening, apathy, withdrawal, anhedonia, poor thought, poor speech content
Treatment for schizophrenic being violent in the ED, etc
Haloperidol, Lorazepam + restraint
Leading cause of death in schizophrenia
Explain schizoaffective episode
Uninterrupted period of delusions/hallucinations WITH a depressive or manic episode, before or after a 2+ week period of delusions or hallucinations WITHOUT any mood symptoms.
Brief psychotic disorder
1 day to 1 month -- 1+ positive schizophrenic symptoms, followed by return to normal level of functioning. MAY be postpartum, may not be.
Better prognostic indicators in schizophrenia
Positive symptoms, concurrent mood disorder