Psychotic Disorders - Hill Flashcards Preview

Psych > Psychotic Disorders - Hill > Flashcards

Flashcards in Psychotic Disorders - Hill Deck (12):
1

How to diagnose schizophrenia?

2+ of the following (w/ 1 from the first 3)
- Delusions
- Hallucinations (auditory often)
- Disorganized speech
- Disorganized or catatonic behavior
- Negative symptoms (affect flattening, avolition, anhedonia, asociality, alogia)

2

Define...
- 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

3

Distinguish:
- Schizophrenia
- 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

4

Patient w/ schizophrenia symptoms. Things to rule out w/ labs/imaging/EEG/etc.

DRUG USE
Seizure disorder
Metabolic disorder
Thyroid disorder
Brain tumor
Neurosyphilis

5

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

6

Positive symptoms in schizophrenia (4)

Negative symptoms in schizophrenia (6)

Delusions, hallucinations, catatonia, agitation

Flattening, apathy, withdrawal, anhedonia, poor thought, poor speech content

7

Treatment for schizophrenic being violent in the ED, etc

Haloperidol, Lorazepam + restraint

8

Leading cause of death in schizophrenia

Prevention?

Suicide

Clozapine

9

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.

10

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.

11

Better prognostic indicators in schizophrenia

Positive symptoms, concurrent mood disorder

12

Worse prognostic indicators in schizophrenia

Negative symptoms, poor cognitive performance, poor support system, younger onset, poor premorbid functioning, slow onset