when does schizophrenia begin to manifest?
adolescence and gets progressively worse
what does the word schizophrenia mean?
split mind, implies a split in thought, emotion, behavior
what are the four A’s of schizophrenia?
- Associations (loose)
- affective disturbances
- Autism
- Ambivalence
what is the race/gender distribution of schizophrenia?
same among all
when do women tend to present with schizophrenia?
25-35 yo (tend to have better outcome)
when do men tend to present with schizophrenia?
teens to age 25
what causes death in most schizophrenic pts?
accidents and natural causes
what neurotransmitter is thought to be in oversupply in schizophrenic pts?
dopamine
also have structural brain changes
what is disorganized type?
incoherent speech, hallucinations, delusions and bizarre behavior
what is catatonic type?
remaining motionless or extreme excitement
what is paranoid type?
combination of delusions and hallucinations
what is undifferentiated type?
displays sxs that to do not clearly fit in one of the other categories
what is residual type?
ppl who had an episode of schizophrenia in the past but are currently free of sxs
what virus can increase risk of schizophrenia for baby in utero?
flu
pregnancy complications
maternal starvation
what is a 50% comorbid problem with schizophrenics?
substance abuse
what is the approach to schizophrenia?
base prognosis off hx, sxs, pt support system, family hx
what is most common type of hallucination?
auditory
visual is next MC
what is the mainstay of txment for schizophrenia?
antipsychotics (thorazine)
what is a SE of thorazine with long term use?
tardive dyskinesia
what is the approach to txment for schizophrenia?
treat acute phase then treat the maintenance phase
which type is the most common type of schizophrenia?
paranoid
