Schizophrenia Flashcards
(92 cards)
Antagonistic thoughts and behavior Shy and withdrawn Poor peer relationships Doing poorly in school Antisocial behavior
Phase I
Premorbid phase
Social Maladjustment
Lasts from a few weeks to a few years
Deterioration in role functioning and social withdrawal
Substantial functional impairment
Sleep disturbance, anxiety, irritability
Depressed mood, poor concentration, fatigue
Perceptual abnormalities, ideas of reference, and suspiciousness herald onset of psychosis
Phase II
Prodromal Phase
Baseline
In the active phase of the disorder, psychotic symptoms are prominent
- Delusions
- Hallucinations
- Impairment in work, social relations, and self-care
Phase III
Schizophrenia
Symptoms similar to those of the prodromal phase
Flat affect and impairment in role functioning are prominent
Stabilize phase; may not return to baseline
Phase IV
Residual phase
The existence of prominent, no-bizarre delusions
delusional disorder; types of psychotic disorder
stalkers, believe in a real relationship with person
Erotomanic type; delusional disorder
tales about them being very important or having very expensive things, being the president, God
Grandiose type; delusional disorder
in a relationship; jealousy issues, even with out reason
Jealous type; delusional disorder
Persecuting them
Persecutory type; delusional disorder
feeling to do with the body, in pain
Somatic type; delusional disorder
all of these things, erotomanic, jealous, grandiose, persecutory, somatic
Mixed delusional type
sudden onset of symptoms
may or may not be preceded by a severe psychosocial stressor
can hear voices
severe stressor assoc with extreme anxiety, depression.
Lasts one month!
Return to full premorbid level of functioning
Brief Psychotic Disorder
The presense of prominent hallucinations and delusions that are judged to be directly attributable to substance intoxication or withdrawal.
Substance-Induced Psychotic Disorder
Prominent hallucinations and delusions are directly attributable to a general medical condition
Psychotic Disorder Assoc with Another Medical Condition
Catatonic features may be assoc. with other psychotic disorders, such as brief psychotic disorder, schizophreniform disorder, schizophrenia, schizoaffective disorder, and substance-induced psychotic disorder
dementia patients, thyroid disorders too-psychosis
The Catatonic Features Specifier;
stupor and muscle rigidity or excessive, purposeless motor activity.
waxy flexibility, negativism, echolalia, echopraxia
unable to speak, communicate or move.
manic @ 1st then goes catatonic
if live alone, could die.
Symptoms of catatonic disorder
This diagnosis is made when the catatonic symptoms are directly attributable to the physiological consequences of a general medical condition
Catatonic Disorder Assoc. with Another medical condition
Same symptoms as schizophrenia with the exception that the duration of the disorder has been at least 1 month but less then 6 months!
not quite brief then returns to baseline.
Schizophreniform Disorder
schizophrenic symptoms accompanied by a strong element of symptomatology assoc with mood disorders, either mania or depression.
diagnosed after the fact.
Schizoaffective Disorder
A client is admitted with a diagnosis of brief psychotic disorder, with catatonic features. Which symptoms are assoc. with the catatonic specifier?
stupor, muscle rigidity, and negativism
Hallucinations can take over their entire life.
Delusions: false personal beliefs
Religiosity: excessive demonstration of obsession with religious ideas and behavior
Paranoia; extreme suspiciousness of others (dangerous)
Magical thinking: ideas that ones’ thoughts or behaviors have control over specific situations
Positive Symptoms
Content of thought
false personal beliefs
delusions
excessive demonstration of obsession with religious ideas and behavior
Religiosity
extreme suspiciousness of others (dangerous)
Paranoia
