Schizophrenia Flashcards
(39 cards)
What type of disorder is a chronic, severe mental disorder that affects a persona ability to think clearly (reality is abnormal)
Schizophrenia
When would subtle signs start to appear?
Sever signs?
- -A person may have a normal childhood
- -subtle signs at puberty
- -severe signs late teens, early adulthood
Schizophrenia is linked to CNS irregularities, which causes defects in which part of the brain?
corpus callosum
What risk factors are associated with schizophrenia?
- -Genetic
- -no prenatal care/birth complications
- -advanced PATERNAL age
- -no social communication
- -double bind theory
- -bidirectional influence
What is the double bind theory?
- -Two conflicting levels of communication
- -i.e. mother tells kid to be spontaneous, the kid acts spontaneously, he is not acting spontaneously because he is following his mothers direction.
What is bidirectional influence?
–parents and children mutually influence each other
–child reacts to parent, parent responds to child
“theory that bad parents, produce bad kids. and good parents produce good kids”
What are some ways to prevent Schizophrenia?
- -reduce stress
- -adequate sleep
- -Avoid illegal drug use
What are some Positive clinical manifestations with Schizophrenia?
- -hallucinations (usually auditory)
- -Delusions (false beliefs)
- -thought disorders (disorganized thinking)
- -disorganized behavior (bizarre, overreact, poor impulse control)
- -movement disorders (catatonia)
What are some negative symptoms of Schizophrenia?
- -anhedonia
- -alogia
- -avolition
What is catatonia?
state of immobility or stupor (pt. is awake but does not more or respond to stimuli)
What is anhedonia?
inability to feel pleasure
What is alogia?
cannot speak (due to mental defect, confusion)
What is Avolition?
Lack of motivation to do anything
What are 3 related disorders to schizophrenia?
- -Schizoaffective disorder
- -brief psychotic disorder
- -Schizophreniform disorder
How long does a brief psychotic disorder last?
1 day to 1 month
How long can symptoms last in Schizophreniform disorder last?
1-6 months
Early onset Schizophrenia (EOS) affects 4% of sufferers. There is risk for greater childhood maladjustment and can lead to ___ delays, more ____, and fewer _____.
- -developmental delays
- -more hallucinations
- -fewer delusions
There is no single test for Schizophrenia. What diagnostic tests can be used in a patient with Schizophrenia?
- -Psychological evaluation
- -Blood tests
- -Image studies
What is the primary goal with pharm therapy?
Reduce positive psychotic symptoms with lowest possible dosage
What are two typical antipsychotics that may be prescribed?
- -Chlorpromazine
- -Haloperidol
What are adverse effects of Chlorpromazine, and Haloperidol?
- -Hypotension
- -sudden cardiac death
- -neuroleptic malignant syndrome
- -impotence
- -dyskinesia, dystonia
How can antipsychotic side effects be counteracted?
- -stop meds
- -administer anticholinergics and benzos
what are 3 atypical antipsychotics that treat positive and negative symptoms?
- -Clozapine
- -Risperidone
- -Olanzapine
Adherence to medication regimen is a challenge for these patients they may….
relapse or have worsening symptoms
