Schizophrenia and Other Psychotic Disorders Flashcards Preview

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Flashcards in Schizophrenia and Other Psychotic Disorders Deck (14):
1

Psychotic Disorders

• Emotional Disturbance
- Unusual emotional states/affect

• Thought Disturbance
- Trouble organizing thoughts
- Extremely rigid/bizarre thoughts

• Behavioral Disturbance
- Unusual behavior
- Functional impairment

2

Schizophrenia- Criteria

Criterion A: 2 (or more) of the following, each present for a significant portion of time during a 1 month period (at least one of the symptoms must be from the first three)
•Delusions
•Hallucinations
•Disorganized speech
•Grossly disorganized or catatonic behavior
•Negative symptoms

Criterion B: Dysfunction in at least 1 area: occupational, academic, interpersonal, self-care, etc.

***2+ positive/negative symptoms, > 6 months, marked dysfunction/impairment***

3

Symptoms of Schizophrenia

• Positive
- Delusions
- Hallucinations

• Negative
- Flat affect
- Alogia
- Asociality
- Apathy
- Anhedonia

• Disorganized
- Disorganized speech
- Disorganized or catatonic behavior

4

Delusions

Delusions = irrational belief that is fixed and firmly held despite contradictory evidence

Common types
- Persecution
- Thought Control (insertion, broadcasting, withdrawal)
- Grandiose
- Referential

5

Hallucinations

Hallucinations= sensory experience that seems real but occurs in the absence of any real stimulus

Can occur in any sensory modality
- Auditory
- Visual
- Tactile
- Olfactory

6

Negative Symptoms

• Flat affect
- Lack of emotional expressiveness
• Alogia
- Poverty of speech
• Avolition
- Deficit initiation goal-directed behavior
• Anhedonia
- Lack of pleasure/interest
• Asociality
- No interest in social relationships
• Lack of insight

7

Disorganized Speech

• Disorganized speech = speech pattern that is incoherent, jumbled, hard to understand, doesn’t make sense, convey little info

Common patterns
- Loose association/tangentiality
- Neologism
- Clang association

8

Disorganized/Catatonic Behavior

•Disorganized behavior
- Disruption in goal directed activity
- Cannot maintain hygiene
- Disregard for safety
- Unusual dress
- Inappropriate affect

•Catatonic behavior
- Absence of all movement, speech
- Rigidity, hold unusual postures
- Catatonic stupor (unaware of surroundings)
- Catatonic excitement

9

Schizophrenia-Symptom Phases

• Prodromal
- Lasts days to years
- Minor disturbances, peculiar behavior
- Typically negative symptoms

• Psychotic prephase
- First full-blown positive symptom
- May be triggered by stressor

• Active
- Many full-blown positive and negative symptoms
- Hospitalization may be needed

• Residual
-Typically emerges following treatment
- Similar to prodromal symptoms

10

Schizophreniform- Criteria

Criterion A: 2 (or more) of the following, each present for a significant portion of time during a 1 month period (at least one of the symptoms must be from the first three):
- Delusions
- Hallucinations
- Disorganized speech
- Grossly disorganized or catatonic behavior
- Negative symptoms

Criterion B: An episode of the disorder last at least 1 month but less than 6 months

***2+ positive/negative symptoms, > 1 month but < 6 months***

11

Schizoaffective Disorder- Criteria

Criterion A: Major mood episode (major depressive or manic) that co-occurs with symptoms of schizophrenia

Criterion B: At least 2 weeks where delusions and hallucinations have been present WITHOUT mood symptoms

***Schizo symptoms + major mood episode, at least 2 weeks of schizo symptoms w/o mood symptoms***

12

Delusional Disorder- Criteria

Criterion A: Presence of one or more delusions with a duration of 1 month or longer

Criterion B: No evidence of schizophrenia

***1+ delusion w/o other schizo symptoms, overall better functioning***

13

Delusional Disorder

Common delusions
- Erotomanic
- Grandiose
- Jealous
- Persecutory
- Somatic

14

Brief Psychotic Disorder

Criterion A: Presence of one or more of the following (at least one of the symptoms must be from the first three)
- Delusions
- Hallucinations
- Disorganized speech
- Grossly disorganized or catatonic behavior

***1+ positive/negative symptom, > 1 day but < 1 month, often stress induced***