Schizophrenia Spectrum and Other Psychotic Disorders Flashcards

(45 cards)

1
Q

what are the psychotic disorders (4)

A

delusional disorder
schizoaffective disorder
schizophrenia
schizophreniform disorder

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2
Q

otherwise normal functioning person with a belief in something that does not exist

A

delusional disorder

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3
Q

what type of delusions are included in delusional disorder

A

non-bizarre delusions of thinking that occur in real life:
-being poisoned
-being stalked
-being loved or deceived
-having an illness

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4
Q

dsm 5 for delusional d.o

A

-one or more non bizarre delusions of thinking with NO
accompanying hallucinations, thought disorder, or flattening of affect
-beliefs lasting > 1 mo
-functioning is otherwise unimpaired

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5
Q

tx for delusional d.o

A

psychotherapy
atypical antipsychotics

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6
Q

a brief psychotic disorder has sx that last for _

A

1 day to 1 month

(after 1 month it is delusional d.o)

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7
Q

mental health condition including schizophrenia AND mood disorder sx

A

schizoaffective disorder

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8
Q

2 mood disorders that commonly occur w. schizoaffective d.o

A

dpn
bipolar

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9
Q

dsm 5 for schizoaffective d.o

A

-delusions or hallucinations for 2 or more weeks in the absene of a major mood episode (depressive or manic) during the lifetime duration of the illness
-sx that meet criteria for a major mood episode are present for the majority of the total duration of the active and residual portions of illness

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10
Q

tx for schizoaffective disorder

A

psychotherapy
atypical antipsychotics - 1st line pharm
anticonvulsants
SSRIs

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11
Q

major psychosis for > 6 mo PLUS difficulty functioning

A

schizophrenia

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12
Q

dsm 5 for schizophrenia (this one’s a doozie)

A

-2 or more of the following (each present for a significant portion of time during a 1 month period) - at least one must be 1, 2, or 3:
1. delusions
2. hallucinations
3. disorganized speech/thought process/tangential response
4. sx impair ADLs
5. disorganized/inappropriate behavior
6. negative symptoms
7. inability to hold job or maintain relationships

-continuous signs of the disturbance must persist for at least 6 mo

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13
Q

examples of negative symptoms (4)

A

blunted affect
poor posture
lack of goal-directed activities
lack of initiative

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14
Q

negative symptoms are same-same

A

deficit symptoms

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15
Q

examples of positive symptoms (4)

A

psychotic symptoms:
-hallucinations
-delusions
-disorganized speech
-disorganized or catatonic behavior

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16
Q

what feature is most suggestive of schizophrenia

A

the presence of both positive and negative symptoms

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17
Q

tx for schizophrenia

A

atypical antipsychotics - 1st line
typical antiosychotics
benzos
carbamazepine
valproate
lithium

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18
Q

examples of atypical antipsychotics

A

risperidone
olanzapine
aripiprazole
ziprasidone
quetiapine
asenapine
paliperidone

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19
Q

moa for atypical antipsychotics

A

DA AND 5HT 2 receptor blockers

20
Q

atypical antipsychotics are used to treat what sx of schizophrenia

A

negative symptoms

21
Q

what atypical antipsychotic is not considered first line for schizophrenia?
why?

A

clozapine
causes agranulocytosis and sz

22
Q

what are examples of typical antipsychotics (neuroleptics)

A

haloperidol
chlorpromazine
thiordazine
loxapine
fluphenazine

23
Q

what symptoms are typical antipsychotics best for in schizophrenia

A

positive symptoms

24
Q

tx for resistant schizophrenia

A

-clozapine
-antipsychotic PLUS benzo, carbamazepine, valproate, or lithium

25
tx for acute psychosis in pt w. schizophrenia
benzos antipsychotics: fluphenazine, haldol, olanzapine
26
2 meds that have no benefit for acute psychosis in schizophrenia pt
antidepressants lithium
27
non pharm tx for schizophrenia
behavior-oriented/group/family therapy
28
s.e of antipsychotics
EPS parkinsononian sx neuroleptic malignant syndrome TD agranulocytosis - clozapine
29
s.e are more likely to occur w. _ antipsychotics (neuroleptics)
typical
30
what side effect is minimal to absent with atypical antipsychotics
EPS movement s.e
31
in order for dx of schizophrenia, sx must last longer than
6 mo
32
what is schizophreniform disorder
major psychosis for > 1 mo BUT < 6 mo and NO social or occupational impairment
33
what separates schizophreniform disorder from schizophrenia and schizophreniform disorder (2)
schizophreniform lasts longer than 1 mo and less than 6 mo schizophreniform has no affect on social/occupation
34
tx for schizophreniform disorder
psychotherapy atypical antipsychotics
35
tx for resistant shizophreniform disorder
-switch to another atypical antipsychotic -combine atypical antipsychotic w. lithium or anticonvulsant -switch to typical antipsychotic
36
work up for new osnet psychosis should include
CBC CMP TSH UA urine tox STI blood levels of therapeutic meds +/- EKG, CT/MRI, EEG, LP
37
otherwise normally functioning person with a belief in something that does not exist, but no other symptoms of schizophrenia
delusional d.o
38
psychotic d.o featuring sx of both schizophrenia AND mdd, such as dpn, or bp d.o
schizoaffective d.o
39
t/f: sx of schizoaffective d.o may occur at the same time or different times
t!
40
psychotic d.o characterized by delusions, hallucinations, disorganized speech, and/or diminished inappropriate emotional expression for > 6 mo PLUS difficulty functioning
schizophrenia
41
major psychosis for > 1 week but < 6 mo and no social or occupational impairment
schizophreniform d.o
42
psychotic d.o involving the sx of schizophrenia but lasting < 6 mo
schizophreniform d.o
43
75 yo pt began thinking her daughter was telling her caretakers to steal her money, although both daughter and caretaker deny this
delusional d.o
44
45 yo truck driver who c/o hearing things that are not there x 2 weeks - he was severely depressed five months ago and was placed on prozac by his pcp - he recently started hearing voices
schizoaffective d.o
45
25 yo c/o visual and auditory hallucinations x 2 months - he is a graduate student and states his hallucinations have been getting worse - he is able to attend class but it is becoming difficult to concentrate
schizophreniform d.o