Schizophrenia Spectrum And Other Psychotic Disorders Flashcards Preview

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Flashcards in Schizophrenia Spectrum And Other Psychotic Disorders Deck (32):
1

What is the criteria for schizophrenia?

A. At least 2 for one month.
1. Hallucinations.
2. Delusions.
3. Disorganised speech.
4. Disorganised or catatonic behaviour
5. Negative symptoms
B. Decreased functioning
C. Signs of disorder for at least six months

2

What are the symptoms of schizophrenia

Hallucinations.
Delusions
Disorganised speech
Disorganised or catatonic behaviour
Negative symptoms

3

Describe hallucinations

False perceptions... can be:
- auditory
- visual
-olfactory
- tactile

4

Define delusions

Firmly held beliefs that have no basis in reality

5

Lost the 8 types of delusions

Delusion of prosecution
Delusion of reference
Delusion of grandeur
Delusion of sin and guilt
Somatic delusions
Nihilistic delusions
Religious delusions
Delusions of control or influence

6

What are delusions of reference

Beliefs that thins in the environment are about them.

7

What are nihilistic delusions

Beliefs that self or others don’t exist

8

What are the three kinds of delusions of control or influence?

Thought broadcasting
Thought insertion
Thought withdrawal

9

Give six examples of disorganised speech

Loosening of association
Poverty of content
Neologism
Perseveration
Clanging
Word salad

10

Define neologism

Made up words

11

Describe perseveration

Keep repeating same sentence or thought over and over

12

Describe clanging

Speaking in rhymes

13

What are the four kinds of disorganised behaviour

Stereotypes movement
Inappropriate behaviour
Inappropriate affect
Poor goal directed behaviour

14

Describe stereotype movement

Repetitive movement that serves no purpose

15

Describe inappropriate affect

Inappropriate emotional response like laughing when something sad occurs

16

Give the 8 types of catatonic behaviour

Catatonic stupor
Mutism
Bizarre posturing
Waxy flexibility
Catatonic rigidity
Echolalia
Exhopraxia
Catatonic negativism

17

Define catatonic stupor

Does not respond to environment

18

Describe exholalia

Repeat word for word what someone is saying

19

Echopraxia

Parroting what others are doing

20

Catatonic negativism

So opposit of what someone is saying to do

21

What are the 5 negative symptoms

Lack of speech
Reduce or lack of emotional expression
Decreased motivation
Social withdrawal
Poor attention

22

What are the additional features?

•some experience a change in perception
>visual illusions
>disturbingly acute hearring
>difficulty in identifying people
>difficulty in understanding others
>changes in smell
•breakdown of selective attention is common
• 1% of population
• range of level of impairement
• disturbed sleep patterns
• poor social support
• overrepresentation in prison.
• high rate of suicide
• abuse of alcohol and drugs

23

What are the three phases of schizophrenia

The prodromal phase
The active (acute) phase
The residual phase

24

What characterises the prodromal phase ?

Withdrawal and socially isolated
Neglect appearance and hygiene
Performance in school or work deteriorates
Shallow or inappropriate emotions

25

What characterise the active phase

Prominent psychotic symptoms

26

What characterises the residual phase

Similar symptoms to the prodromal phase

27

What are the possible causes of schizophrenia?

•biology
>genetics
> brain abnormalities : enlargemed ventricles
> neurotransmitters: overactivity of dopamine receptors
>complications of feral development
•diathesis stress model : cannabis use
> stress : affects onset, affects relapse
•family
>may contribute to relapse
> if high in expresses emotions : criticism, hostility, emotional over involvement

28

What are the two important treatments for schizophrenia

Antipsychotics
Psychosocial intervention

29

What proportion of people with schizophrenia are helped by antipsychotics

60 to 80%

30

What are the side effects of antipsychotics

Sedating
Constipation
Blurred vision
Dry mouth
Muscle rigidity
Tremors
Tradive dykenesia

31

Define tardive dyskinesia

Movement disorder characterised by involuntary movements of the face, mouth, neck, trunk, or extremities caused by long term use of antipsychotic medication

32

What are psychosocial interventions

•psychosocial rehabilitation
-living skills
-social skills
•family therapy
•vocational rehabilitation