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Psych Schizophrenia
KYCOM Block 12
24
Psychology
Graduate
12/03/2013

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Cards

Term
why is schizophrenia such a bad diagnoisis
Definition
it is progressive, chronic, and relapsing
costly to family, pt, and society
Term
what is the best way to improve the prognosis of someone with schizophrenia
Definition
early intervention, detection, and tx
Term
what is the cause of schizophrenia
Definition
neurodevelopmental, neurodegenerative, neurochemical
nature vs nuture
Term
what are 5 post mortom signs we see in pt with schizophrenia
Definition
enlarged lateral and 3rd ventricles
decreased cortical volume
temporal lobe volume loss (esp hippocampus)
small cortical and hippocampal nsueons
fever neurons in dorsal thalamus
Term
what is the criteria for a schizopnrenia diagnosis
Definition
at least two positive/negative symptoms and scial, occupational, or self care dysfunction for 6 mo
Term
what are 2 positive symptooms of schizophrenia
Definition
hallucinations: external source, commentary, or dialouge

delusions: false beliefs, paranoid, grandiose, somatic
Term
what are 5 negative symptoms of schizphrenia
Definition
diminished emotions, apathy, amotivation

social withdrawl, lack of social interest

algoia: poverty of speech

disorganized speech (formal thought disorder)

purpousless movement or sequences of movement
Term
what characteristics must the pt not display to be diagnosed with schizophrenia 3
Definition
schizoaffective mood disorder (schizophrenics can have some mania or depression during episodes)

substance abuse or general medical conditions causing psychological effects

developmentl disorder (autism) unless present with severe symptoms for >1mo
Term
wat are the 3 subtypes of schizophrenia
Definition
paranoied
disorganized
catatonic
Term
what are the characteristics of a paranoid schizophrenic
Definition
hallucinations and delusions
disorganization
flat or inappropirate affect
catatonia
Term
what are the caracteristics of a disorganized schizophrenic
Definition
disorganized speech
disorganized behavior
flat or inappropirate affect
NO catatonia
Term
what are the characteristics of a catatonic schizophrenic
Definition
immobility: cataplexy or stupor
motor hyperactivity w/o porupose
extreme negativism or mutism
peculiar voluntary movement or posture
prominent mannerisms or grimacing
ecchophomena
Term
what is echophomena
Definition
echolia: mimicing words
echopraxia: mimicing behaviors
Term
what is the tx for schizophrenia, which is the best, why
Definition
atypical anti-psychotics are better at negative symptoms like withdrawl and apathy because they interact with 5HT2A receptors

also include psychosocial therapy and education
Term
define schizoaffective disorder, what is the main concern
Definition
fits criteria of schizophrenia but due to major mood episode (unipolar or bipolar)

people are normally higher functioning so have increased risk of suicide
Term
symptoms of mood disorder with psychosis
Definition
mood changes and cingruent ideation
vegetative symptoms
cognative changes
acute or subacute onset in response to psychosocial stressor
Term
what is the prognosis of mood disorder with psychosis
Definition
psychosis is only associated with severe mood episodes with intrepisodic recovery
respond well to psychotherapy
Term
define delusional dissorder
Definition
prominent delusions with behavior and cognition organized around them without other psychosis
Term
why is treatment od delusional disorder difficult
Definition
the pt is functional and illusions are non-bizare so their are refractory to tx
Term
what are the 6 types of delusional disorder
Definition
persecutory: someone out to get them, specific to someone

jealous: usually think spouse is cheating, more common in males

smatic: believe parasite in skin

grandiose: claims to have relationship with famous person or to be gifted

erotomanic: insists someone is in love with them

shared: being affected by someone else's delusions
Term
define schizophreniform disorder
Definition
symptoms of schizophrenia before they have hit 6 mo need for diagnosis
Term
brief psychotic disorder: timeline, cause, prognosis
Definition
abrupt onset and duration <1mo
due to acute stressor
cognition in tact
good prognosis
Term
signs of drug related psychosis
Definition
history of drug abuse and often dependence
impulsitivity
interpersonal, occupational, and legal history
psychosis active during drug use
Term
what drugs are most common cause of drug related psychosis
Definition
psychostimulants
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