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 |
|
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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 |
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|
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 |
|
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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 |
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|
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 |
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|
Term
| wat are the 3 subtypes of schizophrenia |
|
Definition
paranoied
disorganized
catatonic |
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|
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
|
Definition
echolia: mimicing words
echopraxia: mimicing behaviors |
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|
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 |
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|
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 |
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|
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
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