Term
| The Five A's of Schizophrenia |
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Definition
AFFECT: schizophrenia may cause flat, blunted, inappropriate, or bizarre affect
AMBIVALENCE: they cannot make decisions easily; simultaneously hold \ing two opposing emotions, attitude, ideas, or wishes towards the same person/situation/object
ALOGIA: poverty of speech
AVOLITION: lack of motivation
ANHEDONIA: lack of enjoyment/joy |
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Term
| Diagnostic Criteria for Schizophrenia |
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Definition
A.) Characteristic symptoms
Two or more of the following during a one-month period:
1. Delusions
2. Hallucinations
3. Disorganized speech
4. Grossly disorganized or catatonic behavior
5. Negative symptoms (five A's) |
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Term
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Definition
| the presence of something that is not normally present (hallucinations, delusions, bizarre behavior, paranoia) |
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Term
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Definition
| the absence of something that should be present but is not |
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Term
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Definition
| abnormalities in the way a person thinks |
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Term
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Definition
| symptoms involving emotions and their expression |
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Term
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Definition
| an impaired ability to think abstractly |
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Term
| Paranoid Type Schizophrenia |
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Definition
| Preoccupation with delusions or auditory hallucinations |
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Term
| Disorganized Type Schizophrenia |
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Definition
| Disorganized speech, behavior, and flat in inappropriate affect |
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Term
| Undifferentiated Type Schizophrenia |
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Definition
| does not meet criteria for other subtypes or may meet criteria for several subtypes |
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Term
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Definition
| characteristic by a major depressive, manic, or mixed mood episode presenting concurrently with symptoms of schizophrenia. The symptoms are not due to any substance use or due to a medical condition |
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Term
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Definition
| involves a sudden onset of psychosis or grossly disorganized or catatonic behavior lasting at least 1 day but less than 1 month. It is often precipitated by extreme stressors and ir followed by return to premorbid functioning |
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Term
| Life expectancy of a Schizophrenic patient compared to the general population: |
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Definition
| 10-15 years less for a schizophrenic, due to stress, medications, and poor coping mechanisms |
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Term
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Definition
Diathesis-Stress Model of Schizophrenia (multiple inherited gene abnormalities combined with non genetic factors alter the structures of the brain, affect the brain's neurotransmitter system, and/or injure the brain directly)
-Decrease in gray matter
-Pathology in hippocampal-amygdala complex
-Issues with higher order processes of emotion
-Neurotransmitter issues |
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Term
| What is GABA mainly responsible for in Schizophrenia? |
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Definition
| many of the psychotic symptoms |
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Term
| The course of Schizophrenia runs through four different stages: |
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Definition
Prodromal
Phase 1-Acute
Phase 2-Stabilization
Phase 3-Maintenance |
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Term
| Prodromal period of Schizophrenia |
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Definition
can appear a month or a year before the first psychotic break or full-blown manifestations of the illness.
Represents a CLEAR DETERIORATION in previous functioning.
Complaints of: anxiety, phobias, obsessions, dissociative features, and compulsions. Concentration, memory, and completion of school- or job-related work deteriorate.
Person feels something "strange" or "wrong" is happening |
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Term
| Phase 1-Acute phase of Schizophrenia |
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Definition
| onset or exacerbation of florid, disruptive symptoms (hallucinations, delusions, withdrawal) with resultant loss of functional abilities; increased care or hospitalization may be required |
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Term
| Phase 2- Stabilization phase of Schizophrenia |
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Definition
Symptoms are diminishing, and there is movement towards one's previous level of functioning (baseline); day hospitalization or care in a residential crisis center or a supervised group home may be needed.
Depression --> due to understanding |
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Term
| Phase 3- Maintenance phase of Schizophrenia |
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Definition
| The patient is at or nearing baseline (or premorbid) functioning; symptoms are absent or diminished; level of functioning allows the patient to live in the community |
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Term
| Pharmacologic Treatment for Schizophrenia |
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Definition
Atypical Antipsychotics
-Zyprexa (chemical restraint, IM)
-Abilify
First Generation Antipsychotics
-Haldol (chemical restraint, IM)
-Prolixin |
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Term
| Atypical Antipsychotic Side-effects |
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Definition
Physiological
-Metabolic syndrome
-Glucose dysregulation
-Hypercholesterolemia
-Hypertention
Psychosocial
-Self-esteem disturbance |
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Term
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Definition
a potentially devastating brain disorder that affects a person's thinking, language, emotions, social behavior, and ability to perceive reality accurately.
--> neurobehavioral disorder |
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