Psychotic Disorders

  1. What percent of schizophrenic patients have substance abuse disorders?
  2. What percent of schizophrenic patients will not respond to medication?
  3. What percent of homeless population in US are schizophrenic?
  4. At what age do most schizophrenics develop the disorder (75%)?
  5. What is the psychoanalytic theory of schizophrenia?
    failure of repression and flooding of unconscious content
  6. What is the neurochecmical theory of schizophrenia?
    Brain overproduction of dopamine and decreased blood flow to frontal cortex
  7. What is the viral theory of shcizophrenia?
    prenatal exposure to influenza virus
  8. What are genetic theories of schizophrenia?
    • people have schizophrenic gene
    • activated by early childhood life or trauma experience
  9. What brain changes are shown on MRI, CAT Scans and PET?
    • enlargement of lateral cerebral ventricles
    • cortical atrophy
    • third ventricular dilation
    • ventricular asymmetry
    • cerebella atrophy
  10. What symptoms might patient report before first episodic break?
    • mind wandering
    • difficulty concentrating
    • unwanted intrusive thoughts
    • misinterpreting things
    • finding mystical/symbolic meanings
    • mistakes others as having harmful intent
  11. What are s/s as the disease develops?
    • feels rejected
    • lonely, hopeless
    • withdraws emotionally & isolates
    • unable to trust others
    • withdraws from reality: hallucinations, delusions
    • odd mannerisms
    • think thoughts are controlled or broadcast
    • hear voices
    • preoccupied with religion, mysticism, metaphysical
  12. When does a schizophrenic individual have a better prognosis?
    When disease comes on fast and very sick
  13. Describe a paranoid type
    • Delusions-persecutory and grandiose and may be organized around a theme
    • Associated features-anxiety, anger, aloofness, argumentativeness
    • May have patronizing, superior, a stilted or formal quality
    • Highly suspicious
  14. Describe catatonic type.
    • Motor immobility or stupor, waxy flexibility
    • Excessive motor activity, purposeless
    • Negativism-moveless resistance, mute
    • Peculiarities of voluntary movement-posturing, prominent mannerisms and grimacing
    • Echolalia and Echopraxia
  15. Describe disorganized
    • Disorganized speech.
    • Disorganized behavior.
    • Flat or inapproaite affect.
  16. Describe residual.
    • Absent are prominent hallucinations, disorganized speech, disorganized behavior or catatonia
    • Has negative symptoms
    • -flattened affect
    • -alogia (inability to sleep)
  17. Describe undifferentiated type.
    Does not meet any s/s of any other type of schizophrenia and schizophrenic symptoms are present: delusions, hallucinations, neg sx
  18. What is a brief psychotic rx?
    • Not schizophrenia
    • One or more of:
    • -delusions
    • -hallucinations
    • -disorganized speech
    • -disorganized behavior
    • -duration: 1 day to 1 month
    • -with or without marked stressor present
  19. What is assessed in the Mental Status Exam?
    • Observations
    • Speech
    • Affect
    • Thought process and Content
Card Set
Psychotic Disorders
study guide psychotic disorders exam II