schizo 2

  1. reason for hope
    dr. daniel weinberger and other leading National institute of mental health schizo researchers. learned the gray matter loss may be reversible. MIMH is currently researching a drug that seems to have potential for reversing the cognitive decline that is caused by schizo and there are many drug companies also now researching in this area
  2. spectrum of psychotic disorders
    • least to severe
    • brief psychotic disorder
    • - psychotic symptoms 1-30 days duration, return to prior level of functioning
    • substance/med induced psychotic disorder
    • psychotic disorder due to another medical condition
    • schizo disorder
    • - symptoms of schizo 1 month but < 6 months duration
    • schizoaffective disorder- symptoms of depression and mania
    • delusion disorder
    • schizo
  3. definition of psychosis
    • severe mental condition in which there is disorganization of personality, deterioration in social functioning and loss of  contact with or distortion of reality
    • maybe evidence of hallucination and delusional thinking
  4. the catatonic features specifer
    • catatonic features may be associated with other psychotic disorders such as brief psychotic disorder schizophreniform disorder, schizophrenia, schizoaffective disorder and substance-induced psychotic disorder
    • stupor and muscle rigidity or excessive purposeless motor activity
    • waxy flexibility negativism echolia (repeat words), echopraxia (way of talking weird), mutism, negativims
  5. symptoms 8 areas of functioning
    • content of thought= what are they talking about
    • form of thought
    • perception- seeing hearing
    • affect
    • sense of self- don't know who they are
    • volition
    • interpersonal functioning
    • psychomotor behaviors

    all classifed as positive or negative symptoms
  6. positive, negative, cognitive symptoms
    • positive symptoms are manifestation of things that are not normally present (relatively good response to meds)
    • Like:
    • negative symptoms the absence of things that are normally present- difficult to treat most destructive
    • like:
    • cognitive symptoms problem that impact living and independence
    • like
    • -
  7. positive symptoms (action symptoms)- content of thought
    • delusion: false fixed belief
    • persecution/paranoia harmed by other CIA poisoing
    • grandeur (all powerful, god like, kingly)
    • reference- everything is r/t them tv shows etc
    • control (forces outside of body controlling behavior)
    • somatic body growing third arm changing in weird way)
    • nihilistic (body self or other world in non existing the world is gone, i have no heart)
  8. positive symptoms- delusions content of thought
    • religiousity (varies greatly in religious beliefs, level of commitment, voices of hod incessantly searching bible)
    • thought broadcasting (thought heard by others)
    • thought insertion (others inserted into mind)
    • thought withdrawal (thought removed by outside agency)
    • magical thinking (thought have control over certain people or situation)
  9. positive symptom-perceptions
    • hallucination - false sensory sensation not associated with real external stimuli. caution with command hallunication
    • auditory, gustatory (taste, eating), visual, olfactory, tactile,
    • illusions- misinterpretation of real external stimuli- snakes coming out of light
    • be careful with these pts

    responds to meds
  10. positive symptoms chx in format of thoughts (demonstrated though speech)
    • loose association- topics are unrelated and incoherence
    • shift with no relationship and happens so fast cant' understqand
    • concrete thinking- literal interpretation of the environment- what brought you to the hospital- a car
    • circumstantiality- unable to get to the point of the communication bc of unnecessary layers of details
    • tangentiality- never get to the point; unrelated topics are introduced, the original point is lost
    • neologisms- invents new word that have symbolic meaning to the person, not to anyone else, calls table an ergot
  11. chx in format in thought conts
    • clang association- choice of words govern by sound, often rhyming. it is very cold, i am cold and bold, the has been sold
    • word salad- words put together randomly without connection, most forward action grows life double plays circle uniform
    • mutism- inability or refusal to speak
    • perservation- persistenly repeats the same word or idea in response to different question
  12. positive symptoms sense of self
    • echopraxia- purposely imititates movements made by others
    • echolia- repeating heard words
    • indentification and imitation- behavior often takes on form of what they see in another person
    • depersonalization- feelings of unreality (one's extremities have changed in size, or sense of seeing self form a distance)
    • due to weak ego boundaries schizophrenic lacks feeling of being unique, has identity confusion
  13. Negative symptoms- lack of action symptoms
    • affective flattening- associated with feeling state or emotions, unchanging, facial expression, poor eye contact, reduce body language, inapproriate affect (incongruent), diminished emotional expression (or devoid, flat, or bland)
    • alogia (poverty of speech) brief empty responses decreased fluency and content of speech
    • avolition/apathy- inablity to initiate goal directed activity little interest in work or social activities, impaired grooming hygiene
  14. negative symptoms cont
    • anhedonia- can lead to suicide
    • ambivalence- the co existence of opposite emotions to the same object. person or situation, interfering with the ability to make even a very simple decision, also demonstrated in relationships having simultaneously the need for and fear of intimacy
    • deteriorated appearance
    • all very difficult to tx
  15. more negative symptoms
    • impaired social interation- clings or intrudes on personal space
    • social isolation- focus exclusive on self
    • anergia- lack of energy to carry our simple task
    • waxy flexibility- posturing oddly even though discomfort
    • posturing (voluntary assumptions of bizzare position)
    • pacing and rocking (swaying back and forth)
    • regression (to early stage of life seen as dysfunctional attempt to reduce anxiety)
  16. changes in affect (objectively observed behaviors associated with feelings
    • inapproriate (incongruent)
    • over-reactive (out of proportion)
    • blunted (weak)
    • flat (void in tone)
    • labile (changing)
    • chx in mood?
  17. schizoaffective disorders
    • presence of hallucinations and/or delusions that occur for at least 2 werrks in absence of a major mood episode
    • prominent mood disorder symptoms evident for majority of the time
    • - depressed with psychomotor retardation, and SI
    • - euphoria, grandiosity and hyperactivity
    • prognosis better than schizo disorder
    • meds- antipsych and mood stabilizers
    • mood disorder is there
  18. schizo in children
    early warning signs
    • trouble discerning dreams from reality
    • seeing and hearing voices that are not real
    • confused thinking
    • vivid and bizarre thoughts and ideas
    • extreme moodiness
    • peculiar behavior
    • concept that people are out to get them
    • behaving younger than chronological age
    • severe anxiety and fearfulness
    • confusing tv and movies with reality
  19. schizo in children
    • severe problem in making and keeping friends
    • develops gradually in children w/o the sudden pyschotic break that sometimes occurs in adolescents and adults
    • talking about strange fears and ideas
    • cling to parents or say things that don't make sense. thouse who used to enjoy relationships w/others may become more shy or withdrawn and seem to be in their own world
Card Set
schizo 2
in loving memory