Schizophrenia Spectrum and Other Psychotic Disorders Flashcards Preview

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Flashcards in Schizophrenia Spectrum and Other Psychotic Disorders Deck (24)
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1
Q

Peak ages of psychotic disorders and gender

A

15-25 for men
25-35 women

Onset before 10 or after 50 rare

Men - more likely to be impaired and have worse social functioning

2
Q

Schizo and suicide

A

Half attemtp
10-15 die

Equal in gender

3
Q

Schizo and drugs…other things

A

30-50 alcohol

Others are marijuana and cocaine

more liley born in winter/early spring (virl?_

4
Q

imaging of schizo

A

Ventricular enlargement

5
Q

Key features of schizo

A

Delusions - bizarre if clearly implausible

Hallucinations - auditory most common…those when falling asleep/waking up are within normal range

Disorganizing thinking - thought process
disorders

Disorganized or abnomral motor behaior

6
Q

Negative symptoms of schizo

A

Diminished emotions
Avolition - lack of goal directed
Alogia - can’t speak
Anhedonia - can’t experience pleasure

7
Q

Diagosis of schizo

A

at least 1 month2 or more of delusions, hallucinations, disorg speech, motor, neg symptoms (need 1 to be 1-3)

Level of functing decrease

Signs of distubrnace persist for 6 months

Others ruled out and no drugs

If autism, then only if prominent or hallucinations

8
Q

Prognosis of schizo

A

Good is later onset, acute onset, mood symptoms, married

Poor is insidious onset, no remission in 3 years

9
Q

Prodromal schizo

A

Somaplaints about somatic

Abstract ideas, philosophy, occult, or religion

10
Q

Violence and schizo

A

Violent is mor common

Impulsive behavior

More likely to commit murder

11
Q

Schizo course

A

No retunr to baseline (like mood disorders)

ositive symps become less severe

12
Q

Bheavior therapy

A

Address abilities through use of token economies and social skills

13
Q

Family oriented therapy

A

Educating the family

14
Q

Case management

A

House visits

15
Q

Group therapu

A

Helps reduce social isolation and improves reality testing

16
Q

Indiidual therapy

A

Form alliance with the therapist…need ot be more flexible in length

17
Q

Anti-psychotic meds

A

Non-compliance is an issue

Issues related to positive symptoms

Long-acting IM may be needed

18
Q

Brief psychotic disorder

A

One of more:
Delusion, hallucinations, disorg speech, motor symps (1 must be 1-3)

Duration at least 1 day but lesss than a month with return to premorbind level

Specify with stressors, without, or postpartum

19
Q

Schizophreniform dz

A

2 or more present during a 1 month (same as schizo)

Episode at least 1 month but less than 6

Good be good prognostic - onset within 4 weeks, no flat affec

Without good prognostic

Could have Catatonia

20
Q

Schizoaffective disorder

A

Uninterrupted period of illness during which there is a maojr mood episode with criteria A of schizo

Delusion or hallu for 2 or more weeks in absnece of major mood episdoe during lifetime udration of the illness

Need symptoms that meet criteria for a major mood episode

Could be bipolar, depressive, with catatonia

21
Q

Catatonia

A

3 or more of a bunch of symptoms

22
Q
Stupor
Catalepsy
Waxy felxibility
Mutism
Negativisim
Posturing
Mannerism
A

No psychomotor activing
Passive induction of a posture against gravity
Slight, even resistance ot positioning by examiner
Very little to no verbal response
Opposition to or no response ot instruction
Active maintennace against gravity
Odd caricature of normal actions

23
Q
Stereotypy
Agitation
Grimacing
Echolalia 
Echopraxia
A

Repetitive, abnormal, frequent non-goal directed movements

Repeating words

Repeating movements

24
Q

Delusional disorder

A

One of more delusions with a duration of 1 month or longer

No crtieria A for schizo

Functioning not markedly impaired

If modd episodes, brief

Specify type