1510212
Flashcards by Riya Vaidya, updated more than 1 year ago
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Created by Riya Vaidya
over 6 years ago
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Description
| Question | Answer |
| What is Schizophrenia? | • Schizophrenia is a mental illness that causes strange thinking, abnormal feelings, and unusual behavior. |
| How can you diagnose someone with skitzo? | • Diagnosis requires two or more of the following (at least one symptom must be from the first 3 listed below); present for a significant portion of time during a 1 month period (less if successfully treated). Delusions Hallucinations Disorganized speech Grossly disorganized or catatonic behavior Negative symptoms |
| - | Must caused marked reduction in functioning, must affect day to day life. • Continuous signs of disturbance must be present for at least 6 months (can include prodromal, active, and residual symptoms). |
| What is the prodromal phase? | Lasts for a few months, patient notices subtle changes to how they experience emotions, how they think, or their changes in relationships they may become with drawn. (ALL SUBTLE CHANGES) |
| What is the active phase? | Where positive symptoms, hallucinations, delusions, and disorganised thought become really noticeable. Can last for a month or longer. |
| What is the residual phase/recovery phase? | Hallucinations present a little bit of the time. |
| What are hallucinations? | • Hallucinations are distortions in perception (across any sensory modalities) that do not have a basis in reality. Hallucinations are usually negative. |
| What are the different kinds of hallucinations? | Auditory -hearing things that aren't there. Visual - seeing things that aren't there Olfactory -tasting rubber Gustatory - tasting metalic or sour taste in their mouth Tactile - bugs under their skin |
| What are delusions? | • Delusions are fixed beliefs that are not amenable to change in light of conflicting evidence. |
| What are the different types of dellusions? | Persecutory - feeling that someone is out to get them E.g CIA out to get them. Referential - Receiving secret messages sent to them through the tv Religious - devil trying to follow them Grandiose - might think they are important when they aren't Bizarre - can't be plausible at all, don't make sense e.g. their head is in a glass jar at a museum. |
| What is disorganised thinking? | What is disorganised thinking? • Thought disturbance that produces a conversational style that can include: Off track/derailment - skip from topic to topic only vaguely related Tangential - move from topic to topic very fast Irrelevant - one sentences to another which doesn't have any connection at all A word salad - random words put together = makes no sense. |
| What is disorganised behavior and what does it include? | • Includes: Agitation - feeling more figity or restless Hyperactivity - pacing around can't stay still Facial grimacing Repetitive hand movements Immobility/catatonia - absence of any behaviour at all, hardly moving. These are positive symptoms because they are being added to the problems they already have. |
| What are positive symptoms? | Positive symptoms • Positive symptoms of Schizophrenia include distortions in: Thought (delusions) Perception (hallucinations) Language and thought processes (disorganised speech) Self-monitoring of behavior (disorganised or catatonic behavior). |
| What are negative symptoms? | Negative symptoms • Negative symptoms include restrictions in the: Range & intensity of emotional expression (affective flattening) - not expressing hw they feel Fluency & productivity of thought & speech (alogia) Initiation of goal directed behavior (avolition) -reduction in motivation not heading toward any goals Ability to experience pleasure (anhedonia) Lack of interest in social interactions (asociality) -withdrawing from social interations |
| What is the main treatment for skitzo? | Combination of medication along with individual and family therapy. • Medications most commonly used are the “atypical” - the next generation of anti-psychotics. Fam therapy- try to work with fam educat fam with how they can reduce the stress that the peerson is feeling - accute psychotic episde = increased stress. antipsychotics which are used to reduce symptoms such as hallucinations and delusions. For example: Olanzapine Clozapine |