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Schizophrenia facts
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Unable to tell the difference between unreal and real.
more common in men. most are living with family or by themselves. must show symptoms for 6 months. one month of severe symptoms |
Positive symptoms of schizophrenia (type 1)
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Unreal perceptions, thoughts, behaviors. delusions. hallucinations. disorganization. catatonic behavior.
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Types of delusions
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Persecutory- most common. think they are being watched/tormeneted
.delusion of reference- random events are directed towards them grandiose- believe they are special controlled delusion- thoughts, behavior, and actions are being controlled by others. broadcast- ones thoughts are being heard. insertion- people putting thoughts into head withdrawl- thoughts are being removed guilt delusion- think they did a terrible sin somatic- belief that body appearance is diseased |
Hallucination
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Unreal perceptual experience. auditorial, visual, tactile, somatic
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Disorganization
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Formal thought disorder- disorganized thinking
loose association/derailment- jumping from topic to topic word salad- completely incoherent neologism- words that only have meaning to the speaker difficulty with smooth pursuit eye movement working memory- deficit in capacity to hold info in memory |
Catatonia
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Lack of responsiveness.
stupor- no movement excitement- wildly agitated for no reason |
Negative symptoms (type 2)
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Losses/deficit in some domains.
affective flattening- complete loss of emotional response alogia- loss of speak avolition- no motivation to achieve tasks. |
Other symptoms of schizophrenia
prodramal and residual? |
Inappopriate affect- laughing at sad things. vice versa
anhedonia- lost of interest in activities impaired social skills prodramal symptoms- present before acute phase residual symptoms- present after acute phase |
Schizoaffective disorder
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Mix of schizophrenia and mood disorder. schizo symptoms has to be present for at least 2 weeks even without mood symptoms
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Schizophreniform disorder
shared-psychotic? mood disorder with psychotic features |
Same as schizophrenia but less than 6 months.
in a relationship with someone who is also delusional psychotic features are only present with mania or depression. |
Types of schizophrenia
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Paranoid- most likely to live a normal life, shows themese of perscution and grandiose. no disorganization
disorganization- no delusions or hallucinations. thoughts are badly disorganized. catatonic- complete unresponsiveness undifferentiated- a little bit of all but not specific enough for any residual- have had at least one episode of positive symptoms but no current prominent ones |
Theories of schizophrenia
bio? psychosocial? |
Bio: has genetics. abnormal brain structures, enlarged ventricles and detertioation of brain tissue. hippo and prefontal. exposure to viral preborn
psych: social selection: schizo drift downward in status bc unable to function correctly. stress triggers new episodes. negative experiences as a kid. confused about identity. expressed emotion- families high in EE are overprotective but critical. causes stress. |
Treatment for schizophrenia
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Biological: drugs: insulin coma therapy, ECT, and neuroleptics (causes tardive dyskinesia- involuntary movement of facial structures) and now use clozapine(antipsychotic)
psychosocial: improve social skills, readjust to life, recognize bad attitudes and change them. use operant conditioning to teach skills. info the family. assertive community treatment center- 24 hour service |
Cluster A Personality Disorders
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Odd and eccentric
paranoid personality disorder schizoid personality disorder schizotypal personality disorder |
Paranoid Personality Disorder
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Unwarranted mistrust of others. common in males. biological background. underlying beliefs that people are deceptive.
treatment: decrease fear and better deal with situations. be professional, |