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Schizophrenia
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-comes from Greek word for split mind-psychotic symptoms withdrawal from interpersonal relationships-inability to think and communicate accurately-loss of ego boundaries and gross impairment in reality testing-Axis I-no difference related to race, social status, culture-affects 1% worldwide-cannot think abstractly-regression-ambivalence-autism (inability to relate to others)-loose association (illogical thought pattern)-has 4 phases: Schizoid personality, prodromal, schizophrenia, residual-usually develops in late teens/early 20s, later onset in women-must have symptoms for 6 months to diagnose-etiology= related to dopamine-Medication= Neuroleptics (antipsychotics)=block reuptake of dopamine in brain
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How would amphetamines affect someone with schizophrenia?
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They increase dopamine, which makes hallucinations worse
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Other factors affecting schizophrenia
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Genetic factors
Enlargement in lateral ventricles in brain
Cortical atrophy of gray matter in brain
Decrease glucose usage in frontal lobe (decreased impulse control, judgment)
Cerebellum atrophy
Developmental factors and impact of environment
What about anxiety? Hallucinations/delusions worsen with anxiety.
Viral infections Brain abnormalities Lupus Epilepsy Parkinson’s disease Change in sleep pattern |
Psychosis
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Severe mental disorder in which a person's ability to think, reason, respond and behave appropriately toward reality is impaired grossly enough to not meet the ordinary demands of life
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Delusions
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Fixed thought or belief-not amendable to change-ideas of reference (equating trivial events and giving them personal reference)
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Three most common delusions:
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Three most common delusions:-persecution-grandeur-somatic disorders
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Neologism
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Made up words
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Echolalia
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Repeating phrases
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Word Salad
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Phrases of words without thought pattern
*different from looseness of association which HAS thought pattern |
Clanging
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Meaningless rhyming of words
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Mutism
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Refusal to speak
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Hallucinations
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Sensory perception in the absence of external stimuli. May occur with any of the senses
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Types of hallucinations:
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1. Auditory- hear things (MOST COMMON, 80%)2. Visual- see something3. Olfactory- smell something 4. Gustatory- taste something5. Tactile- feel something
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Command hallucination
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Being told to do something, "Go Kill"
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Depersonalization vs Derealization
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Depersonalization= patient doesn't feel realDerealization= patient feels their environment is not real
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