Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
31 Cards in this Set
- Front
- Back
What is schizophrenia?
|
group of disorders affecting thinking, behavior, emotions, reality perception
|
|
What does "psychosis" refer to?
|
presence of hallucinations, delusions, disorganized speech, or catatonic behavior.
|
|
What is the typical age of onset?
|
Late teens & early twenty's. However, may begin in later adulthood.
|
|
What are some co-morbidities of schizophrenia?
|
Substance abuse, nicotine abuse, depression, Suicide Ideation (SI), anxiety disorders
|
|
DSM-IV-TR diagnostic criteria
|
Two or more of the following during a 1 month period:
hallucinations delusions disorganized speech grossly disorganized or catatonic behavior negative symptoms *** One or more major areas of social or occupational dysfunction exists *** Continuous signs persist for at least 6 months *** Signs and symptoms do not result directly from substance abuse *** Delusions/hallucinations must be present if pervasive developmental disorder exists |
|
What are some diagnostic studies/tests to help diagnose schizophrenia?
|
PET scans, CT scans, MRIs, & neurotransmitter studies
|
|
Define positive symptoms.
|
Most easily identified & typical of schizophrenia.
|
|
Define negative symptoms.
|
More difficult to treat and less typical behavior.
|
|
List positive symptoms
|
Hallucinations
Delusions Disorganized speech Bizarre behavior (walking backwards for an extended period, etc...) |
|
List negative symptoms
|
Flat/blunted affect
Alogia (no logic) Avolition (no volition/drive) Anhedonia (no pleasure) Anergia (no energy) |
|
What is a flat affect?
|
Never changing facial expression.
|
|
What is a blunt affect?
|
Narrow range of normal expressions
|
|
What is alogia?
|
Lack of logic. Client will mumble or respond vaguely to questions; poverty of thought or speech
|
|
What is avolition?
|
Lack of volition. Lack of motivation in activities and hygiene. Will do one chore when asked, however, will not go on to next chore without prompting
|
|
What is anhedonia?
|
No hedonism! Lack of pleasure/joy. Indifference to things that typically make others happy - beautiful scenery, accomplishments
|
|
What is anergia?
|
Lack of energy
|
|
Define cognitive symptoms
|
Problems with thinking making it very difficult for the client to function normally.
|
|
What are the depressive symptoms.
|
Hopelessness; suicidal ideation
|
|
What are the cognitive symptoms?
|
Disordered thinking
Inability to make decisions Poor problem solving ability Difficulty concentrating to perform tasks Memory deficits - Long term memory; Working memory (can't find an address from given instructions) |
|
What are the different schizophrenia types?
|
Paranoid; Disorganized; Catatonic; Residual; Undifferentiated
|
|
What characterizes Paranoid Schizophrenia?
|
Suspicion towards others. Hallucinations of hearing threatening voices. Delusions of grandeur
|
|
What characterizes Disorganized Schizophrenia?
|
Withdrawal from society
Very inappropriate behavior Poor hygiene Loose associations Bizarre mannerisms Incoherent speech |
|
What characterizes Catatonic Schizophrenia?
|
Abnormal motor movements
Psychomotor retardation (slowed movement) Waxy flexibility In the excited stage, may be constantly moving. May be a danger to self or others. Extreme self care needs (NG tube due to inability to feed) |
|
What characterizes Residual Schizophrenia?
|
Active symptoms no longer present. However, may have two or more lingering symptoms:
Negative symptoms Social withdrawal Impaired role Odd behaviors |
|
What characterizes Undifferentiated Schizophrenia?
|
Has schizophrenic symptoms, but does not meet the criteria for any of the other types of schizophrenia.
Any of the + or - symptoms may be present. |
|
What is Schizoaffective disorder?
|
Disorder meets both the criteria for schizophrenia, AND one of the affective disorders (depression, mania, or mixed)
|
|
What is a brief psychotic disorder?
|
Symptomatic for only a period of 1 day to 1 month in duration.
|
|
What is a schizophreniform disorder?
|
Similar to brief, however, the period is from 1 to 6 months. Social/occupational dysfunction may or may not be present.
|
|
What is Schizoaffective disorder?
|
Disorder meets both the criteria for schizophrenia, AND one of the affective disorders (depression, mania, or mixed)
|
|
What is a brief psychotic disorder?
|
Symptomatic for only a period of 1 day to 1 month in duration.
|
|
What is a schizophreniform disorder?
|
Similar to brief, however, the period is from 1 to 6 months. Social/occupational dysfunction may or may not be present.
|