Schizophrenia Spectrum Disorder PDF

189 Ch12 Schizophrenia Spectrum Disorder write  & key Terms Acute Dystonia Hate painful ↳ contractions of limited muscle...

189 Ch12 Schizophrenia Spectrum Disorder write  & key Terms Acute Dystonia Hate painful ↳ contractions of limited muscle groups spasms causing arching to realize one is ill Anosognosia ; inability words based their sound rather choosing on clang association ; than also their rhyme meaning , canclose 2 eX: Click clack dutal I  Spectrum Disorder -zophrenia Share features wh · Schizophrenia - characterized by Psychosis altered cognition ↳ altered perception , and /or Limpaired ability to determine what is or is not real Delusional Disorder · False thoughts or beliefs that have lasted month or longer Delusions not severe enough to impair functioning · Decisions include grandiosesense of · superiority), - persecutory felsely accusing someone of causing you harm), and referential themes  Brief Disorder Psychotic Sudden onset of at least one of the following · delusions , hallucinations , disorganized speech ~ or catatonic behavior and disorganized Duration · -day-l month j expect return to normal functioning Schizophreniform Disorder (first outbreak) define Symptoms Exactly like those of Schizophrenia except - are symptoms clmos - Impaired social or occupational functioning may not be apparent -may or may not previous level of return to functioning Schizoaffective Disorder define Major depressive manic or mixed episode concurrent · , , , meet the criteria for Schizophrenia volsymptoms that not causedbyany substance use ov generate · Substance Induced Psychotic Disorder & Psychotic - Disorder Due To Another Medical Condition  Schizophrenia Agers-25 characterized by Psychosis · altered cognition, perception I reality testing - , · child-onset slate onset are more rare DSM-U Criteria : ilmont * Highlights 2 or more for obelusions onegative symptoms (diminished · Hallucinations emotional expression or avolitian) functional impairment of Disorganized speech · · some kind Gross disorganization or Catatonia · *continuous disturbance for at least months · willed out: substances or other disturbances comorbidity substance abuse disorders · ↳ nicotine dependence · Anxiety , depression , and suicide physical illness · (excessive drinking ( Polydipsia · Lwater ete  Phases of Schizophrenia Podramal Conser ; mildchanges · Acute Lexacerbation of symptoms) · Stabilization (symptoms diminishing) · · Maintenance or Residual (now baseline established Assessment During the Prodomal phase · Table 12,1 · General assessment :Hallucinations fixed beliefs ,Delusions ifalse ↳ Positive ofsymptomsAlter in : word salad ,jumble ofwords , presents qualities that should be speech; ↓ neologisms , mean to patient only absent echolail anothers words Abnormal speech aprepetition of -innecessary circumstantial - and often tedious details in conversation but eventually reaching the point -angentially; wondering offtopics or going on tangents Cognitize retardation delays in responding - - pressured speech urgent speechreluctantee for others - flight of ideas moving rapidly fom onethoughtothe symbolic speechining words based off what they symbolize snot mean - 6 , absence of qualities like can't enjoy (negative symptomsIsocial discomfort L Anhedonia activities absence of qualities black of motivation - Avolition that should be present Can't think-Alogia impaired judgement Cognitive symptoms easy distracted ~ , Laffective symptoms ; hopeless, suicidal, dysphoria  Disorders or Distortions of Thought Positive Thought Blocking Symptoms · Thought have · Insertion but · shouldn'thave Thought deletion Magical Thinking · Paranoia ~ Alterations in Perception ottallucinations Gustatory Itastel auditory - (feeling) - - Visual - Tactile - olfactory (SMell) Command - Illusions · · Depersonalization · Derealization Alterations in Behavior - catonia or vin movement) - negativism motor retardation impaired impulse control - - - motor agitation - gesturing or posturing behaviors - Stereotyped Boundary Impairment flexibility - waxy - - echopraxia (inick others) movement The absence of - essential human Annedonia (reduced ability to feel Negati qualities pleasure ve ems - Avolition /reduced motivation /beginning should nerve but Asociality (decreased desire for social interaction) - don't have - Affective blunting (reduced affects ; being blunt - Apathy /decreased interest in activities) - Alogia (reduction in speech) Affect : Outward expression of a person's internal emotional 8att - Flat - Inappropriate -Blunted - Bizarre - Constricted Symptoms Lognitive Concrete thinking /late) · Impaired information processing a · impaired thinking Impaired executive functioning · ↳ difficulty critical think Anosognsia-inability · to relieve one is ill caused by illness itself ; often combined cl paranoia Symptoms Affective Assessment for depression is crucial symptoms involving emotions and their expression Increase substance abuse  Assessment Guidelines Any medical problems · Medical problems that mimic psychosis · alcohol Dug or disorders · use Mental Status Examination · ·naude cognitive assessment (reality testing Outcome IdentificationPlanning Phase 1-Acute - safety Phasell-stabilization - Help ot understand illness and treatment Stabilize meds - Phase Ill-maintance - maintain achievement prevent relapse -  Implementation Acute phase (highly medicated · Psychiatric medical, and neurological - , evaluation Psychopharmacological treatment - · Stabilization maintanence phases Counseling communication techniques ·  Biological :Pharmacotherapy Table lot -Immediate First Generation (Dopamine Antagonists) Haloperidol , Fluphenazine L target PositiveSymptoms Decanoate , Advantages less expensive side effects anticholergenic SE Disadvantages extrapyramidal , sexual weight gain , dysfunction.tardive dyskinesia Second-Generation Antipsychotics "Serotonin (5-HEA receptor and dopamine (D receptor anzapine - pamo , paliperidone pamitate ↳ all end"pine or done in or zolell ↳ treat both+and -symptoms ~ minimal to no EPS or tardive dyskinesia Third Generation ↳ subset of SGA's  Dangerous Response to Antipsychotics IGet CM Anticholinagic toxicity ; reduced or absent peristalsis, · uninary retention , diaphoresis , unstable tachycardia , vital signs notdry skin , Neuroleptic Malignant syndrome (MMS) testto use "Alms" · - severe musde rigidity reduced or absent speech , ~ , decreased responsiveness hyperpyrexia :temp over 103it , delirium stupor coma , , · Neutropens a iloba infection Metabolic Syndrome weight gain , dyslipidemia increase · , insurin resistance hisia