Schizophrenia Proper
2 or more active symptoms
marked impairment
6 months or more, with prodromal signs before then
not better explained by another diagnosis
not due to substance/medical/mood condition
Phase 1 of Schizophrenia
prodromal
Phase 2 of Schizophrenia
active
Phase 3 of Schizophrenia
residual
1-30 days
Brief Psychotic Disorder lasts ____.
1-6 Months
Schizophrenifrom Disorder lasts ___.
Schizophrenia lasts ___.
6+ months
Schizoaffective Disorders Hallmarks
All the symptoms of schizophrenia plus at some times the person meets the criteria for major depressive or bipolar disorder
Biopolar Type of Schizoaffective Disorder
full-blown manic or mixed manic activity in addition to schizophrenic symptoms
Depressive Type of Schizoaffective Disorder
disturbance includes only Major Depressive Episodes (no mania) in addition to schizophrenic symptoms
Delusional Disorder Hallmarks
Non-bizarre delusions that are not out of the realm of possibility; functioning is not impaired in areas other than the delusion
Schizophrenia Hallmarks
A mixture of characteristics signs and symptoms that have been present for most of one month, and with some signs having been present for 6 months.
Active phase symptoms
(+) delusions
(+) hallucinations
(+) disorganized speech
(+) grossly disorganized or catatonic behavior
(-) negative symptoms (flat affect, alogia, avolition)
delusions
disordered thoughts: misrepresentations of reality
hallucinations
distorted perceptions: sensed, not present
Erotomatic Delusions
delusions that another person, usually of high status, is in love with the individual
Grandiose Delusions
delusions of inflated worth, power, knowledge, identity, or special relationship to a deity or famous person
Jealous Delusions
delusions that the individual's sexual partner is unfaithful
Persecutory Delusions
delusions that the person is being malevolently treated in some way
Somatic Delusions
delusions that the person has some physical defect or medical condition
Mixed Delusions
delusions characteristics of more than one of the above types, but no one theme predominates
Unspecified Delusions
NOS delusions
Shared Psychotic Disorder Hallmarks
A delusional set that develops in an individual who is involved in a close relationship with another person who already has a psychotic disorder with prominent delusions. The second person comes to share the delusional beliefs of primary case, in whole or
Acute dystonias
painful muscle contractions, involuntary, eyes roll back into head, common in young men, onset less than one week, happens when blood level decreases
Drug-induced Parkinsonism
dopamine suppression, odd facial postures and movements, cogwheeling, tremors, stiffness
Akathesia
restlessness, rocking, marching in place, crossing/uncrossing legs, mild to severe
Akinesia
not moving, poverty of movement, hard to tell if this is a negative symptom (drug holiday)
Sedation
side effect and desired effect, difficult to get sedation right
Orthostatic Hypotension
still skeleton, low blood pressure, when you stand quickly, risk of falling
Anticholinergic Side Effects
acetaylcholine; urinary retention, erectile and ejaculatory problems, blurred vision, dry mouth
Tardive Dyskinesia
most serious, odd mouth and tongue movements, moving of fingers, irregular movement of muscles including diaphragm
Neuroleptic Malignant Syndrome
deadly, medical emergency, sudden: muscle rigidity, decreased level of consciousness, extremely high fever, drastic fluctuations in BP, tachycardia, diaphoresis
Metabolic Syndrome
heart disease, increased weight, cholesterol, trigylecrides, blood pressure
cause: 2nd generation drugs