Schizophrenia
Characteristics of Psychosis
altered cognition, altered perception and/or impaired ability to recognition reality
Haphazard or illogical; poor concentration
Associative looseness
Without pleasure
Anhedonia- negative
Effects take how long?
a) 1-2 weeks
b) 2 to 6 weeks
c) 3-4 weeks
B- may need dosage adjustment
grandiose, persecutory, somatic and ideas of reference. Usually don't impair daily functioning
delusional disorder
jumble of words
word salad- most extreme form of associative looseness
Reduction in speech
Alogia- negative
First generation antipsychotics
Haldol and Prolixin
Sudden onset of delusions, hallucinations, disorganized thinking or catatonic behavior
brief psychotic disorder
choosing words based on sound
Clang association
"I see dead people"
Visual hallucinations- positive
Second generation antipsychotics
Clozaril, Zyprexa, invega, Seroquel, Risperidone, Abilify, Geodon
Major depressive, manic or mixed episodes
Schizoaffective disorder
words that have meaning for person but no meaning to others
Neologisms
Reduced or constricted affect
Affective blunting- negative
Persistent involuntary rhythmic movements
Tardive dyskinesia
Exactly like schizophrenia but < 6 months and usually do not cause impairment in functioning
Schizophreniform disorder
Repeating another's words
Echolalia
Voices telling person to harm others
Command hallucinations- positive
Motor restlessness
Akathisia
reduction or stoppage of thought
Thought blocking-thoughts interrupted by hallucinations
"I don't feel like it"
Amotivation-negative
Possibly fatal side effects
NMS, agranulocytosis, paralytic ileus, bowel obstruction,
believing their thoughts and actions affect others
Magical thinking
Affect: "BIBCF"
blunted; inappropriate, bizarre, constricted and flattened
irrational fear
Paranoia