POSITIVE SYMPTOMS
fixed false beliefs that have no basis in reality?
Delusions
The number one thing they are at risk for
hint: humans are _____ creatures
social isolation
a combination of schizophrenia and mood disorder
schizoaffective disorder
feeling no joy or pleasure in life
anhedonia
sedating, sesame oil, ask about seizure disorders, improves thinking, First generation antipsychotic
Haloperidol (Haldol)
false sensory perceptions or perceptual experiences that do not exist in reality
Hallucinations
3 major risk components to schizophrenia
biological (genetic)
biochemical (chemical imbalance) DOPAMINE EXCESS
socioeconomic risk (lower class, divorce, no access to health care)
categorized by delusions of grandeur
fear someone is "out to get them"
stereotyped on TV
Paranoid schizophrenia
what is flat affect?
the absence of facial expressions that would reflect mood or feelings
Benzodiazepines
persistence adherence to a single topic
perservation
“Would women want a FAST metabolism or a slow one” -Caused by atypical antipsychotics.
CAN BE FATAL
Metabolic syndrome
short time frame
sudden onset of psychosis
COMPLETE RECOVERY
most likely to cause CRISIS
Brief psychotic disorder
psychologically induced immobility occasionally marked by periods of agitation
catatonia
WHITE COUNTS CHECKED EVERY 1-2 WEEKS!!!!! Decrease them! -Agranulocytosis- Atypical med. Decreased white cell count! No immune system!!
clozapine
jumping from one VAUGE topic to another. The topics are LOOSLY associated with one another.
Loose associations
Your patient wants to stop taking their medication, what is the number 1 thing to tell them about that?
TAPER OFF
when would you NOT taper off?
rapid onset
lasts less than 6 months
schizophreniform disorder
inability to concentrate no matter how hard they try.
inattention
Anticholinergic
• Drowsiness
• Dizziness when changing positions- orthostatic - hypotension
• Rapid heartbeat
• Sensitivity to the sun
• Skin rashes
• Menstrual irregularities
• Lengthened QT interval- “Scared you to DEATH”
Side effects of antipsychotic meds
mimicking gestures of someone they are interacting with
echopraxia
BONUS
How does this differ from "word salad"
rapid eye movement
rigidity
lip-smacking
bobbing head
all signs of what condition?
Tardive dyskinesia
What is it caused by?
people share a similar delusion
can happen in twins!
Shared psychotic disorder
what is the difference between positive and negative symptoms?
positive= psychotic
negative affects the MOOD
side effects of this med include
Parkinsonism (trouble moving)
Akathisia (restlessness and urge to move)
Dystonia (muscle contractions causing twisting movements)
much lower risk of TD
Sleepiness and fatigue
Risperidone