Identidy diagnoses
What diagnosis requires for two or more symptoms continuing for a period of at least six months
Schizophrenia
Identify the symptom:
Experiencing sensations that aren't real, most commonly hearing voices.
Hallucination
Hallucinations (hearing voices), delusions, and disorganized speech are all considered _______ symptoms
Positive
What is the age (range) of onset for Schizoaffective Disorder?
late teens to 30's
A 24-year-old male patient, dressed in dirty robes and mismatched sandals, is brought to the ER after risk of jumping off a building. His family members tell that he began acting strangely 8 months ago after dropping out of PA school. The patient states there are voices in his head telling him that he is the next Jesus Christ, and that he must prove it to everyone by dying and being resurrected. He smells of tobacco, and fails to stay on topic during examination. What is this patient's diagnosis?
Schizophrenia
Usually diagnosed alongside a major depressive or manic episode
Schizoaffective disorder
Identify the symptom:
Firmly held false beliefs, such as paranoia (believing others are plotting against them)
Delusions
Flat affect (lack of emotional expression), lack of motivation, and social withdrawal. are all considered _______ symptoms
The two main types are Bipolar type and...
Depressive Type
A 12-year-old male patient enters the pediatric clinic after constant crying. He complains that there are voices telling her to harm his family or suffer consequences. His mother states that her child began acting more strangely in the past year, and wasn't like this before. Exam findings suggest no physical abnormalities present, but he takes an excessively long time before responding to you. Who may also be affected in his family?
A) His elderly father
B) His aunt
C) His twin sister
D) His future children
E) His grandmother
C) His twin sister
He presents with hallucinations over 6 months, with disorganized speech (alogia, increased latency of response). Twin siblings have a 50% occurrence rate. His elderly father is one of the genetic risk factors.
Characterised by at least one month of delusions
Delusional Disorder
Identify the symptom:
Jumping between unrelated topics or speaking incoherently.
Disorganized Thinking/Speech
A 36-year-old female patient was referred to the psychiatric clinic after attacking her primary care PA for fear of injecting her with poison. She states that this fear came on about 2 weeks before her appointment, but has no idea what came over her during that period. She states that she hasn't had episodes like that since. PE shows no abnormalities, and there is no evidence of drug abuse. What do you diagnose her with?
A) Major Depressive Disorder
B) Paranoid-type Schizophrenia
C) Brief Psychotic Disorder
D) Schizophreniform Disorder
E) Bipolar Disorder Type I
C) Brief Psychotic Disorder
short term (two weeks) with no other episodes, paranoia is a common s/s
Disturbance when delusions, hallucinations, or disorganised speech are present, with or without grossly disorganised or catatonic behaviour, for at least one day but less than one month.
Brief Psychotic Disorder
Identify the symptom:
Difficulties with concentration, memory, and decision-making.
Cognitive impairment
A social worker meets with a client who reports hearing voices and occasionally seeing shadows ever since he turned 22, a few months ago. What is the most likely diagnosis for this client?
A) Schizophrenia
B) Major Depressive Disorder
C) Brief Psychotic Disorder
D) Schizophreniform Disorder
Schizophreniform disorder
Symptoms include limited to more than one month and less than six months, and it is not necessary to have a decline in social or occupational functioning.
Schizophreniform
What is the treatment success percentage rate for schizophrenia?
Research indicates that antipsychotic medications help alleviate symptoms in about 70% of individuals undergoing treatment.
A 22-year-old college student is brought to the campus clinic by roommates. They report that for the past 10 weeks, the student has been talking to people who are not there, refusing to eat "poisoned" cafeteria food, and has stopped attending classes. Prior to this, the student was high-functioning.
Question: What is the most likely diagnosis?
Schizophreniform