Phases of Psychotic disorder
Positive Symptoms
Negative Symptoms
Treatment Modalities
Case Presentation Trivia
100
Symptoms of acute stage are either absent or no longer prominent
Phase IV: Residual
100
Person never really gets to the point of the communication
Tangentiality
100
Indifference to or disinterest in the environment
Apathy
100
Patients are viewed as responsible human beings
Milieu Therapy
100
Client’s Legal Status
PG Conserved
200
Psychotic symptoms are prominent
Phase III: Schizophrenia
200
Speech in which ideas shift from one unrelated subject to another
Associative looseness
200
Retreat to an earlier level of development
Regression
200
Focuses on real-life plans, problems, and relationships
Group Therapy
200
Client’s Allen Cognitive Level Score
4.4
300
What is Very shy and withdrawn, having poor peer relationships
Phase I: Premorbid
300
Often take the form of rhyming
Clang associations
300
Appears to be void of emotional tone
Bland or Flat Affect
300
Using simple, concrete instructions and prompts to elicit the desired behavior
Behavior Therapy
300
Client’s G.A.F. Score
25
400
Person experiences functional impairment and nonspecific symptoms
Phase II: Prodromal
400
Persistently repeats the same word or idea in response to different questions
Perseveration
400
Coexistence of opposite emotions toward the same object, person or situation
Emotional ambivalence
400
Group of antipsychotics found to be more useful in treating both the + and - symptoms
Atypical antipsychotics
400
Client’s antidepressant medication
venlafaxine (Effexor XR)
500
Important factor associated with a more positive prognosis
Later age at onset
500
Purposelessly imitate movements made by others
Echopraxia
500
Allows body parts to be placed in bizarre or uncomfortable positions
Wavy flexibility
500
Major side effect of typical antipsychotics
Pseudoparkinsonism
500
Client’s antipsychotic medication
olanzapine (Zyprexa)
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