psychoses throughout life cycle
4 risk for childhood Schz
Genetic, complication during pregnancy or birth, biochemical imbalances, environmental
the inability to recognize reality, relate to others, and cope with life’s demands
Psychosis
a difficulty in identifying and describing emotions
Alexithymia
High-potency antipsychotics
fluphenazine (Prolixin, Permitil), haloperidol (Haldol), thiothixene (Navane), trifluoperazine (Stelazine
behaviors adolescence with Schz
Poor grooming/hygiene, hoarding food, believe In reading minds, social withdrawal
ability to perform, change, and adapt is influenced by learned behaviors and certain physical brain functions, their connections, and their chemical messengers
Neurobiological response
decreased ability to experience pleasure in life
Anhedonia
Moderate-potency antipsychotics
loxapine (Loxitane), molindone (Moban), perphenazine (Trilafon
Families with members who have schizophrenia face enormous demands what are they?
parents struggle with guilt and they suffer the grief of losing a normal child( cope with stigma having mentally ill child. Brothers and sisters have to cope with “ could it happen to me. repeated role changes that occur with each hospitalization and each return home.Most families have difficulties because of the enormous amount of energy required to cope with a psychotic family member
eyes involuntarily roll to the back of the head
oculogyric crisis
schizophrenia present for many years; time is limited between acute episodes; prognosis is poor
Residual
Low-potency antipsychotics
chlorpromazine (Thorazine), prochlorperazine (Compro), mesoridazine (Serentil), thioridazine (Mellaril
older adults with Schz suffer from ?
Irreversible side effects of long term antipsychotic drug use, depressive episodes and chronic medical problems
Life threatening, client begins to gag, choke, and become cyanotic
laryngeal-pharyngeal dystonia
Disordered thinking, speech, and behavior; emotions flat or inappropriateunable to perform activities of daily living; onset is early, prognosis is poor
Disorganized
Atypicals
aripiprazole (Abilify), brexpiprazole (Rexulti),cariprazine (Vraylar), clozapine (Clozaril),(Fanapt), lurasidone (Latuda),olanzapine (Zyprexa), quetiapine (Seroquel), (Invega), asenapine (Saphris), (Risperdal), ziprasidone (Geodon)
exposure to this virus during what trimester has been linked to some cases of Schz
Influenza , 2nd trimester
absence of movement
Akinesia
Organized delusions of grandeur or persecution, auditory hallucinations; high anxiety levels, guarded, suspicious, aloof, hostile, angry, can be violent or suicidal; onset is late, prognosis is good with treatment.
Paranoid
***commonly used psychotherapies
CBT: identify and change ineffective patterns of thinking and behavior
CET: build brain capacity through the use of computer exercises and group work
supportive therapy
family psycho education