Types
This type schizophrenia is distinguished by certain behavior, including delusions and auditory hallucinations. this behavior is exhibited by feelings of persecution, of being watched, or sometimes this behavior is associated with a famous or noteworthy person a celebrity or politician, or an entity such as a corporation. People with this type schizophrenia may display anger, anxiety, and hostility. The person usually has relatively normal intellectual functioning and expression of affect.
Paranoid
Example of this positive sign are circumstantial thinking, loose associations, word salad, neologisms, echolalia.
Disordered thinking
Social withdrawal; lack of pleasure in activities
anhedonia
A cause of schizophrenia that is passed down in the family
Genetics
olanzapine (Zyprexa) risperidone (Risperdal) quetiapine (Seroquel) ziprasidone (Geodon) aripiprazole (Abilify) paliperidone (Invega)
What is an example of atypical psychotic medication
A person with this schizophrenia will exhibit behaviors and speech that may be bizarre or difficult to understand. They may display inappropriate emotions or reactions that do not relate to the situation at-hand. Daily activities such as hygiene, eating, and working may be disrupted or neglected by their ------ thought patterns.
disorganized type
What is restlessness, repetitive movements?
Disordered movement: catatonic excitement
alogia
What is complete lack of speech - flat speech
“I own the Bank of America and my people are going to put up $20 million for my release from here.”
Grandiose delusion
Extrapyramidal symptoms (EPS) are various movement disorders such as acute dystonic reactions, pseudoparkinsonism
What are extrapyramidal side effects?
Disturbances of movement mark schizophrenia. People with this type of schizophrenia may vary between extremes: they may remain immobile or may move all over the place. They may say nothing for hours, or they may repeat everything you say or do. These behaviors put these people with type schizophrenia at high risk because they are often unable to take care of themselves or complete daily activities.
Catatonic Type
Hearing, seeing, tasting, feeling, or smelling things that others do not experience
Hallucination
flat affect
What is - A person who lacks a normal range of feelings and behaviors.
“I love chocolate candy. Candy is my dog’s name. What’s your name?” What is...
Loose associations
These are anticholinergic agents such as benztropine (Cogentin), diphenhydramine (Benadryl), and trihexyphenidyl (Artane). Another common course of treatment includes dopamine agonist agents such as pramipexole.
What are medications used to treat EPS?
Does not meet criteria for other subtypes
Undifferentiated Subtype
Believing that what other people are saying is not true
Delusions
The ability to experience a sense of caring is reduced.
apathy
“The CIA has been poisoning my water.”
Paranoid delusion
High Potency e.g. haloperidol (Haldol), fluphenazine (Prolixin) Moderate Potency e.g. loxapine (Loxitane), perphenazine (Trilafon) Low Potency e.g. chlorpromazine (Thorazine), thioridazine (Mellaril)
What is an example of a Typical/Traditional medication for schizophrenia?
Has some disturbed thinking or behavior but does not meet other criteria
Residual
The person will assume one position and remain that way for long periods of time (sometimes for hours)
What is waxy flexibility
The Impaired ability to make decisions
ambivalence
Prenatal infections Parental neglect or rejection Greater % of pts. come from lower socio-economic class
Developmental and Environmental theories
These are involuntary movements of the tongue, lips, face, trunk, and extremities that occur in patients treated with long-term dopaminergic antagonist medications
What is Tardive Dyskinesia