Card Set Information
psychotic mental health regis
study guide psychotic disorders exam II
What percent of schizophrenic patients have substance abuse disorders?
What percent of schizophrenic patients will not respond to medication?
What percent of homeless population in US are schizophrenic?
At what age do most schizophrenics develop the disorder (75%)?
What is the psychoanalytic theory of schizophrenia?
failure of repression and flooding of unconscious content
What is the neurochecmical theory of schizophrenia?
Brain overproduction of dopamine and decreased blood flow to frontal cortex
What is the viral theory of shcizophrenia?
prenatal exposure to influenza virus
What are genetic theories of schizophrenia?
people have schizophrenic gene
activated by early childhood life or trauma experience
What brain changes are shown on MRI, CAT Scans and PET?
enlargement of lateral cerebral ventricles
third ventricular dilation
What symptoms might patient report before first episodic break?
unwanted intrusive thoughts
finding mystical/symbolic meanings
mistakes others as having harmful intent
What are s/s as the disease develops?
withdraws emotionally & isolates
unable to trust others
withdraws from reality
: hallucinations, delusions
think thoughts are controlled or broadcast
preoccupied with religion, mysticism, metaphysical
When does a schizophrenic individual have a better prognosis?
When disease comes on fast and very sick
Describe a paranoid type
Delusions-persecutory and grandiose and may be organized around a theme
Associated features-anxiety, anger, aloofness, argumentativeness
May have patronizing, superior, a stilted or formal quality
Describe catatonic type.
Motor immobility or stupor, waxy flexibility
Excessive motor activity, purposeless
Negativism-moveless resistance, mute
Peculiarities of voluntary movement-posturing, prominent mannerisms and grimacing
Echolalia and Echopraxia
Flat or inapproaite affect.
Absent are prominent hallucinations, disorganized speech, disorganized behavior or catatonia
Has negative symptoms
-alogia (inability to sleep)
Describe undifferentiated type.
Does not meet any s/s of any other type of schizophrenia and schizophrenic symptoms are present: delusions, hallucinations, neg sx
What is a brief psychotic rx?
One or more of:
: 1 day to 1 month
-with or without marked stressor present
What is assessed in the Mental Status Exam?
Thought process and Content