Schlzophrenla

skblzelo(ot Lo spllL)
and
pbteo pbteo (pp p mlnd)
by !eaneLLe Sampang
Schlzophrenla
W a dlsorder characLerlzed by a dlslnLegraLlon of Lhe
process of Lhlnklng and of emoLlonal responslveness
W 1he LhoughL problems assoclaLed wlLh schlzophrenla
are descrlbed as psychosls
W Lhe resulL of a complex group of geneLlc
psychologlcal and envlronmenLal facLors
Schlzophrenla
Slgns and SympLoms
W oslLlve
W negaLlve
W CognlLlve
Schlzophrenla
Slgns and SympLoms
os|t|ve Symptoms are psychoLlc behavlors noL seen ln
healLhy people
W Amb|va|ence a sLaLe of havlng slmulLaneous
confllcLlng feellngs Loward a person or Lhlng
W Assoc|at|ve Looseness a dlsLurbance of Lhlnklng ln
whlch Lhe assoclaLlon of ldeas and LhoughL paLLerns
becomes so vague fragmenLed dlffuse and
unfocused as Lo lack any loglcal sequences or
relaLlonshlp Lo any precedlng concepLs or Lhemes
Schlzophrenla
Slgns and SympLoms
W De|us|ons a flxed bellef LhaL ls false fanclful or
derlved from decepLlon
W Lchoprax|a ls Lhe lnvolunLary repeLlLlon or lmlLaLlon
of Lhe observed movemenLs of anoLher
W erservat|on ls Lhe repeLlLlon of a parLlcular
response such as a word phrase or gesLure desplLe
Lhe absence or cessaLlon of a sLlmulus usually
caused by braln ln[ury or oLher organlc dlsorder
Schlzophrenla
Slgns and SympLoms
W I||ght of Ideas rapld speech LhaL [umps from Loplc
Lo Loplc
W na||uc|nat|ons percepLlons ln a consclous and
awake sLaLe ln Lhe absence of exLernal sLlmull
W Ideas of keference bellef or percepLlon LhaL
lrrelevanL unrelaLed or lnnocuous phenomena ln Lhe
world refer Lo Lhem dlrecLly or have speclal personal
slgnlflcance
Schlzophrenla
Slgns and SympLoms
Negat|ve Symptoms are deflclLs of normal emoLlonal
responses or of oLher LhoughL processes
W A|og|a or poverty of speech ls a general lack of
addlLlonal unprompLed conLenL seen ln
normal speech
W Anhedon|a an lnablllLy Lo experlence pleasurable
emoLlons from normally pleasurable llfe evenLs such as
eaLlng exerclse soclal lnLeracLlon or sexual acLlvlLles
W Lack of Vo||t|on lack of moLlvaLlon
Schlzophrenla
1ypes
W arano|d sch|zophren|a a form characLerlzed by
deluslons ofLen wlLh audlLory halluclnaLlons wlLh
relaLlve preservaLlon of affecL and cognlLlve
funcLlonlng
W D|sorgan|zed sch|zophren|a a form marked by
dlsorganlzed and lncoherenL LhoughL and speech
shallow lnapproprlaLe and sllly affecL and regresslve
behavlor wlLhouL sysLemaLlzed deluslons
Schlzophrenla
1ypes
W Cataton|c sch|zophren|a Lhe person wlLh Lhls Lype of
schlzophrenla prlmarlly has aL leasL Lwo of Lhe
followlng sympLoms dlfflculLy movlng reslsLance Lo
movlng excesslve movemenL abnormal movemenLs
and/or repeaLlng whaL oLhers say or do
W Und|fferent|ated sch|zophren|a aLlenLs ln Lhls
caLegory have Lhe characLerlsLlc poslLlve and
negaLlve sympLoms of schlzophrenla buL do noL meeL
Lhe speclflc crlLerla for Lhe paranold dlsorganlzed or
caLaLonlc subLypes
Schlzophrenla
1ypes
W kes|dua| sch|zophren|a a condlLlon manlfesLed by
lndlvlduals wlLh sympLoms of schlzophrenla who
afLer a psychoLlc schlzophrenlc eplsode are no
longer psychoLlc or may manlfesL only negaLlve
sympLoms
Schlzophrenla
Slgns and SympLoms
Cogn|t|ve symptoms are subLle CfLen Lhey are deLecLed
only when oLher LesLs are performed
W oor execuLlve funcLlonlng (Lhe ablllLy Lo undersLand
lnformaLlon and use lL Lo make declslons)
W 1rouble focuslng or paylng aLLenLlon
W roblems wlLh worklng memory (Lhe ablllLy Lo use
lnformaLlon lmmedlaLely afLer learnlng lL)
Schlzophrenla
1reaLmenLs
Ant|psychot|c drugs ls a Lranqulllzlng psychlaLrlc
medlcaLlon prlmarlly used Lo manage psychosls
1yplcal (llrsL CeneraLlon) are Lhe older medlcaLlons used
Lo LreaL psychoLlc sympLoms
ALyplcal (Second CeneraLlon) are so called because Lhey
are chemlcally dlfferenL from and have dlfferenL slde
effecLs Lhan Lhe older anLlpsychoLlc medlcaLlons
LC1 (L|ectroconvu|s|ve 1herapy)
Schlzophrenla
1reaLmenLs
1yp|ca|
8utyrophenones
Paloperldol
uroperldol
henoth|az|nes
Chlorpromazlne
romeLhazlne
1h|oxanthenes
ChlorproLhlxene
ClopenLhlxol
Atyp|ca|
Clozaplne
Clanzaplne
8lsperldone
CueLlaplne
Zlprasldone
Amlsulprlde
Asenaplnelloperldone
ZoLeplne
SerLlndole
Schlzophrenla
1reaLmenL Slde LffecLs
Lxtrapyram|da| Symptoms (LS)
Acute Dyston|c react|ons muscular spasms of neck
eyes Longue or [aw
Akath|s|a resLlessness
seudopark|nson|sm druglnduced parklnsonlsm
1ard|ve Dysk|nes|a characLerlzed by repeLlLlve
lnvolunLary purposeless movemenLs such as
grlmaclng Longue proLruslon llp smacklng
puckerlng and purslng of Lhe llps and rapld eye
bllnklng