Day27_ReviewandCognitive

Day27_ReviewandCognitive - Schizophrenia(and other...

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Schizophrenia (and other psychotic disorders) Chapter 13
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Review Positive Symptoms Negative Symptoms Disorganized Symptoms
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DSM Criteria for Schizophrenia 2 or more during a 1 month period: 1) Delusions 2) Hallucinations 3) Disorganized speech 4) Grossly disorganized or catatonic behavior 5) Negative symptoms (affective flattening, alogia, or anhedonia, & avolition) *some symptoms are continuous for at least 6 months
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Some of the Contributing Factors 1. Genetics 2. Neurotransmitters (dopamine) 3. Brain abnormalities (increased size of ventricles) 4. Prenatal/Perinatal Maternal stress, maternal diet, maternal exposure to viruses, lack of oxygen 5. Environment (stress) can trigger symptoms Family environment (expressed emotion) Urban areas Discrimination
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Treatment: Medication Affects dopamine and other Typical ATypical 1950s 1980s Thorazine Zyprexa, Seroquel, Risperdal Extrapyramidal side effects- tardive dyskinesia Severe weight gain; metabolic syndrome More cost effective
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Medication, con’t Only works to reduce the positive symptoms Often used on a trial and error basis to find the right one Non compliance is high (74%) Why?
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Day27_ReviewandCognitive - Schizophrenia(and other...

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