Schizophrenia

Question 1

myths

Answer 1

• means having multiple personalities
• people with SZ are violent and dangerous
• it is caused by bad parenting
• it is untreatable

Question 2

schizophrenia

Answer 2

• long term mental disorder
• involving a breakdown in relation between thought, emotion, and behaviour
• leading to faulty perception
• inappropriate actions and feelings
• withdrawal from reality and personal relationships
• fantasy and delusion
• sense of mental fragmentation

Question 3

schizophrenia - making it hard to distinguish what is real and not real

Answer 3

• hard to think clearly
• manage emotions
• relate to others
• function normally

Question 4

what type of disorder is schizophrenia classed as

Answer 4

• psychotic disorder

Question 5

psychosis

Answer 5

• a persons thought processes and emotions are so impaired
• they have lost contact with reality

Question 6

symptoms of schizophrenia

Answer 6

• hallucinations (visual and auditory) they are aware of these
• delusions
• share their inner most personal thoughts with others
• colours and sounds may appear altered or more vivid

Question 7

delusions

Answer 7

• false beliefs which remain even when disproven
• held with complete conviction
• despite being a strange, unrealistic view
• e.g believing you’re being harassed

Question 8

features of schizophrenia

Answer 8

• life expectancy is 10-12 yrs less than average population
• affects 24 million people
• 1/4 people have a Sz episode recover and don’t get another
• 1/4 people have Sz continuously without any breaks
• people who are experiencing social problems are more likely to develop Sz
• can’t be cured

Question 9

social problems

Answer 9

• poverty
• homelessness

Question 10

positive symptoms

Answer 10

• additional behaviour experienced
• which is not the norm

Question 11

positive symptoms examples

Answer 11

• hallucinations
• delusions

Question 12

hallucination

Answer 12

• seeing/hearing things which are not there
• but is very real for the individual experiencing them

Question 13

negative symptoms

Answer 13

• a behaviour which should be experienced as the norm but is no longer

Question 14

negative symptoms - examples

Answer 14

• flattened mood = appearing emotionless, having flat expressions
• losing interest and motivation in life and activites, e.g relationships

Question 15

diagnostic criteria for schizophrenia

Answer 15

• characteristic symptoms
• social/occupational dysfunction
• duration
• schizoaffective and mood disorder exclusion
• substance/general medical condition exclusion
• relationship to pervasive developmental disorder

Question 16

characteristic symptoms

Answer 16

• 2 or more symptoms need to be present for a significant portion of time during a 1 month period:
• delusions
• hallucinations
• disorganised speech
• grossly disorganised behaviour
• negative symptoms

Question 17

when is only 1 symptom required to diagnose someone with schizophrenia

Answer 17

• if delusions are bizarre
• hallucinations consist of a voice keeping up running commentary on persons behaviour/thoughts
• 2 or more voices conversing with each other

Question 18

social/occupational dysfunction

Answer 18

• for a significant period since the onset of disturbance
• 1 or main areas of functioning, e.g work, interpersonal relations, self care
• are markedly below level achieved prior to onset

Question 19

duration

Answer 19

• continuous signs of disturbance persist for at least 6 months
• this period must include at least 1 month of symptoms that meet criteria A
• may include periods of prodromal (symptoms displayed at onset of disorder)
• or residual symptoms
• during prodromal or residual symptoms signs of disturbance may be manifested in negative symptoms or 2 or more symptoms for criteria A in an attenuated form

Question 20

schizoaffective and mood disorder exclusion

Answer 20

• have been ruled out due to :
• major depressive, manic or mixed episodes have occurred concurrently with active phase symptoms
• or if mood episodes have occurred during active phase symptoms, their total duration has been brief relative to these active and residual periods

Question 21

substance/general medical condition exclusion

Answer 21

• disturbance is not due to direct physiological effects of a substance
• or a general medical condition

Question 22

relationship to a pervasive developmental disorder

Answer 22

• if there is a history of Autistic disorder or another PDD
• the additional diagnosis of SZ is made only is prominent delusions or hallucinations are also present for at least a month

Question 23

types of schizophrenia

Answer 23

• paranoid sz
• disorganised sz
• catatonic sz
• undifferentiated sz

Question 24

paranoid schizophrenia

Answer 24

• delusions of persecution
• delusions of grandeur
• suspicion, anxiety and anger

Question 25

disorganised schizophrenia

Answer 25

- confusion and incoherence - severe deterioration of personal hygiene - thought disorganisation is so extreme it is difficult to communicate - childlike behaviour

Question 26

catatonic schizophrenia

Answer 26

- disturbances in movement - extreme and prolonged rigidity or repetitive random movements

Question 27

residual schizophrenia

Answer 27

- symptoms of sz are present - however experienced mildly

Question 28

undifferentiated schizophrenia

Answer 28

- individuals who show some symptoms across the previous categories - but not one of them enough to be diagnosed