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Schizophrenia: - 🧠ANSWER ✔✔-psychotic disorder in which personal,
social, and occupational fx deteriorate via abn perceptions, thoughts,
emotions, and motor skills.
-psychosis=loss contact with reality
-dx with 2 sx for 1mo (delusion,hallucinations, disorganized speech, abn
motor, negative sym, disturb life, chronic impairment)
-dual diagnosis pt (MICA) who abuse drugs recovery poorly
,*dx varies per person
3 types of schizo symptoms: - 🧠ANSWER ✔✔1. postive symptoms=excess
thought(delusions,hallucinations), emotions(inappropriate effect),behavior
2. negative symptoms=lack of normal thought, emotion,behavior, memory
loss
3. psychomotor symptoms=unusual movement or gestures
delusions: - 🧠ANSWER ✔✔-strange false belief firmly held despite
evidence that contrast it
-delusion of grandeur (empowerment)
-delusion of reference (sensitive to signs)
-delusion of control=believe being controlled by someone
Formal thought disorder: - 🧠ANSWER ✔✔-disturbance in production and
organization of thought
-schizo pt often cannot communcate logically
,-confusion=intense perceptions or hallucinations w/o stimuli (commonly
auditory)
-loose association=derailment or shifting topics incoherent
-neologism=makeup words
-perseveration=repetition of words or phrases
-clang=rhyming words incoherently
Hallucinations: - 🧠ANSWER ✔✔-experience of sight, sound, smell, touch in
the absence of external stimuli
-commonly auditory (ex. A beautiful mind movie)
-historically treated as gifts from gods>evil forces>overactive
brain>abnormal circuit
Inappropriate effect: - 🧠ANSWER ✔✔-display of unsuited emotions to the
situation
-out of context responses
-often these ppl aren't even listening but reacting to an internal stimuli
-ex. laughs at a funeral
Positive symptoms: - 🧠ANSWER ✔✔-delusions (ex. lycanthropy)
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, -formal thought disorder/disordered thinking and speech (loose
association/derailment/neologisms)
-hallucinations
-deficiet smooth eye mov
-inappropriate affect
Negative symptoms: - 🧠ANSWER ✔✔-lack of speech/alogia=poverty of
speech content
-flat affect=restriction/lack of emotions
-avolition=apathy or inability to start/complete a task
-social withdrawal=hiding at home, breakdown of social skills
-anhedonia=general lack of pleasure/joy
Psychomotor symptoms: - 🧠ANSWER ✔✔-abnormal, slow, awkward,
repeated movements that seem to have a private purpose
-ritualistic or magical gestures
-catatonia=pattern of extreme posturing (motionless, rigid, odd pose)
3 stage of schizophrenia: - 🧠ANSWER ✔✔1.) prodromal=withdrawal, mild
sx