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PPN 303; WEEK 5 – SCHIZOPHRENIA, SCHIZOAFFECTIVE & PSYCHOSIS EXAM
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PPN 303; WEEK 5 – SCHIZOPHRENIA, SCHIZOAFFECTIVE & PSYCHOSIS EXAM...
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PPN 303; WEEK 5 – SCHIZOPHRENIA,SCHIZOAFFECTIVE & PSYCHOSIS
EXAM
Psychotic Disorders: Tiered Model of Community Mental Health
Treatment - ANSWER All individuals should receive Early Intervention in
Psychosis (EPI) services to reduce the duration of untreated psychosis
and reduce the probability of relapse
Not a lot of funding given to this
Many individuals should receive community-based Intensive Case
Management (ICM) services to promote optimal social & occupational
functioning
Individuals with the most functional disability should receive m
community-based Assertive Community Treatment (ACT) or Flexible
Assertive Community Treatment (FACT) services provided by
interprofessional teams
Main focus - lots of funding from tax payers
Expensive, long waitlist
Is psychosis a disorder? - ANSWER No, it's an umbrella term.
Psychosis disorders are a group of serious illnesses that affect the mind.
Can the symptoms of psychosis and schizophrenia be treated and
managed? - ANSWER Yes! Early detection and treatment results in
better outcomes
What are the 2 primary symptoms of psychosis? - ANSWER -
hallucinations (perceptual disturbances) - occur in the absence of any of
the 5 senses (auditory, visual, tactile, olfactory, gustatory)
-delusions (thinking) - false, fixed belief, inconsistent with an individual's
intelligence/cultural background, which can't be fixed by reasoning
What do delusions entail (4)? - ANSWER -persecutory/paranoid
-magical thinking
-grandiose
,-somatic
What are the positive (surplus) symptoms of psychosis? - ANSWER -
delusion-fixed false belief
-hallucination-perceptual disturbance - a sight, sound, smell, taste or
touch that a persona perceives but is not perceived by others
What are the 5 negative (deficit) symptoms of psychosis? - ANSWER
MJAWS
-MOTIVATION=avolition (reduced goal-directed activity due to
decreased motivation)
-JOY=anhedonia (reduced experience pleasure)
-AFFECT=affective flattening (blunted affect; gross lack of emotional
response)
-WORDS=alogia (reduction in the quantity of words spoken)
-SOCIAL=asociality
What are the 6 types of psychotic disorders (DSM-5)? - ANSWER 1.
Brief Psychotic Disorder
E.g lack of sleep or increased stress
2. Substance-Induced Psychosis
E.g crystal meth
3. Delusional Disorder
-Characterized by non-bizarre, LOGICAL, stable, and well-systematized
delusions that occur in the ABSENCE of other psychiatric symptoms
4. Schizophrenia
5. Schizo-affective Disorder
6. Schizophreniform Disorder
What are the primary symptoms of Delusional Disorder? - ANSWER
Primary symptoms: delusional thinking
E.g being followed, poisoned (persecutory), infected (somatic), intensely
loved (erotomanic), deceived by a spouse or lover (jealous)
What is the onset of schizophrenia? - ANSWER young
-Misunderstood and Stigmatized Condition not often talked about openly
, What are the 4 symptoms of schizophrenia? - ANSWER -disorganized
symptoms
-negative symptoms
-neurocognitive impairment
-positive symptoms
Define first-episode psychosis - ANSWER first time someone
experiences psychotic symptoms, with the length of the phases varying
from person to person
Describe the 3 phases of a psychotic episode. - ANSWER 1. Prodrome -
hardly noticeable; changes in the way one describes their feelings,
thoughts, and perceptions
*starts in late adolescence
*can be confused with anxiety/moodiness of teens
2. Acute - clear psychotic symptoms; ex. hallucinations, delusions,
confused thinking
3. Recovery - psychosis is treatable; recovery from the first episode of
psychosis is more probable than not; not always linear
When is a critical period for intervention that will lead to more favourable
recovery outcomes? - ANSWER early stages of illness = first 2-5 years
following the onset of symptoms
What are the core symptom categories of schizophrenia? - ANSWER -
Positive (1st rank symptoms) = something that is added on; includes
delusions, hallucinations, thought disturbances
-Negative (2nd rank symptoms) = lessening or loss of normal functions;
affective flattening/blunting, ambivalence (impossible to make a
decision), alogia, avolition, anhedonia
-Neuro-cognitive = affects memory
-Disorganized = lack of coherence in speech, behaviour, unable to
attend ADLs
T/F: Positive symptoms are thought to be caused by dopamine
hyperactivity in the mesolimbic tract, which regulates memory and
emotion - ANSWER True
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