Schizophrenia & Other Psychosis
Schizophrenia – splitting of the mind & cant defined as a single illness
Diagnose during late adolescence
15 to 25 for males
25 to 35 in females
Categories of Schizophrenia
1. Hard / Negative Signs & Symptoms
1.1. Delusion – fixed false belief & has no basis
1.2. Hallucination – false sensory perception or perception experiences
1.3. Grossly disarrange behavior
2. Soft / Positive Signs & Symptoms
2.1. Flat affect – absence pf any facial expression that could indicate mood
2.2. Lack of Volition – absence of will, ambition or drive
2.3. Social withdrawal / discomfort
Type of Schizophrenia
1. Catatonic- psychomotor disturbance, either motionless / excessive motion activity
Motor immobility – catalepsy (waxy flexibility)
Maintenance of positive or position on one time event even it its on awkward position
Other Feature:
Extreme negativism
Mutism
Echolalia – repetition or imitation of movement & gesture
Fecularities of voluntary movement
2. Paranoid type- persecutory feeling, grandiose, delusion, hallucination & occasionally behavior
3. Undifferentiated type- mixed Schizophrenia symptoms along with disturbance through affect behavior
4. Disorganized type – grossly inappropriate of flat affect
5. Residual type- at least one previous through not a current episodes, social withdrawal flat affect & looseness of association
Eugene Blueler 4A’s
Affective blunting
Autism
Ambivalence
Association (loose)
How to deal to patient with Schizophrenia
Communication
Thinking
Perceiving
Feeling
Interpreting
Behavior
Other Psychosis Disorders:
1. Schizophreniform disorder – exhibits the symptoms of Schizophrenia but not less than 6 months
2. Schizophrenia Affective Disorder – Schizophrenia meets the criteria for major affective & mood disorder
3. Delusional Disorder – one or more non