Transcript Schizophrenia PowerPoint

*a group of severe brain disorders in which
people interpret reality abnormally
*may result in hallucinations, delusions, and
disordered thinking and behavior
*a chronic condition, requiring lifelong treatment
*the most common psychotic disorder which
affects 1-2% of the population or 2.5 million
Americans
*Paranoid Schizophrenia
*Disorganized Schizophrenia
*Catatonic Schizophrenia
*Undifferentiated Schizophrenia(largest group)
*Residual Schizophrenia
*Caused by imbalances in neurotransmitters in specific
brain areas which suggest the possibilities of a reaction
dopaminergic pathways in the brain nuclei (an area
that controls motor activity)
*Results from combination of genetic and environmental
factors
*Compared to a healthy brain, a schizophrenic brain has
large ventricles and a smaller amount of tissue in the
left temporal lobe.
*Having a family history of Schizophrenia
*Exposure to viruses, toxins or malnutrition while in
womb especially in the first or second trimester
*Stressful Circumstances
*Older parental age
*Taking psychoactive drugs during adolescence and
young adulthood
*Positive
-hallucinations
-delusions
-disorganized thought or speech pattern
*Negative
-losing interest in everyday activities
-feeling out of touch with other people, family or friends
-lack of feeling or emotions
-having little emotions or inappropriate feelings in certain situations
-having less ability to experience pleasure
-decreased ability to plan and carryout activates
*Cognitive
-problems with making sense of information
-difficulty paying attention
-memory problems
*Laboratory tests- rule out other conditions with similar symptoms
and screening for drugs and alcohol
*Psychological evaluation- patient must exhibit at least two symptoms
of the disorder and have had them for six months
**Men are usually diagnosed in late teens to early 20’s
**Women are usually diagnosed in their mid 20’s to early 30’s
**Uncommon to diagnose in children and rare to diagnose over 45
years of age
Atypical
*Aripiprazole (Abilify)
*Clozapine (Fazaclo ODT)
*Paliperidone (Invaga)
*Quetiapine (Seroquel)
*Risperidone (Risperdal)
*Zipraxindone (Geodon)
Typical
*Chlorpromazine
*Fluphenazine
*Haloperidol (Haldol)
*Perphenazine
*Atypical preferred because of lower risk of debilitating side effects.
*Typical has frequent and potentially significant neurological side effects
including tardive dyskinesia which may or may not be reversed.
Although the medications help treat the disorder, the
side effects can cause patient to be noncompliant
even though most of the side effects will subside
*Drowsiness/Dizziness
*Tremors
*Restlessness
*Skin rashes
*Sensitivity to the sun
*Blurred vision
*Rapid heart rate
Psychosocial Treatment
*Social skills training
*Family therapy
*Vocational rehabilitation and supported
employment
*Individual therapy
Cognitive Behavioral Therapy
*a type of psychotherapy that focuses on behavior
and thinking
http://youtube/v1XO6o-9mqQ (“Bob” HBO documentary from about 1989)
I know this video is old, however Schizophrenia really hasn’t changed. I
found it very interesting that he was classic in terms of his age of onset and
the fact that stress appears to have been the trigger for him. This video is a
good example of what Schizophrenia looks like. His thoughts and words
appear to be all jumbled up, anxiety level is high and he is clearly having
delusional thoughts. I also thought it covered well what all the families go
through when the diagnosis is received. I was sad to see that there wasn’t a
drug regime that worked for him. Also just as I noticed in the literature I
read, he suffered irreversible side effect which ended him in a group home. I
did wonder however if there might be drugs out now that wasn’t out then
that might have helped.
Higgins, Henry. (2011, June, 21) Schizophrenia Documentary (HBO) “Bob”.
Retrieved from http://youtube/v1XO6o-9mqQ
Schizophrenia. (2012, January 27). Retrieved from
http://www.mayoclinic.com/health/schizophrenia/ds00196
Schizophrenia. (2013) Retrieved from
http://www.nimh.nih.gov/health/publications/schizophrenia/w
Schizophrenia. (2013) Retrieved from
www.webmd.com/schizophrenia/default.htm
Schizophrenia. (2013, July 13) Retrieved from
https://en.wikipededia.org/wiki/schizophrenia