Schizophrenia• It is a disease that affects 1% of the  world’s population• It has more impact on urban people  than rural ...
Schizophrenia is not caused by:•   Inadequate parenting•   Overzealous mothers•   Poor family relations•   It is not split...
Schizophrenia and Genetics• 70% of persons who develop  schizophrenia have a genetic basis for  it.  That is, there is a r...
Schizophrenia and Genetics• More clearly, if you have an identical  twin who has schizophrenia, you have a 50% chance of d...
Schizophrenia: illness features• Hallucinations• Delusions• Decline in social and occupational  functioning
Schizophrenia: the affected           person may:•   Talk to himself•   Gesture to himself•   Dress in layers in any weath...
Schizophrenia: the affected           person may:•   May even believe he is God•   See things•   Feel people are out to ge...
Schizophrenia: the affected         person may:• Be unable to work• Stop talking or greatly reduce  conversation• Appear l...
Schizophrenia treatment• Biological• Psychological• Social
Schizophrenia Treatment:           Biological• Medications  – called antipsychotic  – (not “antischizophrenic”)  – they de...
Schizophrenia Treatment:          Psychological• Patients will need therapy  – supportive  – “digging deep” can help some,...
Schizophrenia Treatment:         Psychological• Those who have family benefit most  from families who:  – are informed abo...
Schizophrenia Treatment:         Psychological• Family member skills:  – low key  – low demand  – use simple sentences  – ...
Schizophrenia Treatment:         Psychological• Family member skills:  – are able to respond to dangerous behavior  – can ...
Schizophrenia Treatment: Social•   Rehabilitation•   “Habilitation”•   Social skills training•   Vocational assistance•   ...
Schizophrenia Treatment• Community resources  Black Mental Health Alliance  National Alliance for the Mentally Ill  (NAMI)...
Bipolar disorder• Also known as manic-depressive illness• The 2 “poles” are mania and depression
Bipolar disorder• Affects 1% of the population• Affects men and women equally• Can start in childhood and throughout  adul...
Bipolar disorder: illness features• Mania  – Elevated mood  – May feel full of energy  – May feel she can accomplish anyth...
Bipolar disorder: illness features• Mania  – May become irritable  – May lose the need for sleep  – May feel energized by ...
Bipolar disorder: illness features• Depression  – Poor sleep  – Low appetite or weight loss  – Low interest in pleasurable...
Bipolar disorder: illness features• Depression  – Unable to focus or concentrate  – Thoughts of death and suicide
Bipolar disorder: illness features• A person is rarely seen at one of the  poles• A person may have features of both at  t...
Bipolar disorder: Treatment• Biological• Psychological• Social
Bipolar disorder: Treatment• Biological  – Medications     •   Stabilize mood     •   Dampen mania     •   Ameliorate depr...
Bipolar disorder: Treatment• Psychological  – Supportive therapy  – May “dig deep”  – Helps people to deal with the devast...
Bipolar disorder: Treatment• Social  – Support Groups     • DRADA     • NDMDA  – Rehabilitation and “habilitation”
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Schizophrenia

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  1. 1. Schizophrenia• It is a disease that affects 1% of the world’s population• It has more impact on urban people than rural people• It is a disease that affects men and women equally• It is a disease of the brain
  2. 2. Schizophrenia is not caused by:• Inadequate parenting• Overzealous mothers• Poor family relations• It is not split personality
  3. 3. Schizophrenia and Genetics• 70% of persons who develop schizophrenia have a genetic basis for it. That is, there is a relative who has the disease.• The closer in relation to the ill person, the more likely one is to get the disease.
  4. 4. Schizophrenia and Genetics• More clearly, if you have an identical twin who has schizophrenia, you have a 50% chance of developing schizophrenia
  5. 5. Schizophrenia: illness features• Hallucinations• Delusions• Decline in social and occupational functioning
  6. 6. Schizophrenia: the affected person may:• Talk to himself• Gesture to himself• Dress in layers in any weather• Fail to bathe and get a haircut• Gain an odd interest in ordinary things (like religion)
  7. 7. Schizophrenia: the affected person may:• May even believe he is God• See things• Feel people are out to get them• Believe in all sorts of conspiracies• Have ideas that no amount of evidence to the contrary can dislodge
  8. 8. Schizophrenia: the affected person may:• Be unable to work• Stop talking or greatly reduce conversation• Appear lazy, unmotivated and uninterested• May look like he has dementia• Lose the ability to get and keep friends• Be tense
  9. 9. Schizophrenia treatment• Biological• Psychological• Social
  10. 10. Schizophrenia Treatment: Biological• Medications – called antipsychotic – (not “antischizophrenic”) – they deal with some of the symptoms • delusions, hallucinations, disorganized behavior
  11. 11. Schizophrenia Treatment: Psychological• Patients will need therapy – supportive – “digging deep” can help some, but that is the exception, not the rule
  12. 12. Schizophrenia Treatment: Psychological• Those who have family benefit most from families who: – are informed about the illness – have support – and skills to deal with the ill family member
  13. 13. Schizophrenia Treatment: Psychological• Family member skills: – low key – low demand – use simple sentences – privacy for both the patient and themselves – able to ignore the inconsequential features of the illness
  14. 14. Schizophrenia Treatment: Psychological• Family member skills: – are able to respond to dangerous behavior – can accept that their ill member may never be like he once was
  15. 15. Schizophrenia Treatment: Social• Rehabilitation• “Habilitation”• Social skills training• Vocational assistance• Environmental modification – reduce stimuli
  16. 16. Schizophrenia Treatment• Community resources Black Mental Health Alliance National Alliance for the Mentally Ill (NAMI) Schizophrenia.com Maryland Psychiatric Research Center
  17. 17. Bipolar disorder• Also known as manic-depressive illness• The 2 “poles” are mania and depression
  18. 18. Bipolar disorder• Affects 1% of the population• Affects men and women equally• Can start in childhood and throughout adulthood Strong genetic component
  19. 19. Bipolar disorder: illness features• Mania – Elevated mood – May feel full of energy – May feel she can accomplish anything – May go on spending spree – May go on a sex spree – May travel on a whim
  20. 20. Bipolar disorder: illness features• Mania – May become irritable – May lose the need for sleep – May feel energized by the lack of sleep – May feel more productive – Can be excessively talkative – Thoughts can race
  21. 21. Bipolar disorder: illness features• Depression – Poor sleep – Low appetite or weight loss – Low interest in pleasurable things – Low energy – Feelings of worthlessness, hopelessness, helplessness, irritability
  22. 22. Bipolar disorder: illness features• Depression – Unable to focus or concentrate – Thoughts of death and suicide
  23. 23. Bipolar disorder: illness features• A person is rarely seen at one of the poles• A person may have features of both at the same time to varying degrees
  24. 24. Bipolar disorder: Treatment• Biological• Psychological• Social
  25. 25. Bipolar disorder: Treatment• Biological – Medications • Stabilize mood • Dampen mania • Ameliorate depression • Treat psychosis (delusions, hallucinations)
  26. 26. Bipolar disorder: Treatment• Psychological – Supportive therapy – May “dig deep” – Helps people to deal with the devastation that their manic behavior has wrought
  27. 27. Bipolar disorder: Treatment• Social – Support Groups • DRADA • NDMDA – Rehabilitation and “habilitation”

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