What is schizophrenia?
• A chronic severe brain disorder; often they
hear voices, believe media are broadcasting
their tho...
Diagnosis
• Currently there is no physical or lab test that
can absolutely diagnose schizophrenia.
• A psychiatrist usuall...
Misdiagnosis
• This is a common problem since schizophrenia
shares a significant number of symptoms with
other disorders.
...
Disorders that may appear like
Schizophrenia
• Schizoid personality
• Schizophreniform disorder
• Schizotypal personality
...
Symptoms of Schizophrenia
• Profound disruption in cognition and
emotion, affecting the most fundamental
human attributes:...
Positive Symptoms
• Positive symptoms are those that have a
positive reaction from some treatment.
• In other words, posit...
Positive Symptoms
• Delusions. Those where the patient thinks he
is being followed or watched are common;
also the belief ...
• Disorganized thinking/speech.
• AKA loose associations; speech is
tangential, loosely associated or incoherent
enough to...
• Catatonic behavior.
• Marked decrease in reaction to immediate
environment, sometimes just unaware of
surroundings, rigi...
Negative Symptoms
• Those that appear to reflect a diminution or
loss of normal functions.
• May be difficult to evaluate ...
• Affective flattening.
• Reduction in the range and intensity of
emotional expression, including facial
expression, voice...
• Avolition
• The reduction, difficulty or inability to initiate
and persist in goal-directed behavior. Often
mistaken for...
Disorganized Symptoms
• This one is somewhat new and may not be
considered valid.
• It is thought disorder, confusion, dis...
Cognitive Symptoms
• Difficulties in concentration and memory:
– Disorganized thinking
– Slow thinking
– Difficulty unders...
Types of Schizophrenia
• Paranoid
• Hebephrenic
• Catatonic
• Residual
• Schizoaffective
• Undifferentiated
Paranoid Schizophrenia
• Persons are very suspicious of others and often
have grand schemes of persecution at the root
of ...
Hebephrenic Schizophrenia
• AKA disorganized schizophrenia; characterized by
emotionless, incongruous, or silly
behavior, ...
Catatonic Schizophrenia
• Person is extremely withdrawn, negative and
isolated.
• May have marked psychomotor disturbances.
Residual Schizophrenia
• Lacks motivation and interest in day-to-day
living.
• Person is not usually having
delusions, hal...
Schizoaffective Disorder
• There will be symptoms of schizophrenia as
well as mood disorder
(depression, bipolar, mixed ma...
Undifferentiated Schizophrenia
• Conditions meeting the general diagnostic
criteria for schizophrenia but not conforming
t...
Upcoming SlideShare
Loading in …5
×

Schizophrenia changed

518 views

Published on

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
518
On SlideShare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
10
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Schizophrenia changed

  1. 1. What is schizophrenia? • A chronic severe brain disorder; often they hear voices, believe media are broadcasting their thoughts to the world or may believe someone is trying to harm them. • In men it usually develops in teen years and early 20s; in women it usually develops in 20s and 30s.
  2. 2. Diagnosis • Currently there is no physical or lab test that can absolutely diagnose schizophrenia. • A psychiatrist usually comes to the diagnosis based on clinical symptoms.
  3. 3. Misdiagnosis • This is a common problem since schizophrenia shares a significant number of symptoms with other disorders. • Per the Nat’l Depression & Bipolar Support Alliance there is an average of 10 years from onset to correct diagnosis & tx.
  4. 4. Disorders that may appear like Schizophrenia • Schizoid personality • Schizophreniform disorder • Schizotypal personality • Bipolar Disorder • Asperger’s syndrome
  5. 5. Symptoms of Schizophrenia • Profound disruption in cognition and emotion, affecting the most fundamental human attributes: – Language – Thought – Perception – Affect – Sense of self
  6. 6. Positive Symptoms • Positive symptoms are those that have a positive reaction from some treatment. • In other words, positive symptoms respond to treatment. • Those that appear to reflect an excess or distortion of normal functions.
  7. 7. Positive Symptoms • Delusions. Those where the patient thinks he is being followed or watched are common; also the belief that people on TV, radio are directing special messages to him/her. Hallucinations. Distortions or exaggerations of perception in any of the senses. Often they hear voices within their own thoughts followed by visual hallucinations
  8. 8. • Disorganized thinking/speech. • AKA loose associations; speech is tangential, loosely associated or incoherent enough to impair communication. • Grossly disorganized behavior. • Difficulty in goal directed behavior (ADLs), unpredictable agitation or silliness, social disinhibition, or bizarre behavior. • There is a purposelessness to behavior
  9. 9. • Catatonic behavior. • Marked decrease in reaction to immediate environment, sometimes just unaware of surroundings, rigid or bizarre postures, aimless motor activity. • Other Positive Symptoms: • Inappropriate response to stimuli • Unusual motor behavior (pacing, rocking) • Depersonalization • Derealization • Somatic preoccupations
  10. 10. Negative Symptoms • Those that appear to reflect a diminution or loss of normal functions. • May be difficult to evaluate because they are not as grossly abnormal as positive symptoms.
  11. 11. • Affective flattening. • Reduction in the range and intensity of emotional expression, including facial expression, voice tone, eye contact and body language. • Alogia (poverty of speech) • Lessening of speech fluency and productivity, thought to reflect slowing or blocked thoughts; often manifested as short, empty replies to questions.
  12. 12. • Avolition • The reduction, difficulty or inability to initiate and persist in goal-directed behavior. Often mistaken for apparent disinterest. Examples of Avolition • No longer interested in going out with friends • No longer interested in activities that the person used to show enthusiasm • No longer interested in anything • Sitting in the house for hours or days doing nothing
  13. 13. Disorganized Symptoms • This one is somewhat new and may not be considered valid. • It is thought disorder, confusion, disorientation and memory problems. • Summary of Negative Symptoms Lack of emotion Low energy Lack of interest in life Affective flattening Alogia Inappropriate social skills Inability to make friends Social isolation
  14. 14. Cognitive Symptoms • Difficulties in concentration and memory: – Disorganized thinking – Slow thinking – Difficulty understanding – Poor concentration – Poor memory – Difficulty expressing thoughts – Difficulty integrating thoughts, feelings, behaviors Currently there is no treatment that has a consistent impact on negative symptoms
  15. 15. Types of Schizophrenia • Paranoid • Hebephrenic • Catatonic • Residual • Schizoaffective • Undifferentiated
  16. 16. Paranoid Schizophrenia • Persons are very suspicious of others and often have grand schemes of persecution at the root of their behavior. • During this phase they may have hallucinations and frequent delusions.
  17. 17. Hebephrenic Schizophrenia • AKA disorganized schizophrenia; characterized by emotionless, incongruous, or silly behavior, intellectual deterioration, frequently beginning insidiously during adolescence. • May be verbally incoherent and may have moods and emotions that are not appropriate to the situation. • Hallucinations not usually present.
  18. 18. Catatonic Schizophrenia • Person is extremely withdrawn, negative and isolated. • May have marked psychomotor disturbances.
  19. 19. Residual Schizophrenia • Lacks motivation and interest in day-to-day living. • Person is not usually having delusions, hallucinations or disorganized speech.
  20. 20. Schizoaffective Disorder • There will be symptoms of schizophrenia as well as mood disorder (depression, bipolar, mixed mania).
  21. 21. Undifferentiated Schizophrenia • Conditions meeting the general diagnostic criteria for schizophrenia but not conforming to any of the previous types. • Exhibits more than one of the previous types without a clear dominance of one.

×