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SCHIZOPHRENIA
Mr. Kuldeep Singh
INTRODUCTION
• The name dementia precox was given to
Schizophrenia by Emil kraepelin .
• The name schizophrenia was given by Eugen
Bleular in 1908 which means-
Schizo + Phrenia
| |
Split Mind
(Human abnormal behaviour)
Definition -:
A / c to “American psychiatric association “
“ Schizophrenia is not disorder it is a syndrome,
characterized by Major disturbance in BAT-
Behaviour, affection,and thought”
•World Schizophrenia day- 24 may
Etiology & Risk factor – 1+2+3+4
Some facts-
• Sex Ratio- more common in male.
• Marrietal Status – more common in
Unmarried.
 I.Q level- more common in low I.Q level.
Socio–economic stutus – more common in
low I.Q socioeconomic status.
Types-
(1) Simple Schizophrenia -:
•Commonly occurs in young age (17-25 years)
•The Behaviour of person becomes socially
Withdrawal.
ECT- not effective
Prognosis – poor
(2)Hebephrenic Schizophrenia/Disorganised
Schzophrenia-:
• Common occurs in 30-40 yr. of age .
•The behaviour of the person become childish
/Silly/ regressive.
• Disorganised thinking with baunt affect and
Inappropriate emotion. it is usually found
In adult age.
ECT- not effective
Prognosis- poor
(3) Paranoid Schizophrenia -:
(m/c type of Schizophrenia)
• Commonly occurs in 25-40 yr. of age.
•The behaviour becomes persecutory delusion of
Persecution. Is most marked feature.
• Motar activity strongly increase and decrease.
•Pt. is unable to talk.
Delusion of persecution that means
mistrustfull but speech and emotion may
be unaffected.
• Pt. have risk of or suicidal and bilateral
Behaviour.
•ECT- effective
Prognosis – Good
(4)Catatonic Schizophrenia -: most dangerous
• Commonly occurs in 25-40 yr.of age.
 Motor activity strongly increase and decrease.
 Pt is unable to talk.
 Pt have risk for malnutrition and self injury.
Catatonia
1. Catatonic 2. Catatonic stuper
• Person behaviour like • Patient becomes
a Wildish animal & may mute and motionless.
harmful to self & another.
•ECT- effective
Prognosis – Best
(5) Undifference Schizophrenia -:
Some characteristic of paranoid, hebephrenia,
and catatonic Schizophrenia but does not
have obciously one of these type.
(6) Residual Schizophrenia -:
Past history of Schizophrenia but presently
any Schizophrenia Symptoms are absent.
(1) Primary Symptoms/ fundamental Symptoms -:
• These Symptoms are present in every case of
Schizophrenia,they are also consider as
of Schizophrenia which are-
“4A Symptoms”
A-Associative disturbance - ( Inability to think
logically)
A- Autistism Thinking – (little concern for
external reality)
A- Ambivalence - ( Conflict to do not to do)
A- Affect disturbance - ( appropriate emotion
response)
(2) Secondary symptoms/ Accessory symptoms-:
• Symptoms may or may not be present in
Schizophrenia, these are.
• Stupor / violency
• Neativism
• Suicidal
• Catalepsy
• Mannerism
• Verbigration
 Hallucinations
 Delusion, incoherence, through preserveration
 Insight absent
 Judgement loss
 Memory impairment
 Poor personal hygiene
 Disorder of perception (hallucision)
 Disorder of thought (delusion,thought block,
thought withdrawal)
NOTE-:Acc. To recent concept-: The. Symptoms
of Schizophrenia are classified as-
|
Positive Symptoms Negative Symptoms
( Additional Behaviour) ( Defficient Behaviour)
•Viilency • Blunt Affect
•Aggressio • Flat Affect
•hallucination. • Apathy
• delision. • Stupor
• Circumstantiality • Alogia
Diagnostic measure-:
. -History/ Physical Examination
- MSE (Mental stutus examination)
- Mini – mental stutus examination(MMSE)
- C.T scan
- MRI
Medical Management -:
ECT-effect in catanic & franoid Schizophrenia
. Not effective in simple & tubephrenic
Schizophrenia
Psychopharmacology -: (N) (P)
. • Tab. (RSP)/ HPD
• Tab.THP/ Benztropine (to treat ESP)
• Tab. Lzp Hs
Antipsychotic drugs-;
- Resperidol
- Halloperidol
- olanzapine
Antidepressant drugs-: Imiperamide
 ECT-(Electroconvulsive therapy)
Behaviour therapy
Group therapy
Family therapy
Hospitalization
Psychotherapy -: Surface / supportive
- Conditional procedure
Marrietal therapy
Occupitional therapy
Music therapy
Nursing management -:
(1) Disturb thought process related 2 mobility to
trust as audance by suspeciousness of other .
(2) Ineffective health maintain related to inability
. to trust as evidence by poor diet intake.
(3)Self care deficiate related to withdrawal as
evidence by difficulty in caring associated with
. Hygiene dressing, eating,and sleeping.
. (4) Risk for life threateing injury related to,
increase motor activity and hallucinations as,
evidence by social condition.
ACC. to ICD -10 the Mental disorder are
classified=Classification of Schizophrenia acc.
to ICD- 10 = F00- Faa
= F20 - F29
F20.0 – P- Paranoid Schizophrenia
F20.1 – H- Hebephrenia Schizophrenia
F20.2 – C- Catatonic Schizophrenia
F20.3 – U- Undifferentiated Schizophrenia
F20.4 – P- Post Schizophrenia depression
F20.5- R –Residual Schizophrenia
F20.6- S –Simple Schizophrenia
F20.8- O- Other Schizophrenia
F20.9- S- Schizophrenia Unspecified
Thank you
❤️ks

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Schzophrenia.pptx

  • 2.
  • 3. INTRODUCTION • The name dementia precox was given to Schizophrenia by Emil kraepelin . • The name schizophrenia was given by Eugen Bleular in 1908 which means- Schizo + Phrenia | | Split Mind (Human abnormal behaviour)
  • 4. Definition -: A / c to “American psychiatric association “ “ Schizophrenia is not disorder it is a syndrome, characterized by Major disturbance in BAT- Behaviour, affection,and thought” •World Schizophrenia day- 24 may Etiology & Risk factor – 1+2+3+4 Some facts- • Sex Ratio- more common in male. • Marrietal Status – more common in Unmarried.
  • 5.  I.Q level- more common in low I.Q level. Socio–economic stutus – more common in low I.Q socioeconomic status. Types- (1) Simple Schizophrenia -: •Commonly occurs in young age (17-25 years) •The Behaviour of person becomes socially Withdrawal.
  • 6. ECT- not effective Prognosis – poor (2)Hebephrenic Schizophrenia/Disorganised Schzophrenia-: • Common occurs in 30-40 yr. of age . •The behaviour of the person become childish /Silly/ regressive. • Disorganised thinking with baunt affect and Inappropriate emotion. it is usually found In adult age.
  • 7. ECT- not effective Prognosis- poor (3) Paranoid Schizophrenia -: (m/c type of Schizophrenia) • Commonly occurs in 25-40 yr. of age. •The behaviour becomes persecutory delusion of Persecution. Is most marked feature. • Motar activity strongly increase and decrease. •Pt. is unable to talk.
  • 8. Delusion of persecution that means mistrustfull but speech and emotion may be unaffected. • Pt. have risk of or suicidal and bilateral Behaviour. •ECT- effective Prognosis – Good (4)Catatonic Schizophrenia -: most dangerous • Commonly occurs in 25-40 yr.of age.
  • 9.  Motor activity strongly increase and decrease.  Pt is unable to talk.  Pt have risk for malnutrition and self injury. Catatonia 1. Catatonic 2. Catatonic stuper • Person behaviour like • Patient becomes a Wildish animal & may mute and motionless. harmful to self & another.
  • 10. •ECT- effective Prognosis – Best (5) Undifference Schizophrenia -: Some characteristic of paranoid, hebephrenia, and catatonic Schizophrenia but does not have obciously one of these type. (6) Residual Schizophrenia -: Past history of Schizophrenia but presently any Schizophrenia Symptoms are absent.
  • 11. (1) Primary Symptoms/ fundamental Symptoms -: • These Symptoms are present in every case of Schizophrenia,they are also consider as of Schizophrenia which are- “4A Symptoms” A-Associative disturbance - ( Inability to think logically) A- Autistism Thinking – (little concern for external reality) A- Ambivalence - ( Conflict to do not to do) A- Affect disturbance - ( appropriate emotion response)
  • 12. (2) Secondary symptoms/ Accessory symptoms-: • Symptoms may or may not be present in Schizophrenia, these are. • Stupor / violency • Neativism • Suicidal • Catalepsy • Mannerism • Verbigration
  • 13.  Hallucinations  Delusion, incoherence, through preserveration  Insight absent  Judgement loss  Memory impairment  Poor personal hygiene  Disorder of perception (hallucision)  Disorder of thought (delusion,thought block, thought withdrawal)
  • 14. NOTE-:Acc. To recent concept-: The. Symptoms of Schizophrenia are classified as- | Positive Symptoms Negative Symptoms ( Additional Behaviour) ( Defficient Behaviour) •Viilency • Blunt Affect •Aggressio • Flat Affect •hallucination. • Apathy • delision. • Stupor • Circumstantiality • Alogia
  • 15. Diagnostic measure-: . -History/ Physical Examination - MSE (Mental stutus examination) - Mini – mental stutus examination(MMSE) - C.T scan - MRI Medical Management -: ECT-effect in catanic & franoid Schizophrenia . Not effective in simple & tubephrenic Schizophrenia
  • 16. Psychopharmacology -: (N) (P) . • Tab. (RSP)/ HPD • Tab.THP/ Benztropine (to treat ESP) • Tab. Lzp Hs Antipsychotic drugs-; - Resperidol - Halloperidol - olanzapine
  • 17. Antidepressant drugs-: Imiperamide  ECT-(Electroconvulsive therapy) Behaviour therapy Group therapy Family therapy Hospitalization Psychotherapy -: Surface / supportive - Conditional procedure
  • 18. Marrietal therapy Occupitional therapy Music therapy Nursing management -: (1) Disturb thought process related 2 mobility to trust as audance by suspeciousness of other . (2) Ineffective health maintain related to inability . to trust as evidence by poor diet intake.
  • 19. (3)Self care deficiate related to withdrawal as evidence by difficulty in caring associated with . Hygiene dressing, eating,and sleeping. . (4) Risk for life threateing injury related to, increase motor activity and hallucinations as, evidence by social condition.
  • 20. ACC. to ICD -10 the Mental disorder are classified=Classification of Schizophrenia acc. to ICD- 10 = F00- Faa = F20 - F29 F20.0 – P- Paranoid Schizophrenia F20.1 – H- Hebephrenia Schizophrenia F20.2 – C- Catatonic Schizophrenia F20.3 – U- Undifferentiated Schizophrenia F20.4 – P- Post Schizophrenia depression
  • 21. F20.5- R –Residual Schizophrenia F20.6- S –Simple Schizophrenia F20.8- O- Other Schizophrenia F20.9- S- Schizophrenia Unspecified