/Users/martin/desktop/psychoticdisorders

Overview of PSYCHOTIC DISORDERS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What is psychosis? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Prototypical Psychotic D/O: Schizophrenia (what we will talk about most). Typically involves more than just psychosis: Disorganization/cognitive deficits often prominent (leaving the patient vulnerable to psychosis)

Associative Process (where disorganization/impoverishment happens): Stimulus Response: “ monkey see monkey do” MON A Lisa Key Banana See Monkey Do Lock

Schizophrenia -Historical development 1st historical concept: dementia precox ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Kurt Schneider (1887-1967): Criteria for Schizophrenia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DSM-IV-TR Diagnostic Criteria for Schizophrenia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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SUBTYPES: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Clinical Features ,[object Object],[object Object],[object Object]

Making the diagnosis ,[object Object],[object Object]

Mental Status Examination ,[object Object],[object Object],[object Object]

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Risk, c ourse/prognosis ,[object Object],[object Object]

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EPIDEMIOLOGY ,[object Object],[object Object],[object Object]

Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Treatment ,[object Object],Decreasing Strength of D2 blockade, Increasing ACh blockade Increasing Strength of H2 blockade Clozaril (clozapine)  Mellaril (thioridazine)  Thorazine(chlorpromazine)  Seroquel (quetiapine)  +/-  Compazine (prochlorperazine) Abilify (aripiprazole D2 partial agonist ) Zyprexa (olanzapine)   Trilafon (perphenazine) Risperdal (risperidone)   Geodon (ziprasidone) Haldol (haloperidol)  Prolixin (fluphenazine)  2nd generation (D2 & 5HT-2a +/- ACh/H) 1st generation (D2 +/- Ach/H)

Other Pharmacologics ,[object Object],[object Object],[object Object]

Medications to treat adverse effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Non-Pharmacological treatments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Other psychotic disorders <1mo Brief Psychotic d/o <6mo Schizophreniform d/o Duration: >6mo schizophrenia With cognitive symptoms Without major cognitive symptoms Delusional Disorders With significant mood symptoms Schizoaffective d/o

SCHIZOPHRENIFORM DISORDER ,[object Object],[object Object],[object Object]

DSM-IV-TR Diagnostic Criteria for Schizophreniform Disorder ,[object Object],[object Object]

Brief Psychotic Disorder ,[object Object],[object Object],[object Object],[object Object],[object Object]

Schizoaffective Disorder ,[object Object],[object Object],[object Object],[object Object]

Delusional Disorder and Shared Psychotic Disorder ,[object Object],[object Object],[object Object],[object Object]

Mental Status ,[object Object],[object Object],[object Object],[object Object]

Types : ,[object Object],[object Object],[object Object],[object Object],[object Object]

DSM-IV-TR Diagnostic Criteria for Shared Psychotic Disorder ,[object Object],[object Object],[object Object]

DSM-IV-TR Diagnostic Criteria for Brief Psychotic Disorder ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DSM-IV-TR Diagnostic Criteria for Psychotic Disorder Not Otherwise Specified ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],This category includes psychotic symptomatology (i.e., delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior) about which there is inadequate information to make a specific diagnosis or about which there is contradictory information, or disorders with psychotic symptoms that do not meet the criteria for any specific psychotic disorder.

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