Schizophrenia is commonly referred to as a psychotic disorder

Schizophrenia TRUTH OR FICTION Schizophrenia is a disease that begins in childhoo and is thought to be influenced by emotionally detached parenting. Most people with Schizophrenia are homeless or incarcerated. People with schizophrenia are typically violent.. Insert Freaky picture Only people suffering from a severe disorders like schizophrenia have hallucinations. Some people with schizophrenia sustain unusual and uncomfortable body postures/positions for hours and will not respond verbally or nonverbally during these periods. There are very few treatment options for those diagnosed with schizophrenia. FACTS: • • • • • • • • • • Extremely chronic, puzzling, and costly (40 billion, 00) First documented in the late 1800’s (Bleuler) Affects about 1% of population Males and females equally affected 75% are smokers 25% are employed 10-13% above normal suicide rate Almost 2.2 million Americans suffer Typically begins in late teens or early 20’s Most do not return to baseline functioning Today Most Clinicians Agree.. Onset can occur differently Prodromal: gradual decline in functioning; potentially years b/4 the acute phase Acute: sudden onset within wks/months (rare) Residual: behavior typically returns to pre-acute status (complete recovery from symptoms is rare) So…how can I tell if someone has Schizoprenia? Major Clinical Features Positive Symptoms Disorganized Thought/Speech a. Content (delusions: control, grandeur, persecution, religious) b. Form (loose associations) (derailment, flight of ideas or paralogia) (incoherence) (neologisms) (clang associations) (perseveration) (echolalia) So…how can I tell if someone has Schizoprenia? Major Clinical Features Positive Symptoms Perceptual Disturbances a. hallucinations & sensory flooding So…how can I tell if someone has Schizoprenia? Major Clinical Features Positive Symptoms Disorganized Behavior a. mannerisms(stereotypies) (flourishes) (posturing) (grimacing) b. motor (agitation or excitement) (catalepsy or waxy flexibility) (echopraxia) (negativism) So…how can I tell if someone has Schizoprenia? Major Clinical Features Negative Symptoms Lacking or Without something a. flat, blunted or restricted affect b. social withdrawal c. lack of will (avolition) d. lack or refusal of speech (poverty or mutism) e. stupor (state of unresponsiveness, resistive f. Inability to experience pleasure (anhedonia) Subtypes of Schizoprenia • Refer to pgs. 402-404 in your text and/or • Diagnositic criteria handout Treatment Options pgs 419-424 • • • • • Biological Psychoanalytic Cognitive/Behavioral (Learning) Psychosocial Rehab. Family Intervention Great Resources • Online DSM-IV TR http://www.behavenet.com/ • Mental Illness Advocacy http://www.naminc.org/ • A great read! I know this much is true (Wally Lamb) • Videos See me in s312h during my office hours