Schizophrenia and related
A. Presentation sign up Tuesday
- 10-12 minutes
- Tie it to the memoirs
- Check final schedule.
B. Schizophrenia spectrum
- Brief psychotic disorder to schizophreniform to schizophrenia
- Most are brief psychotic episodes—observed or known. Self-report or friends or
- One or two episodes = brief psychotic disorder. Up to 6 months= schizophreniform.
Longer than 6 months= schizophrenia.
- Can still be diagnosed with schizophrenia without having been diagnosed with brief
psychotic disorder or schizophreniform disorder.
- Ex: can tell psychologist that this have been happening for months, years etc.
C. Schizophrenia Core Domains
- Positive symptoms (need at least one of the first three and at least one other.)
Visual and auditory can often go together, but auditory is the most common.
- Disorganized speech—world salad. Connections are so loose that it appears to be
none. Sometimes more organized but loose. Ex: These trees are very green, these trees are my stomach. Echolalia- speech can also be repeating what heard. Or
clangs-words that hold together with sound. Ex: Clang, bang.
- Disorganized or catatonic behavior-can include not grooming oneself, movements in
circles/a lot of pacing. Catatonic behavior- absolute stillness/ rigid behavior. Can also
be more agitated/ energetic. Ex: flapping/ repetitive motion that don’t seem to have
- Negative symptoms (ex: restricted affect (blank emotional expression. Flat/blunted)
avolition (lack of motivation/will) associability.)
- Do not want to take any symptom in isolation. Ex: Hair twirling does not mean you
have schizophrenia or even a symptom of it.
- Medications used to treat schizophrenia work better for positive symptoms.
- So, negative symptoms can be especially difficult to maintain relationships, jobs,
- Is not a number for how many negative symptoms one needs for a diagnosis.
- 8 fold increase
- 20-40% attempt
- 5-13% complete
E. ¼ of people with schizophrenia live at home. 1/3 liv