Types of Schizophrenia

Paranoid Schizophrenia Characterized by:

•Delusions with persecutory or grandiose content

•Preoccupation with frequent auditory hallucinations

•Delusions can result in aggression or violence if you believe you must act in self-defense

against those who want to harm you. •Most common form

Paranoid schizophrenia

Disorganized Schizophrenia

Characterized by: •Disorganized speech, behavior and flat

or inappropriate affect •Marked social impairment

•Incoherent speech •If hallucinations are present, context is

not well organized

Catatonic Schizophrenia

Characterized by: •Motor immobility (rigidity and posturing) •Excessive and purposeless motor activity •May be resistant to instructions (Refusal

to speak) •Echo speak

•Show decreased awareness of environment

Undifferentiated Schizophrenia

• Many and varied Symptoms.

Residual Type at least one schizophrenic episode but do

not presently have strong positive psychotic symptoms.

Childhood schizophrenia

•Schizophrenia is rare in children – 1 in 40,000

•Experience difficulty in managing everyday life.

•Suffer from many of same symptoms as adults

do (hallucinations, delusions, social withdrawal,

flattened emotions, increased risk of suicide and

loss of social and personal care skills.)

• They may also share some symptoms with—

and be mistaken for—children who suffer from

autism or other pervasive developmental

disabilities, which affect about 1 in 500 children.

Jani – Childhood Schizophrenia

Gerald – A Case study in schizophrenia

Gerald was a young man in the seventies in Texas. In his early twenties, he was studying at the police academy to become a police officer. Look for:

Thought broadcasting Delusions Paranoia Hearing voices Seeing visions Concrete, non-abstract language Delusions of grandeur

Gerald – Part 1

Gerald – Part 2

The dream police, they live inside of my head The dream police, they come to me in my bed The dream police, they're coming to arrest me, oh, no 'Cause they're waiting for me They're looking for me Every single night They're driving me insane Those men inside my brain I try to sleep, they're wide awake, they won't let me alone They don't get paid to take vacations or let me alone They spy on me, I try to hide, they won't let me alone They persecute me, they're the judge and jury all in one.

• Warm up 4/11/2011

• We have seen many videos of people

diagnosed with Schizophrenia, including

Heather, Janie, her friend Rebecca, and

Gerald. Identify which type of symptoms

(positive or negative) you have observed

or heard of each person having and give

examples.

Schizoaffective Disorder

• combination of schizophrenia symptoms (hallucinations or delusions) and mood disorder symptoms (such as mania or depression.)

• Controversial

• Requires presence of delusions for 2 weeks in the absence of mood symptoms

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Schizoaffective Disorder

Diagnosis of schizophrenia

• Two or more of the following, each present for a significant portion of time in a 1 month period

• delusions

• hallucinations

• Disorganized speech

• Grossly disorganized or catatonic behavior

• Negative symptoms 16

Schizophrenia (Continued)

Psychotic Disorders • Person loses contact with reality, experiences distorted perceptions

DSM – IV - Two Major Classifications:

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Antipsychotic Drugs 1st Generation / Classical antipsychotics

(Thorazine) Removes a number of positive symptoms associated with schizophrenia

such as agitation, delusions, and hallucinations.

-Dampens responsiveness to irrelevant stimuli -Provides help to those with positive symptoms -May worsen negative symptoms -Can produce sluggishness, tremors and twitches.

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Antipsychotic Drugs New generation / Atypical antipsychotics

Can remove negative symptoms associated with schizophrenia such as apathy, jumbled thoughts,

concentration difficulties, and difficulties in interacting with others.

-Clozapine may help those with positive symptoms as well -Also blocks serotonin -Has fewer side-effects than thorazine -Increases the risk of obesity and diabetes -Risperdal – Can lead to tardive dyskinesia – a neurotoxic effect which involves involuntary movement of facial muscles, tongue and limbs.

Tardive Dyskinesia