Psychotic disorders

This is a brief video on psychotic disorders, including schizophrenia and related disorders.

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ADDITIONAL TAGS:
Involvement of mood →
Duration of symptoms →
Schizophrenia
Need 1, 2, or 3 and 1 more of:
Delusions
Hallucinations
Disorganized speech
Disorganized / catatonic behavior
Negative symptoms (flat affect, anhedonia, flat speech, cognitive def)
For at least one month
Total disease length 6 months including prodromal/residual phases
Brief psychotic disorder
Same criteria as schizophrenia but total disease length 1 day and 1 month
Can be caused by major stressor; termed post-partum psychosis if following pregnancy
Schizophreniform
Same criteria as schizophrenia but total disease length 1 month and 6 months
Upgrade from brief psychotic disorder, precursor to schizophrenia
Schizoaffective
Meet criteria for schizophrenia PLUS criteria for mood disorder (depression or bipolar) for majority of illness
WITH
Delusions/hallucinations are present for at least two weeks without mood disorder
Psychosis in absence of mood disorder
Mood disorder with psychotic features
Meet criteria for mood disorder (SIGECAPS for major depressive disorder or DIGFAST for mania in bipolar I) with additional symptoms of psychoses.
BUT
Delusions/hallucinations are NOT present for two weeks without mood disorder.
Constant mood disorder with intermittent psychosis
MDD: Depressed mood + 4 of:
S = sleep changes
I = interest loss
G = guilt (worthless)
E = energy lack
C = cognition/concentration reduced
A = appetite change
P = psychomotor change
S = suicide ideation or thoughts
BPAD 1: for mania, 3 or more of:
D = Distractible
I = Irresponsibility / irritable / impulsive
G = Grandiose
F = Flight of ideas
A = Activity increase
S = Sleep decrease
T = Talkative
Psychotic disorders
Psychotic disorders
Schizophrenia treatment:
Antipsychotics
First generation (typical) for positive symptoms
Haloperidol + -azines (thiazine, chlorpromazine)
Delusions, hallucinations disorganized speech, disorganized / catatonic behavior
Second generation (atypical) for negative symptoms
Risperidone, ziprasidone, quetiapine, olanzapine, aripiprazole, clozapine
Flat affect, anhedonia, poverty of speech, cognitive deficits
Related disorders not to be confused:
Schizoid personality disorder
Lack of interest and detachment from social relationships, apathy, and restricted emotional expression.
Schizotypal personality disorder
A pattern of extreme discomfort interacting socially, distorted cognitions/perceptions, strange beliefs, and/or magical thinking.
Delusional personality
Fixed false beliefs that are believable but unrealistic in that person’s culture
No prominent hallucinations, thought disorder, mood disorder, or significant flattening of affect