ECPY 621 – Class 4 Substance-Related Disorders Psychotic Disorders

Overview  Review last week  Review Case Conceptualization homework  Substance Disorders  Activity  Psychotic Disorders  Activity

Substance Related Disorders  Substance Dependence With/without physiological dependence Remission – early, early partial, sustained full, sustained partial  Substance Abuse  Substance Intoxication  Substance Withdrawal

Needed Information  Identify Substances Used  History of substances  History of substance use emergencies and Tx  Cognitive Impairments  Physiological signs  Changes in social/family life  Current and past legal problems

Discussion from Seligman  Models – Medical, Family Systems, Behavioral, Psychodynamic, Humanistic  Therapist Characteristics  Intervention Strategies

Video  Segment  Amphetamine-Induced Psychotic Disorder, With Delusions, With Onset During Intoxication and Amphetamine Abuse  Amphetamine Intoxication Delirium

Psychotic Disorders  Schizophrenia Paranoid, Disorganized, Catatonic, Undifferentiated, Residual  Schizophreniform Disorder  Schizoaffective Disorder  Delusional Disorder  Brief Psychotic Disorder

Needed Information  History of documented psychiatric illness  Hx of Socially odd behavior  Hx of Substance abuse  Hx of Medical Illnesses  Current experience of hallucinations  Disorganized thought/speech  Delusions

Needed Information cont’  Negative symptoms  Depression/mania  Duration of symptoms

Video  Segment 1-1

Additional Readings  Rapid Cycling Bipolar Disorder  Kennedy Review of Postpartum Depression  Depression and Anxiety