8.1 Psychological Disorders Schizophrenia

Student Will Be Able To Analyze and interpret unit 8 notes by preparing and participating in a clinic simulation.

Agenda 1. Begin Preparing the Clinic Game 2. Discuss 8.1 Schizophrenia

Unit 8 a little different We will be doing a Simulation/Clinic Game that will count as 2 classwork grades Project 8 Test 8 Then review for the final exam

Getting started with our Clinic Game… Groups of 3-4 Each group will take on 2 roles, 1 role will be to diagnose and treat at your clinic, the other role will be to create personal characters to go to other clinics

Word to the Wise This is for fun, but we are talking about very serious situations. This is intended to help you empathize with doctors and patients, NOT to poke fun. If you poke fun, you will receive a zero.

Disorders Behavior and thinking that is unusual, disturbing, and maladaptive (not able to adapt …) Degree of Disorder = NON, Neurotic, or Psychotic

Schizophrenia… What is it? Any of a group of psychiatric disorders characterized by withdrawal from reality, illogical patterns of thinking, delusions, hallucinations, and psychotic behavior. Schizophrenia is associated with an imbalance of the neurotransmitter dopamine in the brain and may have an underlying genetic cause. Schizophrenia is a complex mental disorder that makes it difficult to: Tell the difference between real and unreal experiences Think logically, behave normally in social situations, have normal emotional responses... Often characterized by hallucinations, delusions, extremely disordered thinking, withdrawal from reality …

1. Step 1--OBJECTIVE TESTS --standardized questionnaires where people have to rate themselves on scales..  This is what your clinic will first give to your patients. It must be multiple choice or true and false. I like It should beI should I /we could I feel MyExperIenceMyExperIence I will I will The results I want to know I think I know I believe This means Vid.

Let’s practice the multiple choice questions What is a multiple choice question you could ask if diagnosing someone with a cold? What is a TF question you could ask if diagnosing someone with narcolepsy? What is a scale question you could ask if diagnosing someone with depression?

2. DISORDER --behavior and thinking that is unusual, disturbing, maladaptive.  Write your first Objective Test Question to find out whether or not your patient actually has a disorder. I like It should beI should I /we could I feel MyExperIenceMyExperIence I will I will The results I want to know I think I know I believe This means Vid.

DSM 5 Diagnostic and Statistical Manual of Mental Disorders (DSM)

4. DISORGANIZED SCHIZOPHRENIA -- psychotic disorder including delusions, hallucinations, disorganized/incoherent speech, inappropriate behavior, emotional flatness, loss of motivation..  Write a DSM “5” for disorganized schizophrenia….this will be your diagnostic cheat sheet I like It should beI should I /we could I feel MyExperIenceMyExperIence I will I will The results I want to know I think I know I believe This means Vid.

6. PARANOID SCHIZOPHRENIA --psychotic thinking that is characterized by fear of persecution.  WRITE A DSM V I like It should beI should I /we could I feel MyExperIenceMyExperIence I will I will The results I want to know I think I know I believe This means Vid.

7. CATATONIA --a rigid state of being and a type of schizophrenia where a person does not move.  WRITE A DSM V I like It should beI should I /we could I feel MyExperIenceMyExperIence I will I will The results I want to know I think I know I believe This means Vid.

12. DISSOCIATIVE IDENTITY DISORDER --personalities within one person. Often brought out by traumatic event.  WRITE A DSM V I like It should beI should I /we could I feel MyExperIenceMyExperIence I will I will The results I want to know I think I know I believe This means Vid.

When Diagnosing … First, the disordered behavior must originate within the person, and it must not be a reaction due to external factors. Second, the disorder must be involuntary, meaning that the individual cannot physically or mentally control their symptoms.

Levels of functioning 10 No symptoms. 9 Absent or minimal symptoms (e.g., mild anxiety before an exam), good functioning in all areas 8 If symptoms are present, they are expected (e.g., difficulty concentrating after family argument); no more than slight impairment 7 Some mild symptoms (e.g., depressed mood and mild insomnia) or some difficulty in social, occupational, or school functioning (e.g., occasional truancy, or theft within the household), 6 Moderate symptoms (e.g.occasional panic attacks) or moderate difficulty in social, occupational, or school functioning (e.g., few friends, conflicts with peers or co-workers) 5 Serious symptoms (e.g., suicidal ideation, severe obsessional rituals, frequent shoplifting) or any serious impairment in social, occupational, or school functioning (e.g., no friends, unable to keep a job, cannot work). 4 Some impairment in reality testing or communication (e.g., speech is at times illogical, obscure, or irrelevant) or major impairment in several areas, such as work or school, family relations, judgment, thinking, or mood (e.g., depressed adult avoids friends, neglects family, and is unable to work; child frequently beats up younger children, is defiant at home, and is failing at school). 3 Behavior is considerably influenced by delusions or hallucinations or serious impairment, in communication or judgment (e.g., sometimes incoherent, acts grossly inappropriately, suicidal preoccupation) or inability to function in almost all areas (e.g., stays in bed all day, no job, home, or friends) 2 Some danger of hurting self or others (e.g., suicide attempts without clear expectation of death; frequently violent; manic excitement) or occasionally fails to maintain minimal personal hygiene (e.g., smears feces) or gross impairment in communication (e.g., largely incoherent or mute). 1 Persistent danger of severely hurting self or others (e.g., recurrent violence) or persistent inability to maintain minimal personal hygiene or serious suicidal act with clear expectation of death. 0 Inadequate information

Degree of Disorder Non Neurotic- disturbed but not out of touch with reality Psychotic – extreme mental disturbance involving distorted perceptions, delusions or very irrational behavior

8. NEUROTIC --disorder level where a person is disturbed but not out of touch with reality.. I like It should beI should I /we could I feel MyExperIenceMyExperIence I will I will The results I want to know I think I know I believe This means Vid.

9. PSYCHOTIC --extreme mental disturbance involving distorted perceptions, delusions or very irrational behavior. “lost touch with reality”.  WITH GROUP- DECIDE ON LEVEL OF YOUR CHARACTER’S DISORDER I like It should beI should I /we could I feel MyExperIenceMyExperIence I will I will The results I want to know I think I know I believe This means  AND write another objective test question! Vid.

3. AFFECT DISPLAY --facial, vocal or gesture that indicates emotion.  Decide on what kind of affect display your character will have. I like It should beI should I /we could I feel MyExperIenceMyExperIence I will I will The results I want to know I think I know I believe This means  Vid.

5. WORD SALAD --illogically connected words that may only be connected by rhyme..  Decide on generally how your patient will think, feel, express themselves. I like It should beI should I /we could I feel MyExperIenceMyExperIence I will I will The results I want to know I think I know I believe This means Vid.

10. ANTIPSYCHOTIC DRUGS --drugs used primarily to treat schizophrenia and other psychotic disorders..  Make a treatment card. I like It should beI should I /we could I feel MyExperIenceMyExperIence I will I will The results I want to know I think I know I believe This means Vid.

11. DSM IV -- the manual for diagnosing mental disorders, organizes their symptoms and categorizes into different axises. I like It should beI should I /we could I feel MyExperIenceMyExperIence I will I will The results I want to know I think I know I believe This means Vid.

Axis I: Most psychological disorders Axis II: Personality disorders and mental retardation Axis III: General medical condition Axis IV: Psychosocial and environmental stressors Axis V: Global assessment of functioning