Schizophrenia Spectrum and Other Psychotic Disorders

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Presentation transcript:

Schizophrenia Spectrum and Other Psychotic Disorders Schizotypal (Personality) Disorder Delusional Disorder Brief Psychotic Disorder Schizophreniform Disorder Schizophrenia Schizoaffective Disorder (bipolar/depressive) Substance/Medication-Induced Psychotic Disorder Psychotic Disorder Due to Another Medical Condition Catatonia

Schizophrenia Spectrum and Other Psychotic Disorders They are defined by abnormalities in one or more of the following five domains: delusions, hallucinations, Disorganized thinking (speech), grossly disorganized or abnormal motor behavior (including catatonia), and negative symptoms. Delusions are fixed beliefs that are not amenable to change in light of conflicting evidence. Hallucinations are perception-like experiences that occur without an external stimulus. DSM-5 p.87

A Tale of Mental Illness from the Inside Elyn Saks -her own story of schizophrenia http://www.ted.com/talks/elyn_saks_seeing_mental_illness?language=en

Schizophrenia Type I Schizophrenia (positive symptoms) Type II schizophrenia (negative symptoms) Thought Attention Perception Motor Emotional

Etiology (Origin/Cause) of Schizophrenia Disorders Development/Course The psychotic features of schizophrenia typically emerge between the late teens and the mid-30s; onset prior to adolescence is rare. The peak age at onset for the first psychotic episode is in the early- to mid-20s for males and in the late-20s for females. Nevid p.230

Treatments for Schizophrenia Joel J. Jeffries

Trauma- and Stressor-Related Disorders Reactive Attachment Disorder Disinhibited Social Engagement Disorder Posttraumatic Stress Disorder Acute Stress Disorder Adjustment Disorders With depressed mood With anxiety With mixed anxiety and depressed mood With disturbance of conduct With mixed disturbance of emotions and conduct

What is PTSD? https://www.youtube.com/watch?v=YMC2jt_QVEE Sam and Tara’s Story https://www.youtube.com/watch?v=YMC2jt_QVEE

Post Traumatic Stress Disorder Cardinal Symptoms Re-experiencing- intrusive remembering or reliving of the traumatic event Avoidance- of stimuli reminiscent of the trauma and numbing or loss of pleasure in usually pleasurable activities. Hyperarousal- sleep difficulties, irritability, hypervigilance, difficulty concentrating, restlessness, exaggerated startle response, outbursts of anger. Pervasive changes in beliefs and feeling

Post-Traumatic Stress Disorder Treatment A Message of Hope https://www.youtube.com/watch?v=BHc8v2oFd28 Burn Patients and Post-Traumatic Stress Disorder Treatment https://www.youtube.com/watch?v=Br9fnVyxQrY Treatment option: Cognitive Processing Therapy https://www.youtube.com/watch?v=Jqj5zDbkPxY

Treatment Options PTSD Psychotherapy Cognitive therapy- helps clients recognize the ways of thinking (cognitive patterns) that are keeping them stuck Exposure therapy- behavioral therapy helps clients safely face frightening stimuli so that clients can learn to cope with it effectively. Cognitive Processing Therapy Medications Antidepressants- symptoms of depression and anxiety (improve sleep problems and concentration), SSRI (Zoloft, Paxil) Anti-anxiety medications. Prazosin (insomnia or recurrent nightmares) Other- Service dog, EMDR, others https://www.youtube.com/watch?v=0y_a_V1QD3U Mayo Clinic, 2015