Purpose:         Review what the symptoms are and what they mean to better identify them in your clients, and know what to do about them.

DSM IV

ICD-9-CM

 

Psych – osis 

 Psychotic Disorders – Schizophrenia is one type  

Three Categories of Symptoms

 1.      Positive . 2.      Negative  3.      Disorganized  

Positive Symptoms

 1.   Hallucinations a)      Visualb)      Tactilec)      Olfactoryd)      Audioe)      Gustatory 

2.   Delusions

 a)      Paranoidb)      Grandiosec)      Bizarre Negative Symptoms – lack of: 1.      Emotional Expression – affective flattening

2.      Thought & Speech – alogia

3.      Pleasure – anhedonia4.      “Goal directed behavior” – avolition5.      Catatonic 

Disorganized Symptoms

 

1.      Disorganized speech

2.      Disorganized behavior   Diagnosis of Schizophrenia: 1 month of at least 2 of the following: ·        hallucinations·        delusions·        disorganized speech·        disorganized behavior·        catatonic behavior·        any negative symptoms 

6 months during which some of the above are present, along with serious impairments in occupational and/or social functioning.

  

Course and Occurrence of Schizophrenia

  

Treatment of Schizophrenia

 Goal:  Reduce frequency and severity of acute episodes; continuous care throughout life 

Medication to reduce psychotic symptoms

·        Types

·        Side effects

·        Non-compliance 

Psychosocial treatment to reduce social and occupational dysfunction

 

·        Individual and Group counseling

·        Day treatment programs·        Socialization classes·        Occupational classes·        Peer support groups/programs·        Caregiver support groups/programs