Important
Points Related to Schizophrenic & Delusional disorders
The main types of schizophrenia are hebephrenic schizophrenia, catatonic schizophrenia, paranoid schizophrenia & schizoaffective type, etc.
Waxy flexibility is a motor disturbance that is the predominant feature of catatonic schizophrenia
Catatonic patients present two main types of picture
Catatonic stupor and catatonic excitement
Prolonged isolation can produce sensory deprivation, manifested by hallucinations
Depersonalization is a state in which the client feels unreal or believes parts of the body are being distorted
Looseness of association refers to sentences that have vague connections to each other.
Echolalia is the involuntary parrot-like repetition of words spoken by others, where Echopraxia refers to the meaningless imitation of others’ motions
Direct questioning is the most appropriate technique to use when interviewing a client with paranoid schizophrenia
Eg: Are you hearing voices right now?
Alcoholic beverages are contraindicated while taking an antipsychotic drug
The bipolar affective disorder is characterized by cycles of extreme emotional high(mania) and lows (depression)
Taking antipsychotic medication with milk, nicotine, and caffeine will decrease the effectiveness
Referential thinking: When an individual incorrectly interprets neutral incidents and external events as having particular or special meaning for him
Concrete thinking: It is the literal interpretation of words and symbols
Clang Association: It is the linking of words by sound rather than its meaning
The client may say “I like to drive my car, bar, tar, far.”
Avolition is the lack of motivation
Alogia is also called poverty of speech, is a decrease in the amount of richness in speech
A flat affect is the absence of emotional expression
Haloperidol is an antipsychotic medication. It is also used to control tics and vocal utterances that are part of Tourette syndrome
Never touch an agitated client, touch can be misinterpreted as a threat and can further escalate the situation
Fluphenazine an antipsychotic drug that can cause photosensitivity and sunburn
The Prodromal (early) signs and symptoms of schizophrenia may include impaired role functioning and neglect of personal hygiene as well as social withdrawal and depression
Disorganized schizophrenia is characterized by disorganized speech, disorganized behavior, and inappropriate or flat affect.
A client with ideas of reference mistakenly believes that other people’s thought, speech, and behaviors refers to the client.
Polyuria and polydipsia are common side effects of lithium.
Orthostatic hypotension is an adverse effect of Tricyclic antidepressants