CHAPTER 11 Integrative Management of Psychotic Symptoms

What are the primary symptoms of psychosis?

Hallucinations, delusions, disorganized speech, abnormal psychomotor behavior, and negative symptoms.

What is the difference between schizophrenia and psychosis?

Schizophrenia includes psychosis, but not all types of psychoses are schizophrenia.

Which gender has a higher prevalence of schizophrenia?

Women.

What are the 'four As' of psychosis?

Autism, ambivalence, affective disturbance, and loosening of associations.

What is the dopamine hypothesis in schizophrenia?

It suggests that positive symptoms are due to a functional hyperactivity in the dopamine system.

What phase involves early symptoms such as withdrawal and strange thoughts?

Prodromal phase.

What is the role of serotonin in schizophrenia treatment?

It inhibits dopamine synthesis and can influence the positive effects of some medications.

What are some common side effects of antipsychotic medications?

Weight gain, metabolic syndrome, and extrapyramidal symptoms (EPS).

What types of treatments are included in a comprehensive treatment plan for schizophrenia?

Pharmacological (antipsychotics) and psychosocial interventions (therapy, community support).

What should be monitored regularly in patients taking antipsychotics?

Metabolic parameters such as weight, blood glucose, and cholesterol levels.

What is the importance of family psychoeducation in managing schizophrenia?

It reduces relapse rates by improving the family's understanding of the illness and its management.

What are some examples of questions used to assess psychotic symptoms?

Do you feel as if other people can read your mind? Do you ever hear voices when you're alone?