204 exam #2 study guide

what are some positive symptoms of the schizophrenia spectrum

Hallucinations, delusions, disorganized thinking or combination of these.

What are some negative symptoms of the schizophrenia spectrum

flat effect, anhedonia and they can persist long after positive symptoms

Common types of delusions are

Erotomanic, grandiose, jealous, somatic, and persecutory

What functions are affected with delusional disorder

social and vocational

When does brief psychotic disorder emerge?

Emerges in adolescent or early adulthood and maybe a precursor to a more chronic psychotic disorder

what is the etiology of brief psychotic disorder?

Is the less evidence of genetic factors and more support than it is environmental factors

What is the function of schizophreniform?

function is severely impaired, cognition is particularly impaired, which results in deterioration of social and vocational roles

What is the treatment for schizophreniform?

Pharmacological,

using some antipsychotic medications,

psychotherapy is also recommended

What can an OT do for a schizophreniform disordered patient?

Occupational therapists may be called to monitor the effectiveness of medications as they are introduced. Therapy can focus on minimizing damage to occupational status resulting from a period of severe disorder

What is the Prodromal periods for schizophrenia?

those that lead up to the major psychosis

what are the residual periods for schizophrenia?

time when the psychotic symptoms lessen after a major episode

what is the active periods for schizophrenia?

When the characteristics of psychotic symptoms are clearly present and causing significant disruption

What is the prognosis for schizophrenia?

poor prognosis, there is variability

What is the function during the predominant phase for schizophrenia?

Minimally affected

what is the function during the residual phase for schizophrenia?

Minimally affected

what is the function during the active phase for schizophrenia?

continues to be below the highest level ever achieved

What can OT do for schizophrenic?

Social skills are often taught

What functional deficits are there with schizoaffective disorder?

There may or may not be functional deficits, But you could expect some functional deficits will be cognitive ability, visual spatial, and visual motor coordination

what is the treatment for schizoaffective disorder?

pharmacological treatment is typically the first line of intervention

What are the three dissociative disorders?

Dissociative identity disorder, dissociative amnesia, and depersonalization/derealization disorder

What is dissociative identity disorder?

The different states lead to a discontinuous sense of self as well as changes in effect and function.

What is comorbid with dissociative identity disorder?

Depression and high risk for suicide

What functions will be affected with dissociative identity disorder?

Executive functions

What is dissociative amnesia?

A person who loses memory about important parts of their own experiences, where they went, what they thought and experienced.

what functions are paired with dissociative amnesia?

Loss of biographical memory and identity

what is depersonalization/derealization disorder?

Condition in which a motion particularly one's sense of self, is blunted and feels unreal. The individual reports feeling disconnected from the self and that their attention feels robotic although the self is not totally disembodied

What should OT do for depersonalization/derealization disorder patient?

Provide opportunities for non verbal expression of emotion