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Schizophrenia
Spectrum and OtherPsychotic Disorders
SOCW 601
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Framework for Diagnoses•
s we are !earning the diagnostic process for each conditionwe can use the fo!!owing framework"#$ %e&uired' de(ned time frame##$ Symptom c!uster)conste!!ation and thresho!d
###$ Causes distress)impairment
#*$ %u!e out*$ Speci(ers and se+erity indicators
*#$ #CD code
*##$,e!! me more
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Schizophrenia Spectrum and Other PsychoticDisorders• Schizotypa! -Persona!ity. Disorder/we wi!! come ack to this when we co+er persona!ity
disorders• Delusional Disorder• rief Psychotic Disorder• Schizophreniform Disorder• Schizophrenia• Schizoa2ecti+e Disorder/wi!! come ack to this when we co+er ipo!ar and %e!ated Disorders• Su stance)3edication/#nduced Psychotic Disorder/not going to co+er' typica!!y diagnosed y
medica! professiona!s in hospita! settings with !a resu!ts• Psychotic Disorder Due to nother 3edica! Condition/not going to co+er' typica!!y diagnosed
y medica! professiona!s in hospita! settings with !a resu!ts• Catatonia/not going to co+er' usua!!y done in medica!' hospita! settings• Other Speci(ed Schizophrenia Spectrum and Other Psychotic Disorder• 4nspeci(ed Schizophrenia Spectrum and Other Psychotic Disorder
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Schizophrenia Spectrum and Other PsychoticDisorders•
De(ned y a norma!ities in one or more of the fo!!owing5 domains"De!usions
a!!ucinations
Disorganized ,hinking -Speech.7ross!y Disorganized or norma! 3otor eha+ior-inc!uding catatonia.
Negative Symptoms
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Schizophrenia Spectrum and Other PsychoticDisorders•
,his section !ists the conditions in a particu!ar orderased on a continuum' spectrum' we are going to go inre+erse
• ,hree dimensions"Psychoticism dimension8egati+e DimensionDisorganized dimension
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Psychoticism dimension•
Psychoticism/positi+e -meaning acti+e' the presence ofsomething that shou!d e a sent. symptoms inc!udehallucinations and delusions
• *arious de!usions/p$ 19: psych te;t ook
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8egati+e dimension•
8egati+e dimension/negati+e symptoms -meaning !essacti+e' or passi+e' the a sence of something that shou!de present. symptoms are most common with
Schizophrenia' !ess common with other psychoticdisorders
Diminished emotional expression /reduction in e;pression of emotion' inc!uding in the face' eyecontact and intonation of speech Avolition /decrease in moti+ated' purposefu! acti+ities-e;$ Sitting for !ong periods of time' disinterest in
participating in work or socia! acti+ities
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8egati+e Symptoms
Anhedonia /decreased a i!ity to e;perience p!easure frompositi+e stimu!i or degradation in reco!!ection of pre+iousp!easura !e e;periences Asociality /apparent !ack of interest in socia! interactionsCogniti+e impairment/# put these here ecause these
persist e+en when positi+e symptoms are reduced or ha+esu sided' inc!ude decreases in dec!arati+e memory -+er a!know!edge of pre+ious information' e+ents.' workingmemory -immediate processing.' concentration' s!owerprocessing speed
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Disorganized dimension•
Disorganized dimension/disorganized speech andeha+ior and disorganized a2ect• Disorganized motor and socia! eha+ior/p$ 19< psych
te;t ook
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SchizophreniaP$
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SchizophreniaP$
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SchizophreniaP$ ack of insi ht associated with oorer treatment
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SchizophreniaP$
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Schizophreniform DisorderP$
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Schizophreniform DisorderP$
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rief Psychotic DisorderP$
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rief Psychotic DisorderP$
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De!usiona! DisorderP$
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De!usiona! DisorderP$
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De!usiona! DisorderP$
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Schizophrenia Spectrum and Other PsychoticDisorders•
%ating psychosis symptom se+erity P$ :?=/:??• *ideos• #f you were the inter+iewer' how wou!d you ask a out"
a!!ucinations
De!usions8egati+e symptoms
• %emem er" our presence' tone and response are +ita! toe;p!oring these issues in a caring and producti+emanner