Schizophrenia |
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| 2007-12-24 | No history |  | Add My version | |
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| Mind map Schizophrenia (from MedMaps.co.uk) - the online mind map resource for medical students and doctors. Psychiatry. Medicine. | |
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Schizophrenia
Characteristics
Causes
Neurodevelopmental theory
insult
virus
labour problems
Genetic
Monozygotic twins
50% correlation
Life-long process
cannabis increases risk
Effects
Biochemical
XS dopamine
Thoughts
thought disorder
Perceptions
hallucinations
Mood
loss of interest
Personality
-ve symptoms
Motor
catatonia
akinesia
Physical
Larger ventricles
prominent sulci
prevalence
~1%
at Risk
socioeconomically deprived
immigrants
Afro-Caribbeans
Winter births
S&S
Schneider's First Rank symptoms
Thought disorder
Insertion
Withdrawal
Broadcasting
Auditory hallucinations
third person
echo de la pense
running commentary
Passivity Experiences
Actions/feelings/impulses
under external control
Delusional perceptions
normal perception leading to delusion
Present in 70%
+ve symptoms
hallucinations
thought disorder
-ve symptoms
social withdrawal
loss of interest
lack of self-care
blunted affect
decreased motor activity
poor motivation
Complications
Suicide
10%
Medical comorbidities
Prognosis
50% ok
Biopsychosocial Management
Medications
Antipsychotics
Atypical
first line
Olanzapine
Risperidone
depot injection available
clozapine
last resort
neutropenia
agranulocytosis
fatal
Typical
dyskinesia >30%
Cardiac problems
chlopromazine
Haloperidol
ECT
for catatonia
CBT
Social support
financial
occupational
accommodation
follow-up
Differential
Temporal epilepsy
+ve symptoms
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