Lecture 4 Schizophrenia Disorders

INTRODUCTION TO MED (PSYCHIATRY) SCHIZOPHRENIA AND OTHER PSYCHOTIC DISORDERS

SCHIZOPHRENIA ,[object Object]

SCHIZOPHRENIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Five Types of Schizophrenia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Physiologic Abnormalities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mimics of Schizophrenia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Classification Agent (Duration) Dose (mg/day) Clinical use Traditional Low - potency Thioridazine (Mellaril) 200 -600 Depression with intense anxiety or agitation Chlorpromazine(Thorazine) 100 – 800 To treat nausea and vomiting Hiccups Traditional High - potency Haloperidol (Haldol) 2 – 15 Psychosis secondary to organic syndrome; Tourette disorder Perphenazine (Trilafon) 8 – 40 To treat nausea and vomiting Pimozide (Orap) 1 –10 Tourette disorder, body dysmorphic disorder Trifluoperazine (Stelazine) 4 – 20 Non-psychotic anxiety (up to 12 weeks)

Classification Agent (Duration) Dose (mg/day) Clinical use Atypical Anti-psychotics Clozapine (Clozaril) 300 – 900 Effective for negative, chronic, and refractory symptoms Risperidone (Risperdal) 4 – 8 Useful for negative symptoms; has few side effects Olanzapine (Zyprexa) 10 – 20 Useful for negative symptoms; has few side effects

Side Effects of Anti-Psychotics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prognosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Other Psychotic Disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Brief Psychotic Disorder ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object]

Typical Patient Presentation ,[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Schizophreniform Disorder ,[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Schizoaffective Disorder ,[object Object],[object Object],[object Object]

Delusional Disorder ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Shared Psychotic Disorder ,[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]

Lecture 4 Schizophrenia Disorders

Lecture 4 Schizophrenia Disorders

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Lecture 4 Schizophrenia Disorders