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Schizophrenia Ni dheesha  T 1 st  year msc nursing Nursing college kottayam
Definition ,[object Object],[object Object]
contd ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Schizophrenia ,[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object]
4 A (Bleuler) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Course of Illness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Picture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Positive and Negative Symptoms Negative Positive Alogia Hallucinations Affective flattening Delusions Avolition-apathy Bizarre behaviour Anhedonia-asociality Positive formal thought disorder Attentional impairment
Positive symtoms ,[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
Grossly disorganized behavior . Difficulty in goal directed behavior (ADLs), unpredictable agitation or silliness, social disinhibition, or bizarre behavior. There is a purposelessness to behavior.
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Negative  Symptoms ,[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]
Disorganized Symptoms ,[object Object],[object Object]
Cognitive Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Criteria of Diagnosis ,[object Object],[object Object],[object Object]
COND C] hallucinated voices, commenting permanently the behavior of the patient or they talk about him between themselves, or the other types of hallucinatory voices, coming from different parts of body. D] permanent delusions of different kind, which are inappropriate and unacceptable in given culture
F20-F29  Schizophrenia, Schizotypal and Delusional Disorders  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Criteria of Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],2. the presence of the symptoms from at least two groups below for one month or more:
[object Object],[object Object]
F20-F29 Schizophrenia, Schizotypal and Delusional Disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
F20-F29 Schizophrenia, Schizotypal and Delusional Disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
F20.0 Paranoid Schizophrenia  ,[object Object],[object Object]
F20.1 Hebephrenic Schizophrenia ,[object Object],[object Object],[object Object],[object Object],[object Object]
F20.2 Catatonic Schizophrenia ,[object Object],We recognize two forms :
COND ,[object Object],[object Object]
F20.3 Undifferentiated Schizophrenia ,[object Object],[object Object]
F20.4 Postschizophrenic Depression ,[object Object],[object Object]
F20.5 Residual Schizophrenia ,[object Object]
F20.6 Simple Schizophrenia ,[object Object],[object Object]
F21  Schizotypal disorder ,[object Object]
F22 Persistent Delusional Disorders ,[object Object],[object Object]
F22.0  Delusional Disorder ,[object Object],[object Object],[object Object]
F23 Acute and Transient Psychotic Disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
F24 Induced Delusional Disorder  ,[object Object],[object Object]
F25 Schizoaffective Disorders  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology of Schizophrenia ,[object Object],[object Object],[object Object],[object Object]
Genetics of Schizophrenia ,[object Object]
Genes x Environment Behavior Emotion Cognition Perception Development
Schizophrenia susceptibility genes:  Current candidates Whole genome linkage 1q,2p,5q,6p,6q,8p,10p,11q,13q,15q,22q Finer mapping SNP association dysbindin  (6p) ( seven )* neuregulin  (8p) ( six)* G72  (13q) ( three )* MRDS1  (6p) ( four )* Functional candidates COMT (22q) ( eight )* GRM3 (7q) ( four )* GAD 1 (2q) ( four )* CNRNA7 (15q) ( two )*  PPP3CC (8p) ( two )* Akt1 (two) Chromosomal translocation DISC1 (1q) ( three )* PRODH (22q) (two ) Expression profiling RGS4 (1q) ( four )* * Number of positive samples worldwide
Etiology of Schizophrenia - Dopamine Hypothesis ,[object Object],[object Object],[object Object],[object Object]
Etiology of Schizophrenia - Contemporary Models ,[object Object],[object Object],[object Object],[object Object]
Etiology of Schizophrenia - Neurodevelopmental Model ,[object Object],[object Object]
Structural changes in brain ,[object Object],[object Object],[object Object],[object Object]
Structural changes in brain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
Mental disorders are brain disorders: Loss of gray matter in childhood schizophrenia
Functional changes in brain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Treatment of Schizophrenia ,[object Object],[object Object],[object Object],[object Object]
Atypical neuroleptics ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Psychotherapy - an adjunct to meds and is very useful to keep the patient on the meds. Group therapy Family therapy Community support groups Treatments
[object Object],[object Object]
[object Object]

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Schizophrenia (1)

  • 1. Schizophrenia Ni dheesha T 1 st year msc nursing Nursing college kottayam
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  • 9. Positive and Negative Symptoms Negative Positive Alogia Hallucinations Affective flattening Delusions Avolition-apathy Bizarre behaviour Anhedonia-asociality Positive formal thought disorder Attentional impairment
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  • 13. Grossly disorganized behavior . Difficulty in goal directed behavior (ADLs), unpredictable agitation or silliness, social disinhibition, or bizarre behavior. There is a purposelessness to behavior.
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  • 24. COND C] hallucinated voices, commenting permanently the behavior of the patient or they talk about him between themselves, or the other types of hallucinatory voices, coming from different parts of body. D] permanent delusions of different kind, which are inappropriate and unacceptable in given culture
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  • 46. Genes x Environment Behavior Emotion Cognition Perception Development
  • 47. Schizophrenia susceptibility genes: Current candidates Whole genome linkage 1q,2p,5q,6p,6q,8p,10p,11q,13q,15q,22q Finer mapping SNP association dysbindin (6p) ( seven )* neuregulin (8p) ( six)* G72 (13q) ( three )* MRDS1 (6p) ( four )* Functional candidates COMT (22q) ( eight )* GRM3 (7q) ( four )* GAD 1 (2q) ( four )* CNRNA7 (15q) ( two )* PPP3CC (8p) ( two )* Akt1 (two) Chromosomal translocation DISC1 (1q) ( three )* PRODH (22q) (two ) Expression profiling RGS4 (1q) ( four )* * Number of positive samples worldwide
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  • 56. Mental disorders are brain disorders: Loss of gray matter in childhood schizophrenia
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  • 62. Psychotherapy - an adjunct to meds and is very useful to keep the patient on the meds. Group therapy Family therapy Community support groups Treatments
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