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LCSW Diagnostic Knowledge/Skills
LCSW Exam Preparation
7
Other
Professional
01/11/2011

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Term
Psychotic Disorders: Schizophrenia
Definition

* characterized by a disintegration of the process of thinking and of emotional responsiveness

 

*It most commonly manifests as auditory hallucinations, paranoid or bizarre delusions, disorganized speechg and thinking and it is accompanied by significant social or occupational dysfunction. The onset of symptoms typically occurs in young adulthood, with a global lifetime prevalence of around 0.3–0.7%

Term

Types of Schizophrenia: Catatonic Type

Definition
  • 295.2 Catatonic type: syndrome of psychological and motorological disturbances; not recognized as a separate disorder; may include loss of motor skills, stupor or hyperactive state; echolalia or echopraxia
  • benzodiazepine is treatment of choice; sometimes colloquially referred to as a "benzo", and often abbreviated in the literature as a "BZD"); is a psychoactive drug (psychotropic drug that crosses the blood-brain barrier and acts primarily upon the central nervous system where it affects brain function, resulting in changes in perception, mood, consciousness, cognition, and behavior)

 

Term

Types of Schizophrenia: Disorganized Type

Definition

295.1 Disorganized type:

  • (foldermenia) is a subtype of schizophrenia; thought to be an extreme expression of the 'disorganization syndrome' that has been hypothesised to be one aspect of a three-factor model of symptoms in schizophrenia: disorganization, 'reality distortion' (involving delusions and hallucinations) and 'psychomotor poverty' (poverty of speech, lack of spontaneous movement and various aspects of blunting of emotion). Symptoms: schizophasia (word salad), repetitive language;flat or inapproriate emotions; delusions/hallucinations at minimal; behavioral disorganization impacting ADLs;strange/inappropriate emotional response;
  • Early onset - 15-25 years with poor prognosis due to rapid development of symptoms and decline in social functioning

 

Term

Types of Schizophrenia:Paranoid Type 

 

 

Definition

295.3 Paranoid type

Where delusions and hallucinations are present but thought disorder, disorganized behavior, and affective flattening are absent.

Term

Types of Schizophrenia: Schizophreniform Disorder

Definition

295.4 Schizophreniform Disorder

diagnosed when symptoms of schizophrenia are present for a significant portion of the time within a one-month period, but signs of disruption are not present for the full six months required for the diagnosis of schizophrenia.

While impairment in social, occupational, or academic functioning is required for the diagnosis of schizophrenia, in schizophreniform disorder an individual's level of functioning may or may not be affected. While the onset of schizophrenia is often gradual over a number of months or years, the onset of schizophreniform disorder can be relatively rapid. 

often treated with antipsychotic medications, especially the atypicals, along with a variety of social supports (such as individual psychotherapy, family therapy, occupational therapy, etc.) designed to reduce the social and emotional impact of the illness

 ages of onset are 18-24 for men and 18-35 for women

Term
Schizophrenia: Schizoaffective Disorder
Definition

295.7 Schizoaffective Disorder

 

*characterized by recurring episodes of elevated or depressed mood, or of simultaneously elevated and depressed mood, that alternate with, or occur together with, distortions in perception.

*Most commonly affects cognition and emotion

*Symptons include auditory hallucinations, paranoia, bizarre delusions, or disorganized speech and thinking with significant social and occupational dysfunction are typical. The division into depressive and bipolar types is based on whether the individual has ever had a manic, hypomanic or mixed episode

#Onset is usually early adulthood

*treatment is antipsychotic medication combined with mood stabilizer medication or antidepressant medication, or both

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