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SCHIZOPHRENIA

Definition
Mental severe disorders, can cause the individu fell

powerless.

Etiology
Endocrine Metabolism Adolf Meyer teory

Sigmund freud teory


Eugen Bleuler Genetic Neurochemistry Neurodevelopmental hypothesis

Symptoms
Appearance and general behavior nothing special

about scizofrenia,even its look like normal. Talks disorder Behavior disorders Afek disorders Perseption disorders Mind disorders

Type of schizofrenia
Paranoid schizofrenia Hebefrenik schizofrenia Katatonik schizofrenia

Simplex schizofrenia
Residual schizofrenia

Paranoid Schizophrenia
Persons are very suspicious of others and often have

grand schemes of persecution at the root of their behavior.


During this phase they may have hallucinations and

frequent delusions.

Hebephrenic Schizophrenia
AKA disorganized schizophrenia; characterized by

emotionless, incongruous, or silly behavior, intellectual deterioration, frequently beginning insidiously during adolescence.

May be verbally incoherent and may have moods

and emotions that are not appropriate to the situation.

Hallucinations not usually present.

Catatonic Schizophrenia
Person is extremely withdrawn, negative and

isolated.
May have marked psychomotor disturbances.

Residual Schizophrenia

Lacks motivation and interest in day-to-day living.

Person is not usually having delusions,

hallucinations or disorganized speech.

Diagnosis
Currently there is no physical or lab test that can

absolutely diagnose schizophrenia.


A psychiatrist usually comes to the diagnosis based

on clinical symptoms.

Treatment of Schizophrenia

The acute psychotic schizophrenic patients will respond usually to antipsychotic medication. According to current consensus we use in the first line therapy the newer atypical antipsychotics, because their use is not complicated by appearance of extrapyramidal sideeffects, or these are much lower than with classical antipsychotics.
conventional antipsychotics (classical neuroleptics) atypical antipsychotics

chlorpromazine, chlorprotixene, clopenthixole, levopromazine, periciazine, thioridazine


droperidole, flupentixol, fluphenazine, fluspirilene, haloperidol, melperone, oxyprothepine, penfluridol, perphenazine, pimozide, prochlorperazine, trifluoperazine amisulpiride, clozapine, olanzapine, quetiapine, risperidone, sertindole, sulpiride

Medications
In general it may take up to 6 months for

medications to show consistent effects.


The newest medication is Invega.
Meds include atypicals: Abilify, Geodon, Clozapine,

Risperidone, Seroquel, Zyprexa.

[Remember: a giraffe can really see a zebra]

Treatments
Psychotherapy - an adjunct to meds and is very

useful to keep the patient on the meds.


Group therapy
Family therapy Community support groups

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