Skizoafektif, skizo

Skizofrenia

Gangguan
Waham
Gangguan
Psikotik
Psikotik Gangguan
Skizoafektif
Gangguan
Gangguan Bipolar
Mental

Neurotik
Epidemiologi: Etiologi:
•Gender dan usia •Genetik
•Infeksi •Biokimia
•Musim kelahiran •Neuropatologi
•Penggunaan obat2an •Metabolisme otak
•Kepadatan lingkungan •Psychoneuroimmunology
•Faktor sosioekonomi dan •Psychoneuroendocrinology
budaya

•Tatalaksana :
•Rawat inap
•Farmakologi
Diagnosis : Skizofernia
DSM-V
ICD 10

Subtipe (DSM-IV-TR):
• Paranoid
Tanda dan gejala: Prognosis
• Disorganized
• Positive symptoms
• Catatonic
• Negative symptoms
• Undifferentiated
• Cognitive symptoms
• Residual
• Lain - lain
Diagnosis : Prognosis:
DMV-V >> Skizofren
ICD 10 << Gangguan mood

Gangguan Skizoafektif
= gabungan gejala
skizofrenia dan
gangguan mood

Tata Laksana:
•Rawat inap (utk pasien yg
membahayakan diri dan
sekitarnya)
• Subtipe depresif :
antidepresan + antipsikotik
•Subtipe manik : mood stabilizer
+ antipsikotik
 Epidemiologi : Diagnosis + tanda dan
<< Skizofrenia gejala:
dan gangguan DSM-IV-TR
mood ICD 10

Faktor resiko:
•Usia lanjut
•Isolasi sosial
•Riwayat keluarga Gangguan waham
= kepercayaan kuat Subtipe:
•Imigran
yg salah •Erotomanic
•Grandiose
•Jealous
•Persecutory
•Somatic
DD:
•Mixed
•Kondisi medis
Tata Laksana: •Unspecified
(neurodegeneratif, infeksi,
kelainan metabolik, dll) •Psikoterapi
•Penggunaan obat2an •Rawat inap
•Farmako: antipsikotik,
antidepresan (bila perlu)
 DSM-IV-TR
a. Nonbizarre delusions (i.e., involving situations that occur in real life,
such as being followed, poisoneed, infected, loved at distance, or
deceived by spouse or lover, or having a disease) of at least 1 month’s
duration.
b. Criterion A for schizophrenia has never been met, Note: tactile and
olfacory hallucinations may be present in delusional disorder if they are
related to the delusional theme.
c. Apart from the impact of the delusion(s) or its ramifications,
functioning is not markedly impaired and behavior is not obviously odd
or bizzare.
d. If mood episodes have occurred concurrently with delusions, their total
duration has been brief relative to the duration of the delusional
period.
e. The disturbance is not due to direct physiological effects of a substance
(e.g., a drug of abuse, a medication) or a general medical condition.