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Psychotic disorders

This is a brief video on psychotic disorders, including schizophrenia and related disorders. I created this presentation with Google Slides. Images were created or taken from Wikimedia Commons I created this video with the YouTube Video Editor. ADDITIONAL TAGS: Involvement of mood → Duration of symptoms → Schizophrenia Need 1, 2, or 3 and 1 more of: Delusions Hallucinations Disorganized speech Disorganized / catatonic behavior Negative symptoms (flat affect, anhedonia, flat speech, cognitive def) For at least one month Total disease length 6 months including prodromal/residual phases Brief psychotic disorder Same criteria as schizophrenia but total disease length 1 day and 1 month Can be caused by major stressor; termed post-partum psychosis if following pregnancy Schizophreniform Same criteria as schizophrenia but total disease length 1 month and 6 months Upgrade from brief psychotic disorder, precursor to schizophrenia Schizoaffective Meet criteria for schizophrenia PLUS criteria for mood disorder (depression or bipolar) for majority of illness WITH Delusions/hallucinations are present for at least two weeks without mood disorder Psychosis in absence of mood disorder Mood disorder with psychotic features Meet criteria for mood disorder (SIGECAPS for major depressive disorder or DIGFAST for mania in bipolar I) with additional symptoms of psychoses. BUT Delusions/hallucinations are NOT present for two weeks without mood disorder. Constant mood disorder with intermittent psychosis MDD: Depressed mood + 4 of: S = sleep changes I = interest loss G = guilt (worthless) E = energy lack C = cognition/concentration reduced A = appetite change P = psychomotor change S = suicide ideation or thoughts BPAD 1: for mania, 3 or more of: D = Distractible I = Irresponsibility / irritable / impulsive G = Grandiose F = Flight of ideas A = Activity increase S = Sleep decrease T = Talkative Psychotic disorders Psychotic disorders Schizophrenia treatment: Antipsychotics First generation (typical) for positive symptoms Haloperidol + -azines (thiazine, chlorpromazine) Delusions, hallucinations disorganized speech, disorganized / catatonic behavior Second generation (atypical) for negative symptoms Risperidone, ziprasidone, quetiapine, olanzapine, aripiprazole, clozapine Flat affect, anhedonia, poverty of speech, cognitive deficits Related disorders not to be confused: Schizoid personality disorder Lack of interest and detachment from social relationships, apathy, and restricted emotional expression. Schizotypal personality disorder A pattern of extreme discomfort interacting socially, distorted cognitions/perceptions, strange beliefs, and/or magical thinking. Delusional personality Fixed false beliefs that are believable but unrealistic in that person’s culture No prominent hallucinations, thought disorder, mood disorder, or significant flattening of affect