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    Schizophrenia

    Spectrum and OtherPsychotic Disorders

    SOCW 601

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    Framework for Diagnoses•

    s we are !earning the diagnostic process for each conditionwe can use the fo!!owing framework"#$ %e&uired' de(ned time frame##$ Symptom c!uster)conste!!ation and thresho!d

    ###$ Causes distress)impairment

    #*$ %u!e out*$ Speci(ers and se+erity indicators

    *#$ #CD code

    *##$,e!! me more

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    Schizophrenia Spectrum and Other PsychoticDisorders• Schizotypa! -Persona!ity. Disorder/we wi!! come ack to this when we co+er persona!ity

    disorders• Delusional Disorder• rief Psychotic Disorder• Schizophreniform Disorder• Schizophrenia• Schizoa2ecti+e Disorder/wi!! come ack to this when we co+er ipo!ar and %e!ated Disorders• Su stance)3edication/#nduced Psychotic Disorder/not going to co+er' typica!!y diagnosed y

    medica! professiona!s in hospita! settings with !a resu!ts• Psychotic Disorder Due to nother 3edica! Condition/not going to co+er' typica!!y diagnosed

    y medica! professiona!s in hospita! settings with !a resu!ts• Catatonia/not going to co+er' usua!!y done in medica!' hospita! settings• Other Speci(ed Schizophrenia Spectrum and Other Psychotic Disorder• 4nspeci(ed Schizophrenia Spectrum and Other Psychotic Disorder

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    Schizophrenia Spectrum and Other PsychoticDisorders•

    De(ned y a norma!ities in one or more of the fo!!owing5 domains"De!usions

    a!!ucinations

    Disorganized ,hinking -Speech.7ross!y Disorganized or norma! 3otor eha+ior-inc!uding catatonia.

    Negative Symptoms

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    Schizophrenia Spectrum and Other PsychoticDisorders•

    ,his section !ists the conditions in a particu!ar orderased on a continuum' spectrum' we are going to go inre+erse

    • ,hree dimensions"Psychoticism dimension8egati+e DimensionDisorganized dimension

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    Psychoticism dimension•

    Psychoticism/positi+e -meaning acti+e' the presence ofsomething that shou!d e a sent. symptoms inc!udehallucinations and delusions

    • *arious de!usions/p$ 19: psych te;t ook

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    8egati+e dimension•

    8egati+e dimension/negati+e symptoms -meaning !essacti+e' or passi+e' the a sence of something that shou!de present. symptoms are most common with

    Schizophrenia' !ess common with other psychoticdisorders

    Diminished emotional expression /reduction in e;pression of emotion' inc!uding in the face' eyecontact and intonation of speech Avolition /decrease in moti+ated' purposefu! acti+ities-e;$ Sitting for !ong periods of time' disinterest in

    participating in work or socia! acti+ities

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    8egati+e Symptoms

    Anhedonia /decreased a i!ity to e;perience p!easure frompositi+e stimu!i or degradation in reco!!ection of pre+iousp!easura !e e;periences Asociality /apparent !ack of interest in socia! interactionsCogniti+e impairment/# put these here ecause these

    persist e+en when positi+e symptoms are reduced or ha+esu sided' inc!ude decreases in dec!arati+e memory -+er a!know!edge of pre+ious information' e+ents.' workingmemory -immediate processing.' concentration' s!owerprocessing speed

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    Disorganized dimension•

    Disorganized dimension/disorganized speech andeha+ior and disorganized a2ect• Disorganized motor and socia! eha+ior/p$ 19< psych

    te;t ook

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    SchizophreniaP$

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    SchizophreniaP$

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    SchizophreniaP$ ack of insi ht associated with oorer treatment

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    SchizophreniaP$

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    Schizophreniform DisorderP$

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    Schizophreniform DisorderP$

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    rief Psychotic DisorderP$

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    rief Psychotic DisorderP$

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    De!usiona! DisorderP$

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    De!usiona! DisorderP$

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    De!usiona! DisorderP$

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    Schizophrenia Spectrum and Other PsychoticDisorders•

    %ating psychosis symptom se+erity P$ :?=/:??• *ideos• #f you were the inter+iewer' how wou!d you ask a out"

    a!!ucinations

    De!usions8egati+e symptoms

    • %emem er" our presence' tone and response are +ita! toe;p!oring these issues in a caring and producti+emanner