Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Introduction What do you know about schizophrenia? True/False 1. Schizophrenia is a brain illness 2. Schizophrenia is treatable. 3. Schizophrenia results in more hospital stays and consumes more hospital beds than any other illness. 4. Schizophrenia usually begins sometime in middle school ages. 5. 40% of all people with schizophrenia will attempt suicide. 6. Approximately 30% of people who are homeless may be living with schizophrenia. 7. The main brain chemicals (neurotransmitters) involved in schizophrenia is dopamine Schizophrenia What is it? What is it not? Not multiple personalities Category: Psychotic disorders split mind – split from reality Serious illnesses impact the mind – impact ability to think clearly, make good judgments, communicate, understand reality, and behavior appropriately Other psychotic disorders Schizoaffective disorder (combined symptoms of schizophrenia and mood disorder) Delusional disorder Shared Psychotic disorder - Symptoms of Schizophrenia When do symptoms begin? Onset of schizophrenia most commonly in early adulthood Childhood and late onset can happen but very rare Symptoms: 1. Disorganized thinking Delusions What are they? Explain Give example Breakdown What in selective attention does it mean? Give example Hallucinations Most common: hearing voices What is it? Give examples Symptoms of Schizophrenia 2. Inappropriate Emotions Flat affect Emotionless state 3. Inappropriate Actions (ex: rubbing face) Catatonic state Motionless Disruptive social behavior Prevalence and Incidence Prevalence 1.1% in U.S. (over 18) Worldwide: At any one time as many as 51 million people have schizophrenia United Sates: 2.2 million people Incidence: Worldwide: 1.5 million people will be diagnosed with schizophrenia this year, United States: About 100,000 people will be diagnosed with schizophrenia this year. Prevalence Cultural differences Gender Difference Men have higher prevalence rate overall Men have earlier onset than women Women have higher incidence after age 30 No gender difference in symptoms Cultural Differences - Race No national boundaries – experienced all over the world African Americans are about 3 times more likely than whites to be diagnosed with schizophrenia Causes – Nature Genes: No one single gene causes the disease by itself several genes are associated with an increased risk of schizophrenia Runs in families? having a history of family psychosis greatly increases the risk Brain abnormalities: Significant Loss of Brain Gray Matter Enlarged Ventricles in the Brain Neurotransmitters: overabundance of dopamine Causes of Schizophrenia: Nurture Myth: Refrigerator mothers Possible warning signs Birth complications (low weight/oxygen deprivation) Separation from parents Short attention span Poor muscle coordination Disruptive or withdrawn behavior Emotional unpredictability Poor peer relations and solo play Treatments – Therapy Inpatient – results in more hospital stays than any other illness Group Therapy: real-life plans, problems, and relationships. Role playing with social and work interaction. Discussion of drug side effect. Family therapy: teaches practices of family meetings (hold when there is conflict) and the tools to discuss the problem and consider solutions Success: According to Long (1996) found to decrease relapse rates, High-stress families without therapy – 50-60% relapse/ Supportive family therapy: relapse rate below 10% Individual Therapy: Cognitive-Behavioral Success: According to Long (1996) when group therapy is combined with drugs treatment is more successful than drug therapy alone Teaches healthy way to deal with conflict, coping strategies, new Reponses to ongoing problems, behavioral coping skills Individual Therapy: Psychotherapy Monitor medication use, learn social skills, set goals, advice, reassurance, and reality testing. Not treatment of choice for people with schizophrenia Treatments: Medication Medication: Antipsychotics: life Types: Mid 1950s, improve quality of Thorazine and Haldol Side effects: Sedation, headaches, dizziness, anxiety, weight gain, tardive dyskinesia, sexual dysfunction Atypical effects Types: Side Most antipsychotics: 1989. Fewer side Clozaril effects: decreases white cells successful and most common Treatable or Curable? Treatable Most people can to outpatient Can lead happy and productive lives 62.7% controlling symptoms 56.8% were living independently 41.4% were employed 58.3% expressed overall life satisfaction (Drake, McHugo, Xie, Fox, Packard & Helmstetter, 2006). But it isn’t easy: 40% of all people with schizophrenia will attempt suicide. Approximately 30% of people who are homeless may be living with schizophrenia. Challenges Life with schizophrenia How would this impact you at work? In relationships? Lose friendships – hard to trust Hard on family Hard to concentrate in school and work – many people drop out or quit their job Bring in case study Other challenges: Knowing reality from delusion Taking medication What do you know about schizophrenia? True/False 1. Schizophrenia is a brain illness 2. Schizophrenia is treatable. 3. Schizophrenia results in more hospital stays and consumes more hospital beds than any other illness. 4. Schizophrenia usually begins sometime in middle school ages. 5. 40% of all people with schizophrenia will attempt suicide. 6. Approximately 30% of people who are homeless may be living with schizophrenia. 7. The main brain chemicals (neurotransmitters) involved in schizophrenia is dopamine Did you? Did you print out and turn in handout Make sure to include handout in presentation – go over the handout with the class Did you have a visual that enhanced the presentation – did you explain the visual? Did you print out your workcited? Did you print out your power point – 6 per slide Did you print out your letter – write your names and disorder on the back