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SCHIZOPHRENIA. Dr. V. V. Mohan Chandran Prof. and HOD Dept. of Psychiatry, YMCH. INTRODUCTION. SCHIZOPHRENIA- AN ENIGMA IF YOU KNOW SCHIZOPHRENIA- YOU KNOW PSYCHIATRY. HISTORY. EMIL KRAEPELIN. EUGEN BLEULER. CLINICAL FEATURES. POSITIVE SYMPTOMS
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SCHIZOPHRENIA Dr. V. V. Mohan Chandran Prof. and HOD Dept. of Psychiatry, YMCH
INTRODUCTION • SCHIZOPHRENIA- AN ENIGMA • IF YOU KNOW SCHIZOPHRENIA- YOU KNOW PSYCHIATRY
HISTORY EMIL KRAEPELIN EUGEN BLEULER
CLINICAL FEATURES POSITIVE SYMPTOMS • Those that appear to reflect an excess or distortion of normal functions. • Delusions • Hallucinations • Disorganized Behaviour/speech • Catatonic behavior
CLINICAL FEATURES NEGATIVE SYMPTOMS • Those that appear to reflect a diminution or loss of normal functions. • Affective flattening.(Lack of emotion) • Alogia (poverty of speech) • Avolition (Aimless, lack of goal) • Asociality • Anhedonia
SUBTYPES OF SCHIZOPHRENIA • Paranoid • Hebephrenic • Catatonic • Residual • Undifferentiated
DISORDERS OF PERCEPTION • HALLUCINATIONS • ILLUSIONS
DSIORDERS OF THOUGHT • DELUSIONS: • DELUSION OF PERSECUTION • DELUSION OF REFERENCE • DELUSION OF GRANDIOSITY • DELUSION OF LOVE • DELUSION OF INFIDELITY • DELUSION OF ILL HEALTH • NIHILISTIC DELUSION • FORMAL THOUGHT DISORDER • LOOSENING OF ASSOCIATION
MOTOR DISORDERS • CATATONIA • STUPOR AND EXCITEMENT
DISORDERS OF EMOTION • CONSTRICTED AFFECT • BLUNTING OF AFFECT • FLAT AFFECT • INAPPROPRIATE AFFECT
MANAGEMENT • FIRST GENERATION/TYPICAL ANTIPSYCHOTICS • SECONG GEN/ ATYPICAL ANTIPSYCHOTICS • EXTRAPYRAMIDAL SYNDROME