Understanding Schizophrenia: Symptoms and Types

1. Agenda – Lesson 5 CHECK YOURSELF! Are you in YOUR seat? Is your hood/hat/wave cap/headphones OFF your head? Where is your badge? • To Get: • Guided notes • To Do: • Opener – review Mood Disorders • Lecture: Schizophrenia • Group Activity – What does it feel like in your head? Big Idea – Identifying symptoms and Classifying Schizophrenia Guiding Question – How is schizophrenia diagnosed? I can… Understand causes and symptoms of schizophrenia and explanation for why it exists.

2. Opener Review 1. Name the two categories of mood disorders. 2. Name three traits of someone with major depression. 3. Name two traits of someone in the manic phase of bipolar disorder. 4. According to psychoanalytic explanations; mood disorders are caused by what? 5. Learning theorists say that mood disorders are caused by a person’s learned __________ from prior life experiences. 6. Cognitive theorists believe that people with mood disorders view the world in what three ways? (all suggest a person views the world based on having no control or negative events are their fault) 7. ________of people with mood disorders have a family member who is affected by a similar disorder 8. Name the two neurotransmitters that are linked to mood disorders. 9. Many cases of depression reflect the _______ of biological factors and psychological factors. 10. What is the MOST COMMON of all mood disorders?

3. Schizophrenia • Most serious of psychological disorders Characterized by: • Loss of contact with reality • inability to function independently • develops gradually or suddenly • worsens over time if untreated Obvious Symptoms • Hallucinations, delusions, and thought disorders • auditory – voices tell an individual what to do or comment on the individuals behavior or tell them to harm themselves or others • Delusions of grandeur – being superior to others • Being famous or on a special mission • Being persecuted by the CIA/FBI • Beliefs of committing unforgivable sins • Questioning their own existence

4. Schizophrenia Thought disorders - problems in the organization or content of mental processes • Thoughts may skip illogically from topic to topic Speech sounds disorganized and confused • Same word or phrase repeated over and over • Repeat with others say • Invent new words Inability to function • Social withdrawal • Loss of social skills • Loss of normal emotional responsiveness • Catatonic stupor – immobile, expressionless, comma-like state

5. Schizophrenia Stats -20% of people with schizophrenia attempt suicide, 10% succeed -Found in all cultures -Recognized historically for 1,000’s of years -Estimated 2 million people in the US suffer from some form of schizophrenia

6. Typically begins in early adulthood; ages of 15 and 25 • Men tend to get develop schizophrenia slightly earlier than women • average age of onset: 18 in men; 25 in women • Rarefor people under 10, over 40 • 20-33% of homeless in the US are presumed to have schizophrenia http://www.schizophrenia.com/szfacts.htm#

7. Types of Schizophrenia Paranoid Schizophrenia • Delusions or frequent auditory hallucinations relating to the same theme • Delusions of grandeur, persecution or jealousy • Less disorganized and more “normal” behavior but still may exhibit agitation, confusion and fear

8. Group ActivityWhat does it feel like in your head? 20 points participation 1. Get into groups of three (3) 2. Each of you get a piece of paper and roll it up length-wise. 3. Person #1: sit in a chair (you have schizophrenia) 4. Person #2: attempt to have a normal conversation with person #1. Ask them about their weekend, food they like, what was the last movie you saw, normal everyday type stuff. 5. Person #3: you are the voice in person #1’s head. Roll up your sheet of paper into a tube. Whisper into #1’s ear. Be negative. Be paranoid. Warn them against the evils of person #2’s conversation, be persistent, don’t let up, keep talking, talking, talking. (keep it PG though) 6. Rotate positions until each person has had a turn at each role. 45 seconds each. 7. Write down what you thought or felt during this activity. How might this simulation affect on a daily basis if you suffered from schizophrenia?

9. Types of Schizophrenia Disorganized Schizophrenia • Incoherent in thought and speech • Disorganized in behavior • Delusions or hallucinations tend to be fragmented and unconnected • Emotionless or show inappropriate emotions • Typically act silly and giddy, giggle and speak nonsense • May neglect appearance and hygiene – lose control of bladders and bowels The Soloist (statue scene) https://www.youtube.com/watch?v=ymzHr_Uvp7w

10. Types of Schizophrenia Catatonic Schizophrenia • Disturbance of movement • Slow to a stupor then suddenly switch to agitation • May hold unusual, uncomfortable body positions for long periods of time – beyond discomfort • Waxy flexibility – can be molded into strange poses they hold for hours Catatonic Example • https://www.youtube.com/watch?v=CRQMDsw02Dw

11. Explaining Schizophrenia Psychological Views • Family environment as root to schizophrenia • If parent frequently expresses intense emotions and has a pushy, critical attitude puts children at risk of developing schizophrenia • More likely; such a family environment only increases chances of relapse in those that already have schizophrenia – family environs do not PRODUCE schizophrenia

12. Explaining Schizophrenia Biological Views • Brain disorder • Brain research has connected problems in attention, memory, abstract thinking, and language (all areas in the front of the brain) to schizophrenia • Smaller brains and smaller frontal regions • Difficulties may reflect a loss of synapses – neural connection deficiencies Biological risk factors: • Heredity • Runs in families • 1% of population, • child of schizophrenic parent has 10% chance • Child of both parents, 35-40% chance • Identical twins – 40-50% chance • Complications during pregnancy and birth • Mother with flu in the 6th to 7th month of pregnancy • Maternal starvation • Birth during wintermonths (strong correlation) • Suggests abnormal prenatal brain development

13. Explaining Schizophrenia Biological Views con’t • Problems in CNS may involve neurotransmitters as well as brain structures • Dopamine – may use more than other people but do not produce more; could be caused by hyperactive dopamine receptors

14. Explaining Schizophrenia Multifactorial Model of Schizophrenia • Biological and psychological factors may interact 1. Genetic factors create a vulnerability 2. Trauma during birth may lead to brain injury 3. Once disorder develops, its course may be negatively affected by family environment • Environment alone is not enough to cause schizophrenia • People who are not genetically prone are unlikely to develop it

15. Exit Slip

16. Links: • Shutter Island (skip profanity) • Https://www.youtube.com/watch?v=KQXy5WnCvgA • The Soloist trailer • https://www.youtube.com/watch?v=-OdIYUPc40M • By Statue • https://www.youtube.com/watch?v=ymzHr_Uvp7w • LA Times • https://www.youtube.com/watch?v=rn4Ff3MpiRc Crash Course - Review • https://www.youtube.com/watch?v=uxktavpRdzU