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by: Savannah Wagner Belk

Schizophrenia Psy 247

Savannah Wagner Belk
GPA 4.0

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About this Document

Hey guys! This week of notes are composed of the rest of the eating disorder material and the schizophrenia and delusional disorder information. Have a great weekend!
Abnormal Psychology
Dr. Clemens
Class Notes
25 ?




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This 4 page Class Notes was uploaded by Savannah Wagner Belk on Friday November 6, 2015. The Class Notes belongs to Psy 247 at University of North Carolina - Wilmington taught by Dr. Clemens in Summer 2015. Since its upload, it has received 92 views. For similar materials see Abnormal Psychology in Psychlogy at University of North Carolina - Wilmington.


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Date Created: 11/06/15
11/2-11/6 Notes Bulimia continued  People with bulimia more often will admit they have a problem  Comorbid with body dysmorphic disorder  Eat high calorie foods and occurs secretly  Reports of losing awareness during the purging process  Afterwards followed with feelings of shame  15% college students prevalence (1-2% overall)  90% in women, 75% recover Binge eating disorder  New diagnoses in the DSM-5  Binging occurs but no purging and it is very addicting  Associated with obesity but not all obese people have this disorder (2-2.5% qualify)  BMI (body mass index) over 30  Increased risk of type 2 diabetes  60% never recover (lasts on avg 14.4 years)  Typically seen in only industrialized societies  Environmental factors like family interactions play a role in the etiology  Low levels of endogenous opiods (substance that acts on the nervous system similar to the way morphine acts on the body)  Also substances that reduce pain, enhance mood, and suppress appetite  They are released during starvation  Excessive exercise increases opiods Key info Dr. Clements made about dieting NEVER diet because your body’s metabolism will slow down because of food restriction, so once you finish the diet, your body’s metabolism won’t be able to sustain the diet you used to have. Dieting is unhealthy and you will lose weight from it, but you will gain it back, and more, once you get off of it. Most effective way to lose weight is to exercise (lift weights). Cardio will not cause you to lose weight, but it is good for your cardiovascular system. Schizophrenia  Course brain disturbances in thought, emotion, and behavior  Disorganized thinking, ideas not logically related, faulty perception and attention  Lack of emotional expression, inappropriate flat emotions ex: never smiling, or not crying at a funeral or at the news of a loved ones death  Can disrupt interpersonal relationships, diminish capacity to work/live independently  Increased rates of suicide and death  1% affected, affects men more, and African Americans Positive Symptoms  Positive means an excess of something  Easily treated (or more so than a negative symptom patient)  Delusions=firmly held beliefs, contrary to reality  Hallucinations=sensory experiences in the absence of sensory stimulation  Types of delusions=thought insertion, outside control, hearing your own thoughts, gustatory (taste, rare), tactile (feels like something is moving on your skin), herpetiform (feels like something is moving underneath your skin)  Types of hallucinations=auditory (74%, most common), visual. When a patient hears voices, the brocas area in the brain is active and lit up when scanned Negative Symptoms  The absence of something  Avolition-lack of interest, apathy  Asociality- inability to form close personal relationships  Anhedonia-inability to experience pleasure  Blunted affect-exhibits little or no effect in face/voice  Alogia-reduction in speech Disorganized symptoms  Formal thought disorder  Disturbances in speech that reflect disturbances in thinking  Incoherence, inability to organize ideas  Rambles, difficulty sticking to one topic, or circumstantial and gives way too much detail  Tangential-disorganized speech, off topic  Disorganized behavior-odd/peculiar, silliness, agitation  Word salad-jumbled words, makes no sense, or sounds like a made up language Catatonia  Motor abnormalities  Repetitive, complete gestures, usually of fingers and hands  Waxy flexibility-limbs can be manipulated by another person, limbs feel like wax, stiff and rigid when moved  Excitable, wild flailing limbs  Catatonic immobility-maintain unusual posture for long periods of time Schizophreniform Disorder  Same symptoms as schizophrenia, but the duration is for at least a month and less than 6  Hallucinations, delusions, or disorganized speech  Not diagnosed as schizophrenia Brief psychotic disorder  1 day-1 month  triggered by extreme stress, symptoms include hallucinations, delusions, or disorganized speech Schizo affective disorder  Symptoms of schizophrenia and either depressive or mania symptoms  Major mood episode are present majority of the illness  Hard to diagnose Delusional Disorders  May include feelings of persecution, jealousy, being followed, loved by a famous person, and somatic delusions  No other symptoms of schizophrenia Other information  1 generation of anti psychotics= The dopamine hypothesis- excess dopamine causes paranoid symptoms of schizophrenia  thorazine was the first drug to reduce positive symptoms of schizophrenia  Theory revised= under active dopamine activity in the mesocortical pathway resulted in mainly related to negative symptoms  Lower levels of dopamine resulted in tremors and symptoms that lndked like Parkinson’s disease  2 generation of anti psychotics: act on serotonin as well as dopamine  less risk of EPS & Tardive Dyskinesia (permanent muscle disturbances)


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