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Classifications of Schizophrenia

The document discusses the different classifications of schizophrenia, including catatonic, disorganized, paranoid, residual, and undifferentiated schizophrenia. Catatonic schizophrenia is characterized by periods of stupor and excitement and potential for violence when agitated. Disorganized schizophrenia involves disorganized speech and behavior. Paranoid schizophrenia features persecutory or grandiose delusions. Residual schizophrenia describes a muted form after acute episodes. Undifferentiated schizophrenia lacks clear features of other subtypes. Treatment generally involves antipsychotic drugs and psychotherapy. Nursing interventions follow general guidelines for schizophrenic patients.

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0% found this document useful (0 votes)
46 views

Classifications of Schizophrenia

The document discusses the different classifications of schizophrenia, including catatonic, disorganized, paranoid, residual, and undifferentiated schizophrenia. Catatonic schizophrenia is characterized by periods of stupor and excitement and potential for violence when agitated. Disorganized schizophrenia involves disorganized speech and behavior. Paranoid schizophrenia features persecutory or grandiose delusions. Residual schizophrenia describes a muted form after acute episodes. Undifferentiated schizophrenia lacks clear features of other subtypes. Treatment generally involves antipsychotic drugs and psychotherapy. Nursing interventions follow general guidelines for schizophrenic patients.

Uploaded by

Kat
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Classifications of

Schizophrenia
Kayle Jocelle E. Flores
CATATONIC SCHIZOPHRENIA
Defining Characteristics

* Catatonic Schizophrenia is a rare disease from which the patient


tends to remain in a fixed stupor or position for long periods,
periodically yielding to brief spurts of extreme excitement.

* Many Catatonic Schizophrenics have an increased potential for


destructive, violent behavior when agitated.

Classifications of
Schizophrenia
CATATONIC SCHIZOPHRENIA
Signs and Symptoms
 
1. Remaining mute; refusal to move about or tend to personal
needs.
2. Exhibiting bizarre mannerisms, such as facial grimacing and
sucking mouth movements.
3. Rapid swings between stupor and excitement.
4. Bizarre postures such as holding the body rigidly in one position
for a long time.
5. Diminished sensitivity to painful stimuli.
6. Echolalia.
7. Echopraxia

Classifications of
Schizophrenia
CATATONIC SCHIZOPHRENIA
Treatment

1. ECT and Benzodiazepines for Catatonic Schizophrenics

2. Avoiding conventional antipsychotic drugs

3. Investigating atypical antipsychotic drugs to treat Catatonic


Schizophrenia

Classifications of
Schizophrenia
CATATONIC SCHIZOPHRENIA
Nursing Interventions

Catatonic Schizophrenics benefit from the same nursing


interventions used for patients with other types of
Schizophrenia

Classifications of
Schizophrenia
CATATONIC SCHIZOPHRENIA

Classifications of
Schizophrenia
DISORGANIZED SCHIZOPHRENIA
Defining Characteristics

1. Disorganized Schizophrenia is marked by incoherent,


disorganized speech and behaviors and by blunted or
inappropriate affect
2. This type of schizophrenia may start early and insidiously, with no
significant remissions.

Classifications of
Schizophrenia
DISORGANIZED SCHIZOPHRENIA
Signs and Symptoms

1. Incoherent, disorganized speech, with markedly loose associations


2. Grossly disorganized behavior
3. Blunted, silly, superficial, or inappropriate affect
4. Grimacing
5. Hypochondrial complaints
6. Extreme social withdrawal

Classifications of
Schizophrenia
DISORGANIZED SCHIZOPHRENIA
Treatment

1. Treatment described for other types of schizophrenia


2. Antipsychotic drugs and psychotherapy

Classifications of
Schizophrenia
DISORGANIZED SCHIZOPHRENIA
Nursing Interventions

Follow the measures described in General nursing


interventions for schizophrenic patients, page 108 and 109

Classifications of
Schizophrenia
DISORGANIZED SCHIZOPHRENIA

Classifications of
Schizophrenia
PARANOID SCHIZOPHRENIA
Defining Characteristics

1. Paranoid schizophrenia is characterized by persecutory or grandiose delusional


thought content and possibly, delusional jealousy.
2. Some patients also have gender identity problems, such as fears of being thought
of as a homosexual or being approached by homosexuals
3. Stress may worsen the patients symptoms
4. Paranoid schizophrenia may cause only minimal impairment in the patient’s level
of functioning – as long as he doesn’t act on delusional thoughts
5. Although patients with paranoid schizophrenia may experience frequent
subtypes – notably, incoherence, loose associations, flat or grossly inappropriate
affect, and catatonic or grossly disorganized behavior.
6. Those with late onset of disease and good pre-illness functioning are the
greatest risk for suicide

Classifications of
Schizophrenia
PARANOID SCHIZOPHRENIA
Signs and Symptoms

1. Persecutory or grandiose delusional thoughts


2. Auditory hallucinations
3. Unfocused anxiety
4. Anger tendency to argue
5. Stilted formality or intensity when interacting with others
6. Violent behaviors

Classifications of
Schizophrenia
PARANOID SCHIZOPHRENIA
Treatment

1. Antipsychotic drug therapy


2. Psychosocial therapies and rehabilitation, including group and
individual psychotherapy

Classifications of
Schizophrenia
PARANOID SCHIZOPHRENIA
Nursing Interventions

Follow the measures described in General nursing


interventions for schizophrenic patients, page 108 and 109

Classifications of
Schizophrenia
PARANOID SCHIZOPHRENIA

Classifications of
Schizophrenia
RESIDUAL SCHIZOPHRENIA
Defining Characteristics

1. Residual schizophrenia is a muted form of the disease that stop


short recovery
2. The patient has a history of acute schizophrenic episodes and
persistence of negative symptoms such as restricted affect or
poverty of speech
3. Grossly disorganized or catatonic behavior is absent, and
delusions, hallucinations , and other positive symptoms no longer
dominate.

Classifications of
Schizophrenia
RESIDUAL SCHIZOPHRENIA
Treatment

1. Treatments described for other types of schizophrenia


2. Antipsychotic drugs and psychotherapy.

Classifications of
Schizophrenia
RESIDUAL SCHIZOPHRENIA
Nursing Interventions

Follow the measures described in General nursing


interventions for schizophrenic patients, page 108 and 109

Classifications of
Schizophrenia
UNDIFFERENTIATED SCHIZOPHRENIA
Defining Characteristics

1. Undifferentiated schizophrenia refers to the presence of


schizophrenic symptoms, such as delusions and hallucinations, in a
patient who doesn’t fall into the category of paranoid,
disorganized, or catatonic schizophrenias.
2. Although the patient meets the general diagnostic criteria for
schizophrenia, his symptoms don’t conform to any of the other
subtypes or he has features of more than one subtype, with no
clear predominance of a particular set of diagnostic
characteristics.

Classifications of
Schizophrenia
UNDIFFERENTIATED SCHIZOPHRENIA
Signs and Symptoms

1. Usual signs and symptoms of schizophrenia, with no evidence of


the distinguishing characteristics of any specific disease subtype.
2. Display positive symptoms.

Classifications of
Schizophrenia
UNDIFFERENTIATED SCHIZOPHRENIA
Treatment

1. Treatments described for other types of schizophrenia


2. Antipsychotic drugs and psychotherapy.

Classifications of
Schizophrenia
UNDIFFERENTIATED SCHIZOPHRENIA
Nursing Interventions

Follow the measures described in General nursing


interventions for schizophrenic patients, page 108 and 109

Classifications of
Schizophrenia
That would be all..
THANK YOU

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