Nasratul ilmi 09020055

Definition

An uncommon disorder in which there is an insidious but progressive development of oddities of conduct, inability to meet the demands of society, and decline in total performance.

It usually appear in puberty time.

Etiology

• Endocrine• Metabolism• Adolf Meyer teory• Sigmund freud teory• Eugen Bleuler• Genetic • Neurochemistry• Neurodevelopmental hypothesis

Symptoms

Delusions and hallucinations are not evident

The disorder is less obviously psychotic than the hebephrenic, paranoid, and catatonic subtypes of schizophrenia

The characteristic “negative” features of residual schizophrenia (e.g. blunting of affect, loss of volition) develop without being preceded by any overt psychotic symptoms.

Diagnosis

• Simplex schizophrenia is a difficult diagnosis to make with any confidence because it depends on establishing the slowly progressive development of the characteristic “negative” symptom.

• Without any history of hallucinations, delusions, or other manifestations of an earlier psychotic episode, and with significant changes in personal behaviour

Diagnosis

Currently there is no physical or lab test that can absolutely diagnose schizophrenia.

A psychiatrist usually comes to the diagnosis based on clinical symptoms.

Treatments

Psychotherapy - an adjunct to meds and is very useful to keep the patient on the meds.

Group therapy

Family therapy

Community support groups

Treatment of Schizophrenia The acute psychotic schizophrenic patients will

respond usually to antipsychotic medication. According to current consensus we use in the first

line therapy the newer atypical antipsychotics, because their use is not complicated by appearance of extrapyramidal side-effects, or these are much lower than with classical antipsychotics.

conventional antipsychotics(classical neuroleptics)

chlorpromazine, chlorprotixene, clopenthixole, levopromazine, periciazine, thioridazine

droperidole, flupentixol, fluphenazine, fluspirilene, haloperidol, melperone, oxyprothepine, penfluridol, perphenazine, pimozide, prochlorperazine, trifluoperazine

atypical antipsychotics

amisulpiride, clozapine, olanzapine, quetiapine, risperidone, sertindole, sulpiride

Prognosis

If we can treated well it can decrease life quality, can cause decline in occupation make them lose their, begger, criminal.