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Who is the patient #18?

Who is the patient #18?

The young man is identified as patient number 18 ….

Author: University of California (System). Extension Media Center.
Publisher: Berkeley, Calif. : University of California, Extension Media Center, 1961.

What was Myles experiencing when he was seen mumbling to himself and talking to people who were not there?

Myles agreed to sign himself into the psychiatric unit for treatment. In the case of Myles, he was having persecurtory delusions, auditory hallucinations and negative symptoms that had lasted for at least one year. All of these symptoms fit with a diagnosis of schizophrenia.

What is Type 1 and Type 2 schizophrenia?

“Type I” (positive) schizophrenia was characterized by hallucinations, delusions, and formal thought disorder, with a presumed underlying dopaminergic dysfunction, while patients with “Type II” (negative) schizophrenia displayed social withdrawal, loss of volition, affective flattening, and poverty of speech, presumed …

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What is waxy flexibility in psychology?

Medical Definition of waxy flexibility : a condition in which a patient’s limbs retain any position into which they are manipulated by another person and which occurs especially in catatonic schizophrenia — compare catalepsy.

How do you interview a psych patient?

Let the first part of the initial interview follow the patient’s train of thought. Provide structure to help patients who have trouble ordering their thoughts or to finish obtaining specific data. Phrase questions to invite the patient to talk (e.g., open- ended, nonleading questions). Use the patient’s words.

What does catatonic schizophrenia mean?

catatonic schizophrenia, rare severe mental disorder characterized by striking motor behaviour, typically involving either significant reductions in voluntary movement or hyperactivity and agitation. In some cases, the patient may remain in a state of almost complete immobility, often assuming statuesque positions.

What is the reason that prolixin is prescribed for this client?

Fluphenazine is an antipsychotic medication used to treat schizophrenia and psychotic symptoms such as hallucinations, delusions, and hostility.

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What is the current concept of schizophrenia?

The current conceptualization of schizophrenia is that it is a serious mental illness characterized by a mixture of positive, negative, disorganizational, cognitive, psychomotor and mood symptoms. Different neurobiological, psychological and social-environmental factors play a role in illness development and course.

What are the 4 main types of schizophrenia?

There are actually several different types of schizophrenia depending on the person’s symptoms, but generally, the main types of schizophrenia include paranoid schizophrenia, catatonic schizophrenia, disorganized or hebephrenic schizophrenia, residual schizophrenia, and undifferentiated schizophrenia.

What is Tangentiality in schizophrenia?

n. a thought disturbance that is marked by oblique speech in which the person constantly digresses to irrelevant topics and fails to arrive at the main point. In extreme form, it is a manifestation of loosening of associations, a symptom frequently seen in schizophrenia or delirium.

What is difference between catalepsy and waxy flexibility?

Stupor (a state of reduced responsiveness) Catalepsy (patient adopts positions that they are put in by the examiner) Waxy flexibility (light resistance to repositioning)

What is Excited catatonia in schizophrenia?

Excited catatonia is a less common presentation in which patients develop prolonged periods of psychomotor agitation. Once thought to be a subtype of schizophrenia, catatonia is now recognized to occur with a broad spectrum of medical and psychiatric illnesses, particularly affective disorders.

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What is the differential diagnosis of catatonia?

The differential diagnosis of catatonia is complex, and catatonia itself can arise from a diverse array of psychiatric and medical etiologies, complicating the investigation of these patients. Affective disorders are the most common underlying psychiatric diagnoses. Fortunately, most catatonic patients rapidly respond to low-dose lorazepam.

What are the treatment options for catatonia?

In many cases, the catatonia must be treated before any underlying conditions can be accurately diagnosed. Most patients with the syndrome respond rapidly to low-dose benzodiazepines, but electroconvulsive therapy is occasionally required. Patients with longstanding catatonia or a diagnosis of schizophrenia may be less likely to respond.

Is Excited catatonia life threatening?

Excited catatonia, on the other hand, is characterized by severe psychomotor agitation, potentially leading to life-threatening complications such as hyperthermia, altered consciousness, and autonomic dysfunction. This so-called “malignant” or “lethal” catatonia can be rapidly fatal if not appropriately treated[5,6].