The Treatment of Schizoaffective Disorder
Schizoaffective disorder is a psychotic disorder that distorts a person’s perception of reality. Showing itself to be very similar to schizophrenia, schizoaffective disorder has symptoms that include hallucination, delusions, and disorganized speech. This disease also shows similarities to affective disorders, such as bipolar disorder with symptoms including major depressive episodes, manic episodes, or these types of symptoms are mixed with those that are found in psychotic disorder. Like schizophrenia and affective disorders, this illness is difficult to treat on the basis of finding what is the cause of the episode, the type of treatment available for schizoaffective disorder, and the adherence to the regimen created for treatment. What shall be done here is to review various literature sources that go into detail of what schizoaffective disorder is and its causes, the types of treatments that are used for people with schizoaffective disorder, and the cooperation of patients with schizoaffective disorder.
Marneros and Angst (2000) did some searching to find the origins of schizoaffective disorder and they found that between the years 1860 and 1960, Karl Kahlbaum and eventually Kurt Schneider provided a type of category for schizoaffective disorder based on their findings of “longitudinal polymorphous psychotic disorders”, otherwise known as “concurrent” (pg. 111) schizoaffective disorder. This category was based on the amount of both schizophrenic and affective episodes. What this shows is that by observing patients and making diagnoses in regards to the onset, duration, and severity of each type of episode (pg. 111). There was also discussion on differentiating...
... middle of paper ...
... makes room to give an accurate reading of the MOAS scale. Once the results were analyzed they came to the conclusion that there was no significant difference between the three medication groups involving the duration of hospital stays and the proportion of subjects who were given the randomized medications (pg. 625). It was also found that there was no difference between the severity of violent outbursts for the three drugs (these results are in association with a primary measures of aggressions for the MOAS).
Medications are not the only way to treat persons with schizoaffective disorder. Community groups are also capable of providing care to those who are debilitated by this disorder and well as giving education to others on the topic of this illness.
Of course, treatment is only effective if the patient taking them is consistent in their regimen.
8Th edition, Chapter 15.3. Kentridge, B. (1995). S2 Psychopathology Lecture 3: Schizophrenia. Retrieved March 4, 2005. From Http://www.dur.ac.uk/robert.kentridge/ppath3.html Mann, R. (1996).
Mental illnesses are diseases that plague a being’s mind and corrupts one’s thoughts and feelings. Schizophrenia is one of the many disastrous illnesses that consume one’s life, is known as a real disease that deserves much attention. Experts believe that what causes the illness is a defect in the gene’s of the brain, and little signs of schizophrenia are shown until about one’s early adult years. Some effects of schizophrenia can either be negative or positive, but even if the effects could be either one, people should still be aware that there is something puzzling and alarming happening in the mind of a schizophrenic patient.
Schizophrenia is a deteriorating progressive disease, consequently, it is resistant to treatment for the individual suffering schizophrenia. (Catts & O’Toole, 2016). In most cases the individuals suffering from schizophrenia, are resistive to treatment, in most cases, individuals suffering from schizophrenia, and are resistive in taking antipsychotics. (Catts & O’Toole, 2016). Jeremy doesn’t see himself as a “schizophrenic”, he states that “he’s happy naturally”, and often he’s observed playing the guitar and doing painting in his room. Weekly, he has an intramuscular medication to treat his disorder, crediting the support of his wife. It is indicated that the morality rate, in patients suffering from schizophrenia is higher, despite the considerable resources available, in Australia. New data show that in 20 countries, including Australia, only 13.5% meet the recovery criteria, which means that 1or 2 patients in every 100, will meet this criteria per year. (Catts & O’Toole, 2016). This means that there’s a decline in providing support and services to individuals like Jeremy suffering from a mental illness such as Schizophrenia. Many individuals become severely ill before they realise they need medical treatment, and when receiving treatment it is usually short-term. (Nielssen, McGorry, Castle & Galletly, 2017). The RANZCP guidelines highlights that
According to (Barlow, 2001), Schizophrenia is a psychological or mental disorder that makes the patient recognize real things and to have abnormal social behavior. Schizophrenia is characterized by symptoms such as confused thinking, hallucinations, false beliefs, demotivation, reduced social interaction and emotional expressions (Linkov, 2008). Diagnosis of this disorder is done through observation of patient’s behavior, and previously reported experiences (Mothersill, 2007). In this paper, therefore, my primary goal is to discuss Schizophrenia and how this condition is diagnosed and treated.
Schizophrenia is a major psychiatric disorder, or cluster of disorders, characterised by psychotic symptoms that alter a person’s perception, thoughts, affect and behaviour (NICE, 2009). Tai and Turkington (2009) define Cognitive Behaviour Therapy (CBT) as an evidence-based talking therapy that attempts cognitive and behavioural change based on an individualised formulation of a client’s personal history, problems and world views. CBT as a treatment for schizophrenia can be understood within a wider framework of CBT as applied to a range of mental disorders such as anxiety, post traumatic stress disorder (PTSD), and depression (Tai and Turkington, 2009). CBT was built on behavioural principles that emphasised clear relationships between cognition, physiology and emotion (Beck, 1952). This essay will analyse CBT as a therapy for individual suffering from schizophrenia. It will discuss briefly the historical background and the development of CBT, the aims and principles, the evidence base of the strengths and weaknesses of the therapy. It will discuss as well the implication to mental health nursing practice. The focus of this essay is on intervention and psychosocial in nature which will be brought together in the conclusion.
The disorder is distinguished from Major Depressive Disorder by the presence of manic or hypomanic episodes. It comes from Schizoaffectice Disorder by the absence of psychotic symptoms, such as delusions, hallucination’s, during periods of stable mood. This disorder has a wide spectrum of disorders. One that includes in the spectrum is its beginning stage of Bipolar One. Bipolar One is characterized by a past of a least one manic episode, and usually depressive episodes. The next stage is Bipolar Two is characterized by the hypomanic episodes taking turns with depressive episodes. Cyclothymia is characterized by highs which satisfy some, but not completley all criteria for hypomania and lows which satisfy some but not all criteria for depression.
Last month, I shadowed a physician for four days. When I arrived at her office on the first day, she said to me, "Prepare yourself, we are going to the Provident." The Provident is a nursing home for the severely mentally ill. Many of the patients living there are under fifty years old, some are as young as thirty. None of the residents have any money. All are receiving welfare and are on Medicare.
There are several people every year that are diagnosed with a mental disorder. In the world’s entire population, more than one percent of people have been diagnosed with schizophrenia (Brain and Behavior Research Foundation). When thinking of the billions of people in the world, it might not seem like that many people but once the number of those diagnosed is calculated it seems much larger. Currently there are more than seventy million people in the world that have been diagnosed with schizophrenia, only diagnosed. There are probably several more people who have this disorder and have not been diagnosed or are unable to obtain the resources to be diagnosed.
Schizophrenia, also known as the splitting of the mind, is a mental disorder characterized by disintegration of thought process and of emotional responsiveness. It manifests as auditory hallucinations, paranoid and bizarre delusions, or disorganized speech and thinking, and it are accompanied by significant social and or occupational dysfunction. It is a group of psychotic disorders usually characterized by withdrawal from reality, illogical patterns of thinking, delusions and hallucinations, and accompanied by other emotional behavioral or intellectual disturbances. There are three main factors that are involved in the diagnosis of schizophrenia: 1-Delusions, hallucinations, disorganized speech, which is a manifestation of formal thought disorder, grossly disorganized behavior or catatonic behavior, negative symptoms, blunted affect, alogia or avolition; 2-Social or occupational dysfunction; 3- Significant duration: continuous signs of the disturbance persist for at least six months; according to the DSM IV. Delusions are a false belief based on faulty judgment about one’s environment. Hallucinations are experiencing something from any of the five senses that is not occurring in reality. Positive and negative (deficit) symptoms are important in diagnosing schizophrenia. Positive symptoms (PS) are not experienced, but are present. Delusions, disordered thoughts and speech, tactile, auditory, visual, olfactory, and gustatory hallucinations or manifestations of psychosis are all positive symptoms. Negative symptoms (NS) are deficits of normal emotional responses and thought processes that normally do not respond to medications. The patient experience a flat or blunted affect and emotion, poverty of speech (alogia), inability to expe...
The initial diagnosis of Schizoaffective Disorder can be somewhat confusing. Many patients and loved ones wonder, “What does that mean?” “How is it different than Schizophrenia?” We’re here to break it down for you. According to the Diagnostic and Statistical Manual of Mental Disorders (DSM) Schizoaffective Disorder is classified as: An uninterrupted period of illness during which there is a Major Mood Episode (Major Depressive or Manic) concurrent with the Criterion A of Schizophrenia. The Major Depressive Episode must include Criterion A1. Depressed mood. Delusions or hallucinations for 2 or more weeks in the absence of a Major Mood Episode (Depressive or Manic) during the lifetime duration of the illness. Symptoms that meet criteria for a Major Mood Episode are present for the majority of the total duration of the active and residual portions of the illness. The disturbance is not attributable to the effects of a substance or another medical condition.
Schizophrenia is not a new mental disorder. Through written documents, it can be traced to the Pharaoh days in Egypt and even further back to the second millennium before Christ. The disease was first identified as a mental illness by German psychiatrist Dr. Emile Kraepelin in 1887. Kraepelin, identified by H.J. Eysenck's Encyclopedia of Psychology as the founder of modern scientific psychiatry, psychopharmacology and psychiatric gene, was the first to make a distinction in the psychotic disorders between what he called dementia praecox and manic depression. He believed that dementia praecox was primarily a disease of the brain, and particularly a form of dementia. Kraepelin named the disorder 'dementia praecox' (early dementia) to distinguish it from other forms of dementia (such as Alzheimer's disease) which typically occur late in life. It wasn’t until 1911 when Swiss psychiatrist, Eugen Bleuler, coined the term "schizophrenia". Bleuler changed the name to schizophrenia because Kraepelin's name was misleading as the illness was not a dementia (it did not always lead to mental deterioration) and could occur late in life as well as early. Schizophrenia" comes from the Greek roots schizo (split) and phrene (mind) to describe the fragmented thinking of people with the disorder. He was also the first to describe the symptoms of schizophrenia as "positive" or "negative." Both Bleuler and Kraepelin subdivided schizophrenia into categories, based on symptoms and prognosis. There are five types described in the DSM-III: disorganized, catatonic, paranoid, residual, and undifferentiated. The first three categories were originally proposed by Kraepelin. The DSM- III stands for the Diagnostic and Statistical Manual of Mental Disorders whic...
Schizophrenia is a serious, chronic mental disorder characterized by loss of contact with reality and disturbances of thought, mood, and perception. Schizophrenia is the most common and the most potentially sever and disabling of the psychosis, a term encompassing several severe mental disorders that result in the loss of contact with reality along with major personality derangements. Schizophrenia patients experience delusions, hallucinations and often lose thought process. Schizophrenia affects an estimated one percent of the population in every country of the world. Victims share a range of symptoms that can be devastating to themselves as well as to families and friends. They may have trouble dealing with the most minor everyday stresses and insignificant changes in their surroundings. They may avoid social contact, ignore personal hygiene and behave oddly (Kass, 194). Many people outside the mental health profession believe that schizophrenia refers to a “split personality”. The word “schizophrenia” comes from the Greek schizo, meaning split and phrenia refers to the diaphragm once thought to be the location of a person’s mind and soul. When the word “schizophrenia” was established by European psychiatrists, they meant to describe a shattering, or breakdown, of basic psychological functions. Eugene Bleuler is one of the most influential psychiatrists of his time. He is best known today for his introduction of the term “schizophrenia” to describe the disorder previously known as dementia praecox and for his studies of schizophrenics. The illness can best be described as a collection of particular symptoms that usually fall into four basic categories: formal thought disorder, perception disorder, feeling/emotional disturbance, and behavior disorders (Young, 23). People with schizophrenia describe strange of unrealistic thoughts. Their speech is sometimes hard to follow because of disordered thinking. Phrases seem disconnected, and ideas move from topic to topic with no logical pattern in what is being said. In some cases, individuals with schizophrenia say that they have no idea at all or that their heads seem “empty”. Many schizophrenic patients think they possess extraordinary powers such as x-ray vision or super strength. They may believe that their thoughts are being controlled by others or that everyone knows what they are thinking. These beliefs ar...
Recent updates on this topic, however, show that shared psychosis now is included in the section on schizophrenic disorders2. For the shared psychosis to occur there has to be a dominant or active partner and receiving or passive partner. The dominant partner, therefore, induces his beliefs in the passive member. This is only possible due to the vehement personality and the assertiveness of the active member. Furthermore, a very close relationship between the two diseased is mostly observable and they have to share the same delusional system as well as support each other beliefs.
Schizophrenia can be described by a wide-ranging spectrum of emotional and cognitive dysfunctions. These can include hallucinations, delusions, disorganized speech and behavior, as well as inappropriate emotions. Consequently, this disease can affect people from all walks of life. Since schizophrenia is such a complex disorder it can ultimately affect a person’s entire existence and their struggle to function daily. With a chronic disease like this, most people have a difficult time functioning in society. This can make it hard for someone who is schizophrenic to relate to others as well as maintain significant relationships. Life expectancy for those who suffer this illness tend to be shorter than average. This is due to the higher rate of accident and suicide. The symptoms of schizophrenia can be broken down into different categories: positive, negative and disorganized. Positive symptoms include hallucinations and delusions. These tend to be the more obvious signs of psychosis. On the other hand negative symptoms indicate deficits or absence of normal behavior which can affect sp...
This list provided should not be taken as a complete list as these are the ones that are commonly used; the list goes on from here. Medication and dosage decisions need to be considered carefully and in consultation with a health care provider. Not every patient will react the same to each medication. There is not a certainty that the medication will prove to be the answer for every patient (Li & Williams, 2012). It is not uncommon for a patient to need to adjust dosages or switch medications when one loses its effectiveness (Li & Williams,