Learning Objectives
• To know the main symptoms which are
associated with schizophrenia
• To know what is meant by the term
‘subtypes’ when we are talking about
schizophrenia
• To know the diagnostic criteria for
schizophrenia
Starter
• Add as much information as you can
remember about what we covered last
lesson to your specification handout
• This will act as an ‘at a glance’ mini
summary of the whole topic once we have
finished
The specification….feedback from
last lesson
3.3.5 Schizophrenia and Mood Disorders diagnosis
Classification of schizophrenia, including sub-types. Symptoms and diagnosis.
Explanations, for schizophrenia including biological and sociocultural (labelling and family dysfunction).
Treatments of schizophrenia, including anti-psychotic drugs and psychotherapy. The role of community care.
Evaluation of these treatments.
Mood Disorders
Unipolar and bipolar depression. Symptoms and diagnosis of unipolar and bipolar depression.
Explanations, including biological, cognitive and psychodynamic.
Treatments of mood disorders, including biological and cognitive.
Evaluation of these treatments.
Introduction
• As a re-cap you will be presented with
various case studies detailing symptoms in
schizophrenic patients
• You must study the case studies and
decide: are they displaying positive or
negative symptoms?
ESTHER, 31 YEARS OLD
• Esther is an unmarried woman who
lives with her elderly mother. A belief
that the outside world is filled with
radio waves that will insert evil
thoughts into her head keeps Esther
from leaving the house. The windows
in her bedroom are ‘protected’ with
aluminium foil that ‘deflects the radio
waves’. She often hears voices that
comment on these radio signals.
JOHN, 19 YEARS OLD
• His parents said that over the last few
months he had gone from being an
average student to failing his studies
and leaving college. He answered
questions in an emotionless tone and
sometimes his answers were not
connected to the question. There
were occasions when his emotional
expression and the words he spoke
did not match, e.g. he would giggle
continuously when speaking about a
serious illness that his mother had
suffered. Having excelled in team
sports such as swimming and
athletics and playing guitar in a band
he was now doing none of these
activities.
Learning Objectives
• What are the main symptoms
associated with schizophrenia?
• What is meant by the term ‘subtypes’
when we are talking about schizophrenia?
• What are the diagnostic criteria for
schizophrenia?
SUBTYPES
Type I / Type II
DSM-IVR
Type I vs Type II
• Based on the information, which individual
is more likely to be suffering from Type I
schizophrenia? Why?
• How is the Type I / Type II distinction
different from just categorising symptoms
into positive or negative?
MAIN – DSM-IVR
• Use page 100/101 to complete your notes and
illustrations on the different sub-types of
schizophrenia which appear in the DSM
 Paranoid
 Catatonic
 Disorganised
 Undifferentiated
 Residual
 FINISHED? Apply your knowledge to the
scenarios around the room
What do the symptoms mean – the
following will help you with your task
• Disorganised speech e.g. What time is it? Fish.
• Disorganised thoughts e.g. moving rapidly from one
unrelated topic to another
• Disorganised behaviour e.g. dressing inappropriately
• Catatonic behaviour – this can mean extreme loss of
motor skills or constant hyperactive motor activity
• Waxy flexibility – if one were to move the arm of
someone with waxy flexibility, they would keep their arm
where one moved it until it was moved again, as if it
were made from wax.
• Stereotyped movements – a repetitive movement e.g.
crossing and uncrossing legs or body rocking
Learning Objectives
• To know the main symptoms which are
associated with schizophrenia
• To know what is meant by the term
‘subtypes’ when we are talking about
schizophrenia
• To know the diagnostic criteria for
schizophrenia