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Schizophrenia
 It is a disease that affects 1% of the
  worlds population
 It has more impact on urban people
  than rural people
 It is a disease that affects men and
  women equally
 It is a disease of the brain
Schizophrenia is not caused by:
   Inadequate parenting
   Overzealous mothers
   Poor family relations
   It is not split personality
Schizophrenia and Genetics
 70% of persons who develop
  schizophrenia have a genetic basis for
  it.
  That is, there is a relative who has the
  disease.
 The closer in relation to the ill person,
  the more likely one is to get the
  disease.
Schizophrenia and Genetics
 More clearly, if you have an identical
  twin who has schizophrenia, you have a

 50% chance of developing
 schizophrenia
Schizophrenia: illness features
 Hallucinations
 Delusions
 Decline in social and occupational
  functioning
Schizophrenia: the affected
           person may:
   Talk to himself
   Gesture to himself
   Dress in layers in any weather
   Fail to bathe and get a haircut
   Gain an odd interest in ordinary things
    (like religion)
Schizophrenia: the affected
           person may:
   May even believe he is God
   See things
   Feel people are out to get them
   Believe in all sorts of conspiracies
   Have ideas that no amount of evidence
    to the contrary can dislodge
Schizophrenia: the affected
         person may:
 Be unable to work
 Stop talking or greatly reduce
  conversation
 Appear lazy, unmotivated and
  uninterested
 May look like he has dementia
 Lose the ability to get and keep friends
 Be tense
Schizophrenia treatment
 Biological
 Psychological
 Social
Schizophrenia Treatment:
           Biological
 Medications
   called antipsychotic
   (not antischizophrenic)
   they deal with some of the symptoms
      delusions, hallucinations, disorganized behavior
Schizophrenia Treatment:
          Psychological
 Patients will need therapy
   supportive
   digging deep can help some, but that is
    the exception, not the rule
Schizophrenia Treatment:
         Psychological
 Those who have family benefit most
  from families who:
   are informed about the illness
   have support
   and skills to deal with the ill family member
Schizophrenia Treatment:
         Psychological
 Family member skills:
   low key
   low demand
   use simple sentences
   privacy for both the patient and themselves
   able to ignore the inconsequential features
    of the illness
Schizophrenia Treatment:
         Psychological
 Family member skills:
   are able to respond to dangerous behavior
   can accept that their ill member may never
    be like he once was
Schizophrenia Treatment: Social
   Rehabilitation
   Habilitation
   Social skills training
   Vocational assistance
   Environmental modification
     reduce stimuli
Schizophrenia Treatment
 Community resources
  Black Mental Health Alliance
  National Alliance for the Mentally Ill
  (NAMI)
  Schizophrenia.com
  Maryland Psychiatric Research Center
Bipolar disorder
 Also known as manic-depressive illness
 The 2 poles are mania and depression
Bipolar disorder
 Affects 1% of the population
 Affects men and women equally
 Can start in childhood and throughout
  adulthood
  Strong genetic component
Bipolar disorder: illness features
 Mania
   Elevated mood
   May feel full of energy
   May feel she can accomplish anything
   May go on spending spree
   May go on a sex spree
   May travel on a whim
Bipolar disorder: illness features
 Mania
   May become irritable
   May lose the need for sleep
   May feel energized by the lack of sleep
   May feel more productive
   Can be excessively talkative
   Thoughts can race
Bipolar disorder: illness features
 Depression
   Poor sleep
   Low appetite or weight loss
   Low interest in pleasurable things
   Low energy
   Feelings of worthlessness, hopelessness,
    helplessness, irritability
Bipolar disorder: illness features
 Depression
   Unable to focus or concentrate
   Thoughts of death and suicide
Bipolar disorder: illness features
 A person is rarely seen at one of the
  poles
 A person may have features of both at
  the same time to varying degrees
Bipolar disorder: Treatment
 Biological
 Psychological
 Social
Bipolar disorder: Treatment
 Biological
   Medications
        Stabilize mood
        Dampen mania
        Ameliorate depression
        Treat psychosis (delusions, hallucinations)
Bipolar disorder: Treatment
 Psychological
   Supportive therapy
   May dig deep
   Helps people to deal with the devastation
    that their manic behavior has wrought
Bipolar disorder: Treatment
 Social
   Support Groups
      DRADA
      NDMDA
   Rehabilitation and habilitation

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  • 1. Schizophrenia It is a disease that affects 1% of the worlds population It has more impact on urban people than rural people It is a disease that affects men and women equally It is a disease of the brain
  • 2. Schizophrenia is not caused by: Inadequate parenting Overzealous mothers Poor family relations It is not split personality
  • 3. Schizophrenia and Genetics 70% of persons who develop schizophrenia have a genetic basis for it. That is, there is a relative who has the disease. The closer in relation to the ill person, the more likely one is to get the disease.
  • 4. Schizophrenia and Genetics More clearly, if you have an identical twin who has schizophrenia, you have a 50% chance of developing schizophrenia
  • 5. Schizophrenia: illness features Hallucinations Delusions Decline in social and occupational functioning
  • 6. Schizophrenia: the affected person may: Talk to himself Gesture to himself Dress in layers in any weather Fail to bathe and get a haircut Gain an odd interest in ordinary things (like religion)
  • 7. Schizophrenia: the affected person may: May even believe he is God See things Feel people are out to get them Believe in all sorts of conspiracies Have ideas that no amount of evidence to the contrary can dislodge
  • 8. Schizophrenia: the affected person may: Be unable to work Stop talking or greatly reduce conversation Appear lazy, unmotivated and uninterested May look like he has dementia Lose the ability to get and keep friends Be tense
  • 9. Schizophrenia treatment Biological Psychological Social
  • 10. Schizophrenia Treatment: Biological Medications called antipsychotic (not antischizophrenic) they deal with some of the symptoms delusions, hallucinations, disorganized behavior
  • 11. Schizophrenia Treatment: Psychological Patients will need therapy supportive digging deep can help some, but that is the exception, not the rule
  • 12. Schizophrenia Treatment: Psychological Those who have family benefit most from families who: are informed about the illness have support and skills to deal with the ill family member
  • 13. Schizophrenia Treatment: Psychological Family member skills: low key low demand use simple sentences privacy for both the patient and themselves able to ignore the inconsequential features of the illness
  • 14. Schizophrenia Treatment: Psychological Family member skills: are able to respond to dangerous behavior can accept that their ill member may never be like he once was
  • 15. Schizophrenia Treatment: Social Rehabilitation Habilitation Social skills training Vocational assistance Environmental modification reduce stimuli
  • 16. Schizophrenia Treatment Community resources Black Mental Health Alliance National Alliance for the Mentally Ill (NAMI) Schizophrenia.com Maryland Psychiatric Research Center
  • 17. Bipolar disorder Also known as manic-depressive illness The 2 poles are mania and depression
  • 18. Bipolar disorder Affects 1% of the population Affects men and women equally Can start in childhood and throughout adulthood Strong genetic component
  • 19. Bipolar disorder: illness features Mania Elevated mood May feel full of energy May feel she can accomplish anything May go on spending spree May go on a sex spree May travel on a whim
  • 20. Bipolar disorder: illness features Mania May become irritable May lose the need for sleep May feel energized by the lack of sleep May feel more productive Can be excessively talkative Thoughts can race
  • 21. Bipolar disorder: illness features Depression Poor sleep Low appetite or weight loss Low interest in pleasurable things Low energy Feelings of worthlessness, hopelessness, helplessness, irritability
  • 22. Bipolar disorder: illness features Depression Unable to focus or concentrate Thoughts of death and suicide
  • 23. Bipolar disorder: illness features A person is rarely seen at one of the poles A person may have features of both at the same time to varying degrees
  • 24. Bipolar disorder: Treatment Biological Psychological Social
  • 25. Bipolar disorder: Treatment Biological Medications Stabilize mood Dampen mania Ameliorate depression Treat psychosis (delusions, hallucinations)
  • 26. Bipolar disorder: Treatment Psychological Supportive therapy May dig deep Helps people to deal with the devastation that their manic behavior has wrought
  • 27. Bipolar disorder: Treatment Social Support Groups DRADA NDMDA Rehabilitation and habilitation