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Psychotic Disorders

Schizophrenia

A patient with schizophrenia would usually have:

  • Lack of emotion (flat affect)
  • Strongly held beliefs that are not based in reality (delusions)
  • Hearing or seeing things that are not there (hallucinations)
  • Problems paying attention
  • Thoughts “jump” between unrelated topics ( “loose associations”)
  • Bizarre behaviors
  • Social isolation

Positive Symptoms

  • Delusions
  • Hallucinations

Bipolar Disorders

  • Composed of Acute Mania and Major Depression

Acute Mania

  • Nursing Intervention includes providing the client a quiet a non stimulating environment.

Major Depression

  • The preferred medication (antidepressant) for depression is:  SSRI, MAOI’s and TCA.
  • Electroconvulsive Therapy- premedicate first with atropine sulfate.


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