Schizophrenia

• Facts:
  Symptoms present for longer than 6 months
  Symptoms for 1 - 6 months, schizophreniform disorder
• History / PE:
  POSITIVE
  
  Hallucinations
  Delusions
  Disorganized speech
  Disorganized behavior
  
  NEGATIVE (5A's)
  
  Affective flattening
  Alogia (poverty of speech)
  Asociality (social detachment)
  Apathy (impaired grooming)
  Attention (inattentiveness)
• Diagnosis:
  Increased ventricular size
  Prominent sulci
• Treatment:
  Typical antipsychotics
  Atypical antipsychotics (best for negative symptoms)
  Keep family stresses and conflicts to a minimum