Anti Psychotics in Depth Psychosis -> severe mental disturbances that cause loss of contact with reality -> there are some mental health conditions where contact with reality is not lost range of emotions & mood restricted -> these are called severe mood disturbance -> neurosis Psychosis -> Schizophrenia -> not rare -> paranoid delusion other people are going to damage him running comm- ontary in action & thoughts affective abnormalities -> bizarre delusions -> e.g. Anxiety -> Flattening of emotions e.g. when should be very happy is little happy or not -> intensity of emotions -> very severe thought disturbance -> False beliefs not amenable & highly held -> perception disturbance -> hallucinations esp. auditory -> perception without an external stimuli -> should not be due to sociocultural backgrounds Types voices which have commands e.g. why not jump on board hence why some become violent ↓ Self-care Behavioural disturbances many develop social withdrawal usually begins @ adolescent (when should be enjoyed) Schizophrenia <- 1% of population 2 or more voices are talking to each other -> sometimes discussing about px e.g. why x has short hair Speech Incoherent & word Salad -> lose all motivations & goal behaviours May find it hard to Communicate with them as if there is a barrier when px & clinician No cure, rarely px cured must have chronic or recurrent disease All anti-psychotic drugs are only for symptoms not for interfering the pathogenic process -> not understood As common as IBD, but less seen as kept away. CATATONIA -> may not be seen also ↓ -> through due to take a posture & anti-psychotics remains in for a long time IF withdraw meds, schizophrenia re-occurs Very Severe Mood disorders ↓ Mania Extremely ↓ Depressed may became as psychotic Drug toxicity ↓ CNS Stimulants ↑ doses of amphetamines ↑ doses of LOOPA Phencyclidine (PCP) 1st Gen Managed well by typical anti-psychotics things added to norm personality Clinical features of schizophrenia things removed from norm personality +ve symptoms motivation behavior loss -ve symptoms -> blunted affected ↓ -> avolvity asociality ↓ alagia anhedonia delusions hallucinations SAs go away 1st Atypical -> Tx both +ve & -ve symptoms -> more expensive ↳ cant operate for some as cost may defer them from seeking help