Allison Cowan MD David Dixon DO Disclosures Allison Cowan MD has nothing to disclose Employed by Wright State University Coleman Professional Services Montgomery Co Board of DDS and Access Ohio Ohios Telepsychiatry Project for ID ID: 718691
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SchizophreniainIndividuals with ID/DD
Allison Cowan, MD
David Dixon, DOSlide2
DisclosuresAllison Cowan, MD has nothing to discloseEmployed by Wright State University
Coleman Professional Services, Montgomery Co Board of DDS, and Access Ohio (Ohio’s Telepsychiatry Project for ID)
David Dixon, DO has nothing to disclose
Employed by United State Air Force and Wright State University
Wright State University, Clinical Chief ResidentSlide3
WarningActive participation is expectedPop quizzes will happenSlide4
SchizophreniaTwo of the following: delusions, hallucinations, disorganized speech, disorganized behavior, and negative symptoms
Significant impact on daily life
Continuous signs of the disturbance for at least 6 monthsSlide5
SchizophreniaDM-ID-2 criteria, reviewedSlide6
DelusionsThe government’s spy satellites are following me.I’m married to Justin Timberlake.
My intestines have been stolen by space aliens, and they probe me at night.
The people in the apartment above me are controlled by Russia and move in the exact same steps as me.
People watch me for nefarious reasons.Slide7
What aren’t delusionsImagination“Magical thinking”
Fantasy life
“I’m a sheriff”
“I’m a firefighter”
“I’m a superhero who saves people”
Aggression Slide8
HallucinationsWhispersTalking from speakers, television
Two voices commenting on the individualSlide9
What isn’t a hallucination?“I can’t believe my supervisor SAID that to me.”
That perfect come-back in the shower three days later
Hearing your own voice or that of your family members
“You’re worthless”
“I love you”
AggressionSlide10
Schizoaffective DisorderDM-ID-2/DSM 5 criteria, reviewedSlide11
Other Psychotic SymptomsDisorganized speechDisorganized behavior
Negative symptomsSlide12
Brief Psychotic Disorder, Schizophreniform Disorder
DM-ID-2/DSM 5 criteria, reviewedSlide13
Delusional DisorderDM-ID-2/DSM 5 criteria, reviewedSlide14
Schizotypal Personality DisorderNow officially considered part of the Schizophrenia DisordersFully described in personality disordersSlide15
Other disorders that co-exist with SchizophreniaObsessive Compulsive Disorder
Mood Disorders
Trauma-related Disorders
Substance Use Disorders
Other disorders
Slide16
Case 1Treatments for schizophreniaCHOOSE YOUR OWN ADVENTURESlide17
Case 2TreatmentsSlide18
OtherMedicationsSocial Engagement
Supportive Psychotherapy
Case Management
EmploymentSlide19
ReferencesAmerican Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®)
. American Psychiatric Pub, 2013.
Fletcher, Robert Jonathan, Jarrett Barnhill, Sally-Ann Cooper.
DM-ID-2: diagnostic manual-intellectual disability: a textbook of diagnosis of mental disorders in persons with intellectual disability
. National Assn for the Dually Diagnosed, 2017.