Submitted by

Reeba Sara Koshy

&
Gurram Rakesh Varma

 Chemical imbalance that interferes with a

persons ability to think clearly, distinguish
reality from fantasy, manage emotions and
relate to others
First signs appear in teenage years or
twenties.
Illness affects 1% of the population

 Schizophrenia victims are known to be

incredibly intelligent, musically talented, and
can even lead independent lives if treated
properly. They are typically loners by their
own choice.

Schizophrenic Disorder
One or more psychotic features during active
phase ( delusions)
Somatic grandiose, religious or nihilistic
delusions
Delusion or jealousy with hallucination
Incoherence with marked loosening of
association
Hyperactive, disorganized

Types of Schizophrenia
Simple

Hebephrenic

Paranoid Schizophrenia
Delusional
Common form
Delusions of Persecution- conspired against,
cheated, spied upon
Delusions of jealousy sexual partner is
unfaithful
Delusions of grandiosity- special relationship
with famous persons, God

PATIENTS HISTORY

Mrs. Uma Maheswari

50 years
Studied till IX th
Married

Complaints
Depression
Irritability
Suspiciousness from 2002
Associated Disturbances
Insomnia
Disturbances in sexual life
History of Confusion
Memory disturbances
Visual hallucinations since ten years

Female
Male
Patient

Aged
Death

Pre-morbid Personality

Social relations family attachment, not with outside

Intellectual activities Listening to spiritual songs
Mood: Calm, pessimistic, self-depreciative, unstable
Character: Easily bored, very rarely does household
work
Sensitive, shy, suspicious, irritable
Energy and Initiative: sluggish, fatigability, energy
fluctuations
Fantasy Life: Dreams in which she spoke to God, Visual
Hallucinations
Habits: No eating fads, sleeps during daytime

Mental Status Examination

General Behavior- conscious, cooperative,
coherent, well-dressed, adequate eye contact,
adequate rapport present
Psycho Motor Activity- Very less physical
movements
Speech- Low toned, slow, longer reaction time
Thought-Phobias, Visual hallucinations

Mood Social withdrawal, low self-esteem

Cognitive functions- Insight is absent
Oriented to time, place, person
Attention and Concentration(Digit Span Test)
Memory Good immediate memory
Recent memory absent
Good remote memory
Good Intelligence
Poor judgment capability

Good arithmetic skill

Good abstractive skills
Social Withdrawal present

Signs and Symptoms

According to book picture

According to patient picture

Mutism (absence of speech)

Rigidity
Delusions of Persecution

Thinks that her husband is cheating on her

Delusions of Jealousy

Thinks that her husband is unfaithful

Delusions of Grandiosity

Thinks that she has a connection with God

Hallucinatory Voices

Especially when she is alone

Disturbance of affection

Very low affection with husband

Disturbance of speech and motor

behavior

Very low toned speech, minimal motor

activity