1. Schizophrenia in Individuals with ID/DD
Allison Cowan, MD
David Dixon, DO

2. Disclosures Allison Cowan, MD has nothing to disclose
Employed 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 Resident

3. Warning
Active participation is expected
Pop quizzes will happen

4. Schizophrenia
Two 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 months

5. Schizophrenia
DM-ID-2 criteria, reviewed

6. Delusions The 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.

7. What aren’t delusions Imagination “Magical thinking” Fantasy life
“I’m a sheriff”
“I’m a firefighter”
“I’m a superhero who saves people”
Aggression

8. Hallucinations Whispers Talking from speakers, television
Two voices commenting on the individual

9. 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”
Aggression

10. Schizoaffective Disorder
DM-ID-2/DSM 5 criteria, reviewed

11. Other Psychotic Symptoms
Disorganized speech
Disorganized behavior
Negative symptoms

12. Brief Psychotic Disorder, Schizophreniform Disorder
DM-ID-2/DSM 5 criteria, reviewed

13. Delusional Disorder
DM-ID-2/DSM 5 criteria, reviewed

14. Schizotypal Personality Disorder
Now officially considered part of the Schizophrenia Disorders
Fully described in personality disorders

15. Other disorders that co-exist with Schizophrenia
Obsessive Compulsive Disorder
Mood Disorders
Trauma-related Disorders
Substance Use Disorders
Other disorders

16. Case 1
Treatments for schizophrenia
CHOOSE YOUR OWN ADVENTURE

17. Case 2
Treatments

18. Other Medications Social Engagement Supportive Psychotherapy
Case Management
Employment

19. References
American 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.