BHECN webinar series

The Schizophrenia Spectrum: Part 1-Science

October 2017Will Spaulding, Ph.D.Professor of Psychology, UNL

About This Series: Core Topics for Behavioral Health Providers

Presenter Topic Date

Dr. Will Spaulding Schizophrenia- Part 1 and Part 2 October 19th

Dr. Mario Scalora Forensic Issues and Civil Commitment

November 9th

Dr. Dennis McChargue Addiction TBDDr. Amanda Duffy Randall & Liam Heerten-Rodriguez

Basics of Sexual Health TBD

Dr. Amanda Duffy Randall & Liam Heerten-Rodriguez

Working with Sexual Challenges TBD

Dr. Amanda Duffy Randall & Liam Heerten-Rodriguez

Older Adult Sexualities TBD

Dr. Amanda Duffy Randall & Liam Heerten-Rodriguez

LGBQ Sexualities TBD

Dr. Amanda Duffy Randall & Liam Heerten-Rodriguez

Working with Trans Clients throughout the Lifespan

TBD

• BHECN's webinar series designed to educate behavioral health trainees about practical topics in behavioral health

• Expert presenters provide a mixture of principles and case based application• All webinars are free of charge• Topics include:

The Behavioral Health Education Center of Nebraska (BHECN), pronounced “beacon”, was established in 2009 by a legislative bill to address the shortage of behavioral health professionals in rural and underserved areas of the state. unmc.edu/bhecn

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Click the link to view a recording of today's webinar and information on future webinarshttps://www.unmc.edu/bhecn/education/online-training/core-topics-webinars.html

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Dr. Will Spaulding

Dr. Will Spaulding is a professor of Psychology at the University of Nebraska Lincoln. His research interests address various aspects of schizophrenia and other severe disorders. He maintains an active clinical and consulting practice.

Conflict of Interest Statement

The presenter has one conflict of interest to acknowledge: He thinks you should buy his book:

The Schizophrenia Spectrum:Part 1: the Science

The Schizophrenia Spectrum Part 1: the Science

The Schizophrenia Spectrum Part 1: the Science

Schizophrenia in the DSM-5

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The Schizophrenia Spectrum Part 1: the Science

Schizophrenia in the DSM-5

The Schizophrenia Spectrum Part 1: the Science

Schizophrenia in the DSM-5

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The Schizophrenia Spectrum Part 1: the Science

Schizophrenia in the DSM-5

The Schizophrenia Spectrum Part 1: the Science

Schizophrenia in the DSM-5

The Schizophrenia Spectrum Part 1: the Science

Schizophrenia in the DSM-5

The Schizophrenia Spectrum Part 1: the Science

The Schizophrenia Spectrum Part 1: the Science

The Schizophrenia Spectrum Part 1: the Science

The Schizophrenia Spectrum Part 1: the Science

The Schizophrenia Spectrum Part 1: the Science

mature neurons in cortical layers

new cells in neurogenesis areaimmature neurons migrate to adult locations

The Schizophrenia Spectrum Part 1: the Science

The Schizophrenia Spectrum Part 1: the Science

Seve

rity

Time

“reactive” course

“process” course

Onset or “first episode”

The Schizophrenia Spectrum Part 1: the Science

The biosystemic paradigm: Levels of functioning & impairmentLevel of functioning Abnormality or problem

social environmental Conflicts with family over autonomy and support, legal problems, limited access to social roles other than “mental patient”

behavioral (instrumental and self-regulation skills)

Deficits in interpersonal, occupational and living skills, mood and emotion self-regulation

social cognition Deficits in person perception, emotion recognition, theory of mind, efficient recognition of social situations

neurocognitive Variable impairments in attention, memory, concept formation, executive functioning

neurophysiological Compromised neural networksAbnormal neurotransmitter metabolismStructural receptor abnormalities

Case composites and discussion

The Schizophrenia Spectrum Part 1: the Science

End of Part 1

Case composites and discussion

Case A: 25 year old male• Perinatal complications• Parental hx of ADHD, EtOH• Dx’d ADHD @ age 6• Dx’d ODD @ age 10• Socially isolated adolescence• High school dropout• Institutionalized by age 17• No hx of adult functioning• Insidious onset of psychosis• Continuous episodes• Undifferentiated presentation• Poor medication response• Semi-independent functioning

with extraordinary support

Case B: 25 year old male• Normal birth & neonatal health• Family hx of depression• Normal childhood & pubescence• Emotional instability & heavy

cannabis use by age 16• Psychotic onset in college• Paranoid/affective presentation• Moderate medication benefit

but poor adherence• College dropout• Intense family conflict• Chronic unemployment, drift

into homelessness• Semi-functional “mental

patient” social role & life style

BHECN webinar series

The Schizophrenia Spectrum: Part 1-Science

Questions?

Click the link to view a recording of today's webinar and information on future webinarshttps://www.unmc.edu/bhecn/education/online-training/core-topics-webinars.html

Recording available