Psychotic Disorders

39 terms by laja25 

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Define type of delusion: Control

belief that someone is controlling the patient's thoughts or actions. includes thought insertion, withdrawal, and broadcasting

Define type of delusion: grandiosity

patient believes that they have a special importance

Define type of delusion: guilt

the patient believes that he or she is responsible for something like storms wars death

Define type of delusion: persecutory (paranoid)

someone is out to get patient (most common)

Define type of delusion: religious

delusion involves spiritual content

Define type of delusion: reference

the delusion that remarks in the environment pertain specifically to the patient

Define type of delusion: somatic

the patient has delusion regarding bodily function, sensations, or appearance

Identify delusion: belief that someone is controlling the patient's thoughts or actions. includes thought insertion, withdrawal, and broadcasting

Control

Identify delusion: patient believes that they have a special importance

grandiosity

Identify delusion: the patient believes that he or she is responsible for something like storms wars death

guilt

Identify delusion: someone is out to get patient (most common)

persecutory (paranoid)

Identify delusion: delusion involves spiritual content

religious

Identify delusion: the delusion that remarks in the environment pertain specifically to the patient

reference

Identify delusion: the patient has delusion regarding bodily function, sensations, or appearance

somatic

define auditory hallucination, where do they come from, SUBTYPE

false perception of sounds, music, noises, voices, inside or outside head, command

define visual hallucination, associated with? what part of the brain?

false perception of sight-lights, colors, shapes, human figures, medical conditions and substance abuse, occipital cortex

define tactile hallucinations, SUBTYPES

false perception of touch, formication (bug underskin) or phantom limb

define olfactory hallucination

false perception of smell, usually unpleasant

define gustatory hallucination

false perception of taste, usually unpleasant

What are positive symptoms? (3)

delusions, hallucinations, disorganized speech and behavior

What are negative symptoms? (6)

obvious-poor grooming, reduced speech, limited eye contact; less obvious-reduced emotional response, interests, social drive

define schizophrenia (5)

two or more of following for 1 month or less during a 6 month or more evaluation: delusions (bizarre counts double), hallucinations (running commentary and 2 voice conversation counts double), disorganized speech, catatonic behavior, negative symptoms

what are some of the good prognosis features of schizophrenia? (10)

good premorbid adjustment, acute onset, later age onst, female, precipitating event or stressor prior to onset, shorter active phase, associated mood change, good interepisode function, absence of brain or neurological abnormalities, family history of mood disorder,

what some poor prognosis features of schizophrenia? (7)

family history of schizophrenia, relapse history, substance use, physical illness, high expressed emotion at home, poor compliance with medications, side effects of antipsychotic medication extrapyramidal symptoms

what are the three etiology theories of schizophrenia?

genetics, environment, biological abnormalities

what is the relationship between schizophrenia and dopamine? WHAT NEUROLOGICAL ABNORMALITY IS SEEN IN SCHIZOPHRENIA PATIENTS?

excessive levels of dopamine in schizophrenia, ENLARGED 3RD VENTRICLE

what is the NMDA theory of schizophrenia?

schizophrenia is NMDA receptor hypofunction

define schiophreniform disorder

two or more of following each present for a significant portion of 1 month period in a up to 6 month time table: dellusions, halluciantions, disorganized speech, catatonic behavior, negative symptoms

define delusional disorder, 2 SUBTYPES, 4 specifiers

1 month of non bizarre delusional, EROTMANIC-person of higher status is in love with me, GRANDIOSE-inflated worth, jealousy, persecution, somatic, mixed

define brief psychotic disorder, what are the two specifiers

episode lasts between 1 day and 1 month, with or w/o marked stressor

define shared psychotic disorder

a similar delusion develops in a person in a close relationship with a delusional person

define psychotic disorder due to a general medical condition

hallucinations, delusions; both due to general medical condition

define psychotic disorder due to substance abuse/withdrawal

hallucinations, delusions; both withing a month of substanceintox/withdrawl or use of medication

define schizoaffective disorder

2 weeks of delusions&hallucinations w/o mood symptoms PRECEDED/FOLLOWED BY mood episode (major depressive, manic, or mixed) AND the active phase sumptoms of schizophrenia (1 MONTH TOTAL); bipolar type-manic/mixed episode or depressive-MDE only

schizophrenia treatment (8)

atypical antipsychotics-treat neg first, psychotherapies, education, supportive, social, family support, assertive community treatment, NAMI (national alliance on mental illness

define paranoid schizophrenia (3)

preoccupation with one or more delusions or frequent auditory hallucinations, little or no impairment

define disorganized schizophrenia (3)

disorganized speech, behavior; flat or inappropriate affect

define catatonic schizophrenia (3)

motoric immobility as evidenced by catalepsy or waxy flexibility, excessive motor activity that is apparently purposeful, extreme negativism (resistance to instructions/attempts to be moved)

define residual schizophrenia

continued evidence of schizophrenia presented by negative symptoms or attenuated symptoms

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