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39 terms

Psychotic Disorders

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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