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23 Cards in this Set
- Front
- Back
Disorganized Speech--3 examples
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Slip off the track--one topic to another
Incoherent speech (bunch of words) Tangentiality (unrelated answers to ?s) |
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Grossly Disorganized Behavior--3 examples
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Childlike silliness
Clearly inappropriate sexual behavior Dress in unusual manner |
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Catatonic behavior--3 examples
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Maintaining a rigid posture and resisting effort to be moved; active resistance to instructions or attempts to be moved; assumption of inappropriate or bizzare postures
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Five subtypes of Schizophrenia
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Paranoid Type
Residual Type Undifferentiated Type Disorganized Type Catatonic Type |
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What two things differentiate Schizphreniform from Schizophrenia?
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Schizophreniform lasts 1 to 6 months and an absence of a requirement that there be a decline in function
Schizophrenia lasts for at least 6 months |
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What are the three negative symptoms of Schizophrenia?
Symptoms that represent the absence of what would be considered normal behavior |
Affective flattening (lack display of emotion); Alogia (poverty of speech)
Avolition (inability to initiate and persist in goal directed activity like preparing a meal) |
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Definition of Sign
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An objective manifestation of a pathological condition. Signs are observed by the examiner rather than reported by the affected individual.
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Definition of Symptom
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A subjective manifestation of a pathological condition. Symptoms are reported by the affected individual rather than observed by the examiner
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Timeline of Schizo disorders
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Brief Psychotic Disorder (1 day to a month)-->Schizophreniform (1mo to 6 mos)-->Schizophrenia (at least 6 mos)
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What the positive symptoms of Schizophrenia?
Symptoms that represent exaggerations of normal behavior |
Delusions (distortions in thoughts)
Hallucinations (distortions in perception) Disorganized speech (distortion in language and thought process) Grossly disorganized or catatonic behavior (self monitoring of behavior) |
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Usually displays some type of _______ ______ manifested by the ____ and _____ development of a variety of signs and symptoms such as __(give 4 examples)__
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prodromal phase
slow gradual social withdrawal, poor hygiene, angry outbursts, unusual behavior) |
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Arguable the most ____ and ____ of the mental disorders.
Median age onset : Men _____ Women ____ |
serious
debilitating mid 20's late 20's |
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Average life span of a person with Schizophrenia is approximately ____ years less than the national average in the US
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10
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Types of Delusions
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Persecutory
Referential Bizarre |
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Bizarre Delusions express a _____of _____ over mind and body in 3 ways (name them)
Bizarre Delusions alone satisfy criteria A of Schizophrenia |
loss
control thought withdrawal; thought insertion; delusion of control |
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"Special" Hallucinations include ____ or more _____ conversing with one another; or voices maintaining a ____ ____ on the person's ____ or _____
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two
voices running commentary thoughts behavior |
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Coding
.30 .10 .20 .90 .60 |
295.30 paranoid type
295.10 delusional type 295.20 catatonic type 295.90 undifferentiated type 295.60 residual |
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Paranoid Type:
Delusions and hallucinations are _____ and ______ negative symptoms are/are not usually present |
elaborate
encompassing are not |
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Disorganized Type:
May display some ____ behaviors. Disorganized speech and _____ symptoms are the prominent features |
catatonic
negative |
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Residual Type:
____ symptoms ALONE are prominent |
negative
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Brief Psychotic Disorder:
____ onset of ____ symptoms that last for more than a ____ but remit within a ____. Criteria includes return to the ____ level of functioning so this diagnosis can only be made in _____ While symptoms are present, the diagnosis of Brief Psychotic Disorder is _____ Specifiers are: Typically experience ____ turmoil or overwhelming ____ and level of impairment may be ___________ |
rapid
positive one one ----------------- premorbid retrospect ---------------- provisional ---------------- ---------------- emotional confusion severe ---------------- |
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Schizophreniform Disorder:
Time frame since intitial onset of symptoms in between _____ and ____ days/months. Impairment of social or occupational functioning is/is not required. Diagnosis is made under two conditions: Specifiers: |
one
six months -------------------- is not -------------------- The diagnosis is applied without qualification to an episode of illness of between 1 and 6 months duration from which the individual has already recovered. Second, the diagnosis is applied when a person who, although symptomatic, has been so for less than the 6 months required for a diagnosis of Schizophrenia. -------------------- With good prognosis. Used if two of the following are present: onset of prominent psychotic symptoms within 4 weeks of the first noticeable change in usual behavior or functioning, confusion or perplexity at the height of the psychotic episode, good premorbid social and occupational functioning, and absence of blunted or flat affect. Without good prognosis. This specifier is used if two or more of the above features have not been present. |
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Schizoaffective Disorder:
A _____ episode and the ______ phase symptoms of Schizophrenia occur together and were preceded by or are followed by at least ____weeks of delusions or hallucinations without prominent mood symptoms |
mood
active 2 |