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162 Cards in this Set
- Front
- Back
preoccupation with inner, private world
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autistic thinking
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most powerful aid of schizophrenia
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autistic thinking
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thinking characterized by loosened associations, neologisms, and illogical constructs; disordered thoughts. non-sensical.
patient is defined as psychotic. |
formal thought disorder
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a form of thought in which thoughts, words, or actions assume power
ie: crossing fingers or knocking on wood can cause or prevent events |
magical thinking
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inability to distinguish reality from fantasy
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psychosis
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abrupt interruption in train of thought before a thought or idea is finished
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blocking
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indirect speech that is delayed in reaching the point (goes through an unnecessarily detailed path) but eventually gets from original point to desired goal. so, patient does eventually answer the question.
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circumstantiality
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psychopathological repeating of words or phrases of one person by another
ie: MD: "what is your name?" patient: "what is your name?" |
echolalia
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extremely rapid speech characterized by plays on words producing constant shifting from one idea to another. patient continues one sentence then jumps to another topic and completes that sentence then jumps....
ie: "my boss fired me. i hear voices coming from the radiators. i think i am the cause of this trouble in the US. it's my mother's fault." |
flight of ideas
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neologisms (fabricated words) that simulate coherent speech; the expression of a revelatory message through unintelligible words
ie: speaking tongues |
glossolalia
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running together of thoughts or words with no logical or grammatical connection, resulting in disorganization
ie: mother headache telephone |
incoherence
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association of words with no logical connection except that they are similar in sound... but not in meaning. may include rhyming and punning.
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clang associations
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answer that is not in harmony with question asked (almost as thoug the patient appears to be ignoring the question)
ie: why are you a psychiatrist? because i have a headache |
irrelevant answer
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flow of thought in which ideas shift from one subject to another in a completely unrelated way
ie: "The traffic is rumbling along the main road. They are going to the north. Why do girls always play pantomime heroes?" |
loosening of association
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persisting response to a previous stimulus after a new stimulus has been presented
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perseveration
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rapid speech that is increased in amount and difficult to interrupt
do NOT get upset if try to interrupt them |
pressure of speech
(as opposed to logorrhea/ volubility where patient gets upset if you try to interrupt) |
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inability to have goal-directed associations of thought; speaker never gets from point to desired goal
Q: "what type of work do you do?" A: "yes...yes. can you imagine out of work? i watch the news and a lot of people are out of work" (same content, but still no answer) |
tangentiality
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meaningless repetition of specific words or phrases
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verbigeration
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copious, coherent, logical speech
get upset if you try to interrupt them |
volubility/ logorrhea
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incoherent jumble of speech arranged in phrases that appear to give them meaning, but they actually carry zero significance
ie: colorless green ideas sleep furiously |
word salad
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compulsive utterances of obscene words
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coprolalia
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difficuty in articulation, not in word finding or in grammar
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dysarthria
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loss of normal speech melody
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dysprosody
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fabricated word created by a patient, often by combining syllables of other words
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neologism
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an absurd, totally implausible, strange false belief
ie: everything I'm saying is a message from Mars |
bizarre delusion
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false belief, based on incorrect interference about external reality. not consistent with patient's intelligence and cultural background. cannot be corrected by reasoning.
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delusion
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false feeling that a person's will, thoughts or feelings are being controlled by external forces
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delusion of control
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delusion that a parent, spouse, friend, or other close family member has been replaced by an identical-looking imposter
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Capgras Syndrome/ delusion of doubles
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false belief derived from pathological jealosy about a person's lover being unfaithful
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Othello's Syndrome/ delusion of infidelity or delusion of jealousy
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a person's false belief that the behavior of others refers to himself or herself
ie: girl moves hair, assume she's in love w/ you ie: see people laughing, assume it's at you |
delusion of perception/ delusion of reference
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a person's false belief that he is bereft or will be deprived of all material possessions
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delusion of poverty
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false feelings of remorse or guilt
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delusion of self-accusation
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delusions that a person's thoughts can be heard by others, as though being broadcasted over the air
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delusion of thought broadcasting
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delusion that a person's thoughts are being controlled by other persons or forces
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delusions of thought control
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delusion that thoughts are being implanted into a person's mind by other people or forces
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delusion of thought insertion
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delusion that thoughts are being removed from a person's mind by other people or forces
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delusion of thought withdrawal
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delusional belief that someone is deeply in love with the patient and that the patient and the "lover" have a secret way of comunicating their love
more common in women than men |
Erotomania= deClerambault's Syndrome
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false sensory perception not associated with real external stimuli
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hallucination
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exaggerated concern about health based not on real organic pathology but on unrealistic interpretations of physical signs
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hypochondria
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false sensory perception occuring whie falling asleep
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hypnagogic hallucination
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false perception occurring while awakening from sleep
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hypnopompic hallucination
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delusion with mood-appropriate content
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mood congruent delusion
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delusion with content that has no association to mood or is mood neutral
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mood incongruent delusion
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false feeling that self, others, or the world is nonexistent or coming to an end
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Nihilistic delusion= Cotard delusion
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pathological persistence of an irresistible thought or feeling that cannot be eliminated from consciousness by logical effort. an unwelcomed idea.
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obsession
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unreasonable, sustained false belief maintained less firmly than a delusion
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overvalued idea
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paranoid delusions (3)
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1) delusions of grandeur
2) delusions of reference 3) delusions of persecution |
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persistent, irrational, exaggerated and invariably pathological dread of a specific stimulus or situation
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phobia
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a type of lying in which a person appears to believe in the reality of his or her fantasies and acts on them
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pseudologia phantastica
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false belief involving functioning of the body
ie: there's no doubt i have brain cancer |
somatic delusion
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false belief united by a single event or theme
ie: belief that husband's walking out on you |
systematized delusion
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false perception in which objects that actually aren't present are seen as reduced in size
ie: see little pink elephants occurs in alcoholics |
Lilliputian hallucination
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hallucinations common in temporal lobe epilepsy patients:
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1) gustatory hallucination
2) olfactory hallucination 3) somatic hallucination |
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false sensation of things occuring in or to the body
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somatic hallucination
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sensation or hallucination caused by another sensation
ie: auditory sensation accompanied by or triggering a visual sensation |
synesthesia
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false perception of touch or surface sensation
ie: from an amputated limb |
tactile/ haptic hallucination
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perceptual abnormality associated with hallucinogenic drugs in which moving objects are seen as a series of discrete & discontinuous images
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trailing phenomenon
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misinterpretation of real external sensory stimuli
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illusion
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a person's subjective sense of being unreal, strange, or unfamiliar
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depresonalization
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a subjective sense that the environment is strange or unreal
ie: the room is blue |
derealization
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state in which objects that are actually present seem larger than they are
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macropsia
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state in which real, present objects seem smaller than they actually are
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micropsia
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incomplete clear-mindedness with disturbances in perception and attitudes
patient's attention is completely lost, have to shake the patient and shout just to get attention. have to repeat your questions |
clouding of consciousness
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profound unconsciousness
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coma
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coma in which a patient appears to be awake with eyes open but cannot be aroused
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coma vigil
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bewildered, resltess, confused, disoriented reaction associated with fear and hallucinations
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delerium
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disturbances of orientation of time, place, or person
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disorientation
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synonym for complex partial seizure or psychomotor epilepsy
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dream state
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lack of reaction to, and unawareness of, surroundings
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stupor
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syndrome in older persons that usually occurs at night and is characterized by drowsiness, confusion, ataxia, and falling as a result of being overly sedated with medications
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sundowning
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disturbed consciousness with hallucinations
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twilight state
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observed expresion of emotion, possibly inconsistent with patient's description of emotion
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affect
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pervasive and sustained emotion subjectively experienced and reported by a patient and observed by others
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mood
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disturbance in affect manifested by severe reduction in the intensity of externalized feeling tone
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blunted affect
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reduction in intensity of feeling tone, less severe than blunted affect but clearly reduced
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constricted or restricted affect
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absence or near absence of any signs of affective expression; voice monotonous, face immobile
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flat affect
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disharmony between the emotional feeling tone and the idea, thought, or speech accompanying it
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inappropriate affect
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rapid and abrupt changes in emotional feeling tone, unrelated to external stimuli
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labile affect
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loss of interest in, and withdrawal from, all regular and pleasurable activities
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anhedonia
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a person's inability to, or difficulty in, describing or being aware of emotions or mood
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alexithymia
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an unpleasant mood
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dysphoric mood
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feeling of intense rapture
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ecstasy
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feelings of joy, euphoria, triumph, intense self-satisfaction or optimism, and exaggerated motor activity
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elation
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air of confidence and ejoyment
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elevated mood
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intense elation with feelings of grandeur
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euphoria
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normal range of mood
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euthymic mood
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a person's expression of feelings without restraint, frequently with overestimation of their significance or importance
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expansive mood
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combination of euphoria, elation, and an attitude of grandeur
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exultation
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sadness appropriate to real loss
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grief/ mourning
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oscillations between euphoria and depression or anxiety
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mood swings
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severe anxiety associated with motor restlessness
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agitation
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coexistance of two opposing impulses toward the same thing in the same person at the same time
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ambivalence
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feeling of apprehension caused by anticipation of danger, which may be internal or external
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anxiety
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anxiety caused by consciously recognized and realistic danger
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fear
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acute, episodic, intense attack of anxiety associated with overwhelming feelings of dread and autonomic discharge
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panic
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subjective feeling of muscular tension secondary to antipsychotics or other meds
patients may describe an "inability to sit" |
akathisia
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lack of physical movement
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akinesia
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inability to stand or walk in a normal manner
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astasia abasia
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automatic performance of an act or acts generally representing unconscious symbolic activity
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automatism
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general term for an immobile position that is constantly maintained
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catalepsy
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temporary loss of muscle tone and weakness precipitated by a variety of emotional states
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cataplexy
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agitated, purposeless motor activity, uninfluenced by external stimuli
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catatonic excitement
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voluntary asumption of an inappropriate or bizarre posture
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catatonic posturing
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voluntary assumption of a rigid posture
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catatonic rigidity
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markedly slower motor activity
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catatonic stupor
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condition in which a person can be molded into a position that is then maintained
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cerea flexibilitas (waxy flexibility)
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pathological need to act on an impulse that, if resisted, produces anxiety
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compulsion
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eating of filth or feces
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coprophagia
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restless, aggressive, destructive activity
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hyperactivity or hyperkinesis
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decreased motor and cognitive activity
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hypoactivity or hypokinesis
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ingrained, habitual involuntary movements
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mannerism
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voicelessness without structural abnormalities
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mutism
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motiveless resistance to all attempts to be moved or to all instructions
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negativism
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pathological overeating
eating too many things |
polyphagia
(as opposed to increased food intake= hyperphagia) |
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excessive motor and cognitive activity
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psychomotor agitation
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repetitive fixed pattern of physical action or speech
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stereotypy
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partial or total inability to recall past experiences
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amnesia
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inability to recall events occuring after a point in time
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anterograde amnesia
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amnesia experienced by alcoholics about behavior during drinking
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blackout
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inability to recall past experiences for events occurring in a certain period of time
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circumscribe amnesia
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unconscious filling of gaps in memory by imagined or untrue experiences that a person believes but that have no basis in fact
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confabulation
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illusion of visual recognition in which a new situation is incorrectly regarded as a repetition of a previous memory
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deja vu
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visual memory of almost hallucinatory vividness
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eidetic image
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false recognition
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fausse reconnaissance
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temporary inability to remember a name or proper noun
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lethologica
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exaggerated degree of retention and recall
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hypermnesia
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false feelings of unfamiliarity with a real situation that a person has experienced
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jamai vu
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falsification of memory by distortion of recall
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paramnesia
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inabilty to recall events occurring before a point in time
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retrograde amnesia
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memory becomes unintentionally (unconsciously) distorted by being filtered throug a person's present emotional, cognitive and experiential state
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retrospective falsification
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inability to recall certain details of an event
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selective amnesia
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generalized amnesia
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total amnesia
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verbal expressions, which are vague, rambling, and somewhat disconnected
"my brother works in a paper factory, he is a puncher....the problem in town is what most people work at the factory and will all the layoffs..." |
derailment
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rocking, pacing, hand wringing
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agitation
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hypoactivity
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retardation
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mute woman standing in hall with hands held above her head and clasped in prayer-like manner
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catatonic posturing
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holding an awkward position or posture for long period of time
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catalepsy
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copying of examiner's movements or posture
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echopraxia
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partial passive resistance to movement which gives way in a wax-like fashion combined with the willingness to maintain a limb extended or bent in an odd manner
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waxy flexibility
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loss of the normal rhythm or melody of speech
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dysprosody
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an interruption of speech in the mid-sentence followed by a silence lasting from seconds to minutes
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thought blocking
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speech in which the associations between thoughts are based on sounds
ie: how high am i, i fly, look, look at the sky |
clang association
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repetition of particular phrases or words without relevance to the questions
ie: i have been working as a brick layer for many year. brick layer job is very demanding. brick layers are well paid. |
perseveration
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immediate repetition of another person's words or phrases
ie: MD" what brought you to the hospital?" ptnt: "hospital, hospital, hospital" |
echolalia
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moods shift rapidly and frequently during a short period of time
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labile affect
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relatively constant expression of one mood
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constricted affect
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expresion of little emotional energy
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blunted affect
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no expressoin of emotional energy
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flat affect
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sudden explosive laughter without apparent reason
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inappropriate affect
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a false belief that one is infested with small but visible organisms
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delusions of infestation/ Ekbom's syndrome
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false belief that someone can her the patient's thoughts
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thought broadcasting
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belief that a complete stranger is actually a familiar person already known to the patient
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Fregoli syndrome
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auditory hallucinations most common in patients with:
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schizophrenia
bipolar |
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visual hallucinations most common in patients with:
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substance abuse related
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olfactory hallucinations most common in patients with:
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temporal lobe epilepsy/ head injury
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tactile hallucinations are most common in patients with
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substance withdrawal
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gustatory hallucinations are most common in patients with
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partial complex seizure
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Axis I
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Majory Psychiatric Disorders
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Axis II
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Mental Retardation; Personality Disorders
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Axis III
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medical conditions, drug-drug rxn, medical side effects
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Axis IV
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psychosocial stressors
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Axis V
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Global Assessment of Functionality
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