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30 Cards in this Set
- Front
- Back
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duration of delusions in Delusional Disorder |
1 month or more |
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In Delusion Disorder, Criteria A for schizophrenia has never been met. T or F |
True: Hallucinations, if present, are not prominent and are related to delusional theme. |
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In Delusional Disorder, apart from impact of delusion, functioning is ___ and behavior is ___ |
Apart from impact of delusion, functioning is _not markedly impaired_ and behavior is _not obviously bizarre/odd_ |
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In Delusional Disorder, if manic or major depressive episodes have occurred, these have been ___. |
In Delusional Disorder, if manic or major depressive episodes have occurred, these have been _brief relative to duration of delusional periods_. |
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What are the criteria for Delusional Disorder? |
A. 1+ delusions for 1+ months. B. Criterion A for SCZ never met. - hallucinations not prominent & related to delusions. C. apart from Impact of delusion, functioning not markedly Impaired & behavior not markedly bizarre/odd D. Mood symptoms brief E. not due to substance/medical condition/other mental disorder Mnemonic: 1,1-A-I-M-3 (sub/med/other) |
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What are the subtypes of Delusional Disorder? |
Jealous: spouse/lover is unfaithful Persecutory: maligned, spied on, etc. Erotomanic: other is in love with patient Grandiose: conviction of great talent/insight Somatic: bodily functions/sensations Unspecified Mixed: no one theme predominates Mnemonic: JPEG SUM |
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When do you use the specifier "with bizarre content" with Delusional Disorder? |
if delusions are: clearly _I_mplausible, not _U_nderstandable and not derived from _O_rdinary life experiences. Mnemonic: not OUI (it's I-U-O) |
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How many symptoms do you need for Criterion A for Brief Psychotic Disorder? How many are there? |
1+, at least one must be one of the first 3 (of 4) symptoms |
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What are the symptoms of Criterion A in Brief Psychotic Disorder? |
1. Delusions 2. Hallucinations 3. Disorganized Speech 4. Grossly disorganized or catatonic Behavior. Mnemonic: DH-DB |
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How long is the episode in Brief Psychotic Disorder? |
at least 1 day but less than 1 month |
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What are the the criteria for Brief Psychotic Disorder? |
A. 1+ of following (1 must be of 1st 3): -Delusions-Hallucinations-Disorganized Speech-Grossly disorganized or catatonic Behavior- B. Duration of 1+ days but less than 1 month C. not better explained by mood d/o with psychotic features/another psychotic disorder/substance-induced disorder/medical condition
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When do you use specifier "with marked stressor(s)" in Brief Psychotic Disorder? What's another name for this? |
if symptoms occur in response to events that would be very stressful to almost everyone in similar circumstances in that culture. Brief Reactive Psychosis |
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How many symptoms do you have in Criterion A for Schizophreniform Disorder, and for how long? |
2+, each for most of a month (or less if successfully treated), with at least one in the first 3 of 5 symptoms. |
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What are the symptoms of Criterion A in Schizophreniform Disorder? |
1. Delusions 2. Hallucinations 3. Disorganized Speech 4. Grossly disorganized or catatonic Behavior 5. Negative Symptoms Mnemonic: DH-DB-N |
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How long is the episode in Schizophreniform Disorder? What makes it provisional? |
At least 1 month but less than 6 months. When dx made without waiting for recovery, it should be qualified as "provisional" (may last past 6 months). |
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What differentiates Schizophreniform Disorder from Schizoaffective Disorder and Depressive/Bipolar Disorder with psychotic features? (this is a criteria) |
1) no mood episodes concurrent with active-phase symptoms or 2) mood episodes present for minority of total duration of active/residual periods |
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What are the criteria for Schizophreniform Disorder? |
A. 2+ of following (1 must be of 1st 3): -Delusions-Hallucinations-Disorganized Speech-Grossly disorganized or catatonic Behavior-Negative symptoms B. Duration of 1+ month but < 6 months -"provisional" if no recovery C. SCZaff d/o & mood d/o with psych fx ruled out - no concurrent mood episodes OR - mood episodes present for minority of duration D. not better explained substance-induced disorder/medical condition |
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What are the symptoms of Criterion A in Schizophrenia? |
1. Delusions 2. Hallucinations 3. Disorganized Speech 4. Grossly disorganized or catatonic Behavior 5. Negative Symptoms Mnemonic: DH-DB-N |
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How many symptoms do you have in Criterion A for Schizophrenia, and for how long? |
2+, each for most of a month (or less if successfully treated), with at least one in the first 3 of 5 symptoms. |
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What are the criteria for Schizophrenia? |
A. 2+ of following (1 must be of 1st 3): -Delusions-Hallucinations-Disorganized Speech-Grossly disorganized or catatonic Behavior-Negative symptoms B. For most of duration of symptoms, level of functioning in 1+ major areas below level before onset (or failure to achieve expected level if onset in childhood/adolescence) C. Duration of symptoms for 6+ months, with 1+ months of Crit A symptoms and rest may be prodromal/residual symptoms: negative or 2+ Crit A symp in attenuated form D. SCZaff d/o & mood d/o with psych fx r/o - no concurrent mood episodes OR - mood episodes present for minority of duration E. not better explained by substance-induced disorder/medical condition F. if hx of ASD or CD of childhood onset, dx made only if delusions or hallucinations + other required symp present for 1+ month |
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Criterion A for Schizoaffective Disorder: an uninterrupted period of illness during which a ___, which must include ___, is concurrent with ___. |
Criterion A for Schizoaffective Disorder: an uninterrupted period of illness during which a _major mood episode_, which must include _depressed mood if episode is major depressive_, is concurrent with _Criterion A of Schizophrenia_. |
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Criterion B for Schizoaffective Disorder differentiates from Mood Disorder with Psychosis in what way? |
Delusions or hallucinations for 2+ weeks in absence of major mood disorder |
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What are the criteria for Schizoaffective Disorder? |
A. major mood episode concurrent with Crit A of SCZ (includes depressed mood if MDE) B. 2+ weeks of psychosis with euthymia C. symptoms of mood episode present for most of duration of illness D. not better explained by substance-induced disorder/medical condition |
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What are the subtypes of Schizoaffective Disorder? |
Bipolar type: manic episode (+/- MDE) in presentation Depressive type: MDE only in presentation |
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What are the criteria for Substance/Medication-Induced Psychotic Disorder? |
A. Presence of Delusions and/or Hallucinations. B1. Evidence that Crit A symptoms developed in context of intox/WD or exposure to med B2. Involved substance/med can cause Crit A symptoms. C. not better explained by other psychotic d/o. D. does not occur exclusively during delirium. E. causes significant distress/impairment. |
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What are the criteria for Psychotic Disorder Due to Another Medication Condition? |
A. Presence of Delusions and/or Hallucinations. B. Evidence that Crit A symptoms developed in context of AMC. C. not better explained by other psychotic d/o. D. does not occur exclusively during delirium. E. causes significant distress/impairment. |
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What are the subtypes of Psychotic Disorder Due to Another Medication Condition? |
With Delusions With Hallucinations |
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What are the criteria of Catatonia Associated With Another Mental Disorder? How many symptoms are required? How do you indicate the other mental disorder? |
Mnemonic: CAMP GEM NEWS (three words - 3 symptoms required) Catalepsy (passive induction of posture held against gravity) Agitation, not influenced by external stimuli Mannerism (odd caricatures of normal actions) Posturing (spontaneous, active maintenance of posture against gravity - opposite of catalepsy) Grimacing Echolalia Mutism, exclude if aphasic Negativism (opposition/no response to instruction/external stimuli) Echopraxia Waxy Flexibility (slight, even resistance to positioning by examiner, like bending a candle) Stereotypy (repetitive, abnormally frequent, non-goal-directed movements) Write dx as " Catatonia associated with" + other mental disorder |
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What are the criteria of Catatonia Associated With Another Medical Condition? How many symptoms are required? How do you indicate the other medical condition? |
Mnemonic: CAMP GEM NEWS (three words - 3 symptoms required) A. three of following symptoms: Catalepsy (passive induction of posture held against gravity) Agitation, not influenced by external stimuli Mannerism (odd caricatures of normal actions) Posturing (spontaneous, active maintenance of posture against gravity - opposite of catalepsy) Grimacing Echolalia Mutism, exclude if aphasic Negativism (opposition/no response to instruction/external stimuli) Echopraxia Waxy Flexibility (slight, even resistance to positioning by examiner, like bending a candle) Stereotypy (repetitive, abnormally frequent, non-goal-directed movements) B. Evidence that disturbance due to AMC C. not better explained by other psychotic d/o. D. does not occur exclusively during delirium. E. causes significant distress/impairment. Write dx as " Catatonia associated with" + other mental disorder |
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When do you use Other Specified Schizophrenia Spectrum and other Psychotic Disorder dx instead of Unspecified SS and OPD? |
Other Specified SS & OPD to indicate specific reason criteria not met (and must list specific reason)
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