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28 Cards in this Set
- Front
- Back
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psychosis
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-presence of impaired mental testing
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what is the prevelance of schizophrenia?
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-1 to 1.5% in US
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how do age and gender effect the incidence of schizo?
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-men and women have equal prevalence
-men have earlier onset and worse prognosis |
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how does social class effect schizo prevalence?
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-higher for lower class people
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is there a genetic component to schizo?
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-yes
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what environmental factors can influence schizo prevalence?
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-more schizos are born during winter months
-stress can trigger it -substance abuse is often associated |
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how can nuerological problems cause schizo?
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-too much DA
-too much 5HT -problem in limbic system (contains many DA neurons) |
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what are the symptoms of schizo?
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-dellusions
-hallucinations -disorganized speech -disorganized or catatonic behavior -negative symptoms |
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characteristics of paranoid type schizo
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-preoccupation with delusions or frequent auditory hallucinations
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characteristics of disorganized schizo
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-disorganized speech and behavior
-flat affect |
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characteristics of catatonic schizo
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-motoric immobility or excessive motor activity
-extreme negativism -mutism -peculiarities of voluntary movement |
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characteristics of undifferentiated schizo
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-doesnt fit any of the other 3
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what might you see during the mental status exam of a psychotic patient?
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-appearance may seem uniquely odd
-speech may be stilted -mood may be depressed with flat affect -delusions -cognition usually intact -hallucinations |
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blocking
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-abrupt interruption in train of thinking before a thought or idea is finished
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neologism
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-new word created by patient
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flight of ideas
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-rapid plays on words that produce constant shifting from one idea to another
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loose associations
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-flow of thought in which ideas shift from one subject to another in completely unrelated ways
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clang association
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-association of words similar in sound but not in meaning
-ex rhyming |
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word salad
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-incoherent mixture of words or phrases
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hallucination
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-false sensory perception
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illusion
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-misinterpretation of real external stimuli
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delusion
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-false belief based on incorrect inference about external reality that cannot by corrected by reasoning
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characteristics of schizophreniform disorder
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-schizo episode that lasts from 1 to 6 months and is then resolved
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characteristics of schizoaffective disorder
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-schizo episode with either major depressive disorder, manic episode or both
-must have delusions of hallucinations for 2 weeks |
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brief psychotic disorder
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-psychotic episode that lasts at least one day but less than one month
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delusional disorder
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-non bizarre delusions for at least one month
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how much do psychotic disorders cost society anually?
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-$50 billion
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what treatment options besides pharmacologic are available for psychotic patients?
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-behavior therapy
-group therapy -family/supportive therapy |
