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317 Cards in this Set
- Front
- Back
Consciousness
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state of awareness
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Apperception
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perception modified by a person's own emotions and thoughts
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Sensorium
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a state of cognitive functioning of the special senses
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Disorientation
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disturbance of orientation in time, place, or person
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Clouding of consciousness
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incomplete clear-mindedness with disturbances in perception and attitudes.
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Stupor
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lack of reaction to and unawareness of surroundings
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Delirium
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bewildered, restless, confused, disoriented reaction associated with fear and hallucinations
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Coma
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profound degree of unconsciousness
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Coma vigil (akinetic mutism)
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coma in which a patient appears to be asleep but ready to be aroused
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Lipid lowering agents
Name the "statins" (6 of 'em) |
Zocor (simvastatin)
Lipitor (atovastatin) Lescol (fluvastatin) Mevacor (lovastatin) Pravachol (pravastatin) Vytorin (ezetimbelsimvastatin) |
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Dream-like state
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often used as a synonym for complex partial seizure or psychomotor epilepsy
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Somnolence
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abnormal drowsiness
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Confusion
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disturbance of consciousness in which reactions to environmental stimuli are inappropriate; manifested by a disordered orientation in relation to time, place, or person
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Drowsiness
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a state of impaired awareness associated with a desire or inclination to sleep
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Sundowning (sundowner's syndrome)
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syndrome in older people that usually occurs at night and is characterized by drowsiness, confusion, ataxia, and falling as the result of being overly sedated with medications
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Attention
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is the amount of effort exerted in focusing on certain portions of an experience; ability to sustain a focus on one activity; ability to concentrate
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Distractibility
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inability to concentrate attention; state in which attention is drawn to unimportant or irrelevant external stimuli
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Selective attention
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blocking out only those things that generate anxiety
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Hypervigilance
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excessive attention and focus on all internal and external stimul, usually secondary to delusional or paranoid states; similar to hyperpragia; excessive thinking and mental activity
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Trance
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focused attention and altered consciousness, usually seen in hypnosis, dissociative disorders, and ecstatic religious experiences
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Disinhibition
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removal of an inhibitory effect that permits persons to lose control of impulses as occurs in alcohol intoxication
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Disturbances in suggestibility
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complaint and uncritical response to an idea or influence
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Folie a deux
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communicated emotional illness between two or three persons
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Hypnosis
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artifically induced modification of consciousness characterized by a heightened suggestibility
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Emotion
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complex feeling state with psychic, somatic and behavioral components that is related to affect and mood
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Affect
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observed expression of emotion, possibly inconsistent with patient's description of emotion
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Appropriate affect
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condition in which the emotional tone is in harmony with the accompanying idea, thought, or speech; also further described as broad or full affect in which a full range of emotions is appropriately expressed
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Inappropriate affect
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disharmony between the emotional feeling tone and the idea, thought, or speech accompanying it
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Blunted affect
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disturbance in affect manifested by a severe reduction in the intensity of externalized feeling tone
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Restricted or constricted affect
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reduction in intensity of feeling tone less severe than blunted affect but clearly reduced
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Flat affect
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absence or near absence of any signs of affective expression; voice monotonous; face immobile
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Labile affect
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rapid and abrupt changes in emotional feeling tone, unrelated to external stimuli
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Mood
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a pervasive and sustained emotion subjectively experienced and reported by a patient and observed by others; examples include depression, elation, and anger
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Dysphoric mood
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an unpleasant mood
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Euthymic mood
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normal range of mood, implying absence of depressed or elevated mood
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Expansive mood
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a person's expression of feelings without restraint, frequently with an overestimation of their significance or importance
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Irritable mood
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a state in which a person is easily annoyed and provoked to anger
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Mood swings (labile mood)
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oscillations between euohoria and depression or anxiety
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Elevated mood
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air of confidence and enjoyment; a mood more cheerful than usual
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Euphoria
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intense elation with feelings of grandeur
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Ecstasy
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feeling of intense rapture
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Depression
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psychopathological feeling of sadness
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Anhedonia
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loss of interest in and withdrawal from all regular and pleasureable activites, often associated with depression
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Grief or morning (bereavement)
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sadness appropriate to a real loss;
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Alexithymia
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a person's inability to describe or difficulty in describing or being aware of emotions or mood
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Suicidal ideation
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thoughts or act of taking one's own life
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Elation
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feelings of joy, euphoria, triumph, intense self-satisfaction, or optimism
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hypomania
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mood abnormality with the qualitative characteristics of mania, but somewhat less intense
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Mania
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mood state characterized by elation, agitation, hyperactivity, hypersexuality, and accelerated thinking and speaking
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Melancholia
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severe depressive state; used in the term involutional melancholia both descriptively and also in reference to a distinct diagnostic entity
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La belle indifference
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inappropriate attitude of calm or lack of concern about one's disability
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Anxiety
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feeling of apprehension caused by anticipation of danger, which may be internal or external
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Free-floating anxiety
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anxiety, pervasive, unfocused fear not attached to any idea
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Agitation
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severe anxiety associated with motor restlessness; similar to irritability characteristic by excessive excitability with easily triggered anger or annoyance
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Fear
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anxiety caused by consciously recognized and realistic danger
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Panic
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acute, episodic, intense attack orf anxiety associated with overwhloeming feelings of dread and autonomic discharge
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Apathy
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dulled emotional tone associated with detachment or indifference
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Ambivalence
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coexistence of two opposing impulses toward the same person at the same time.
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Abreaction
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emotional release or dischagre ag=fter recalling a painful experience
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Shame
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failure to live up to self-expectations
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guilt
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emotion secondary to doing what is perceived as wrong
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Impulse control
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ability to resist an impulse, drive, or tempation to perform an action
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Ineffability
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ecstatic state in which person states it is indescribable, inexpressable, and impossible to convery to another person
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Acathexis
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lack of feeling associated with an ordinarily emotionally charged subject; in cathexis the feeling is connected
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Decathexis
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detaching emotions from thoughts, ideas, or persons
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Anorexia
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loss of or decrease in appetitie
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Hyperphagia
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increase in intake of food
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Insomnia
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lack of or diminished ability to sleep
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Hypersomnia
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excessive sleeping
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Diurnal variation
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mood is regularly worst in the morning, immediately after awakening, and improves as the day progresses
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Diminished libido
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decreased sexual interest, drive, and performance (increased libido is often associated with manic states)
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Constipation
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inability to defecate or difficulty in defecating
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Fatigue
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a feeling of weariness, sleepiness, or innability following a period of mental or bodily activity
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Pica
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craving and eating of nonfood substances, such as paint and clay
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Pseudocyesis
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rare condition in which a patient has the signs and symptoms of pregnancy, such as abdominal distention, breast enlargement, pigmentation, cessation of menses, and morning sickness
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Bulemia
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insatiable hunger and voracious eating; seen in bulemia nervosa and atypical depression
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Adynamia
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weakness and fatigability
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Echopraxia
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pathological imitation of movements of one person by another
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Motor behavior (conation)
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aspect of psyche that includes impulses, motivations, wishes, drives, instincts and cravings, as expressed by a person's behavior or motor activity
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Catatonia and postural abnormalities
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seen in catatonic schizophrenia and some cases of brain diseases, such as encephalitis
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Catalepsy
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generla term for an immobile psotition that is constantly maintained
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Catatonic excitement
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agitated, purposeless motor activity, uninfluenced by external stimuli
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Catatonic stupor
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markedly slowed motor activity, often to a point of immobility and seeming unawareness of surroundings
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Catatonic rigidity
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voluntary assumption of a rigid posture, held against all efforts to be moved
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Catatonic posturing
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voluntary assumption of an inappropriate or bizarre posture, generally maintained for long periods
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Cerea flexibilitas (waxy flexibility)
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condition of a person who can be molded into a position that is then manintained; when an examiner moves the person's limb, the limb feels as if it were made of wax
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Akinesia
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lack of physical movement, as in the extreme immobility of catatonic schizophrenia; may also occur as an extrapyramidal side effect of antipsychotic medication
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Negativism
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motiveless resistance to all attempts to be moved or to all instructions
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cataplexy
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temporary loss of muscle tone and weakness precipitated by a variety of emotional states
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Stereotypy
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repetitive fixed pattern of physical action or speech
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Mannersim
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ingrained, habitual involuntary movement
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Automatism
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automatic performance of an act or acts generally representative of unconscious symbolic activity
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Command automatism (automatic obedience)
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automatic following of suggestions
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Mutism
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voiceless without structural abnormalities
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Cerea flexibilitas (waxy flexibility)
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condition of a person who can be molded into a position that is then manintained; when an examiner moves the person's limb, the limb feels as if it were made of wax
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Pyschomotor agitation
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excessive motor and cognitive overreactivity, usually nonproductive and in response to inner tension
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Akinesia
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lack of physical movement, as in the extreme immobility of catatonic schizophrenia; may also occur as an extrapyramidal side effect of antipsychotic medication
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Negativism
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motiveless resistance to all attempts to be moved or to all instructions
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cataplexy
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temporary loss of muscle tone and weakness precipitated by a variety of emotional states
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Stereotypy
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repetitive fixed pattern of physical action or speech
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Mannersim
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ingrained, habitual involuntary movement
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Automatism
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automatic performance of an act or acts generally representative of unconscious symbolic activity
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Command automatism (automatic obedience)
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automatic following of suggestions
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Mutism
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voiceless without structural abnormalities
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Pyschomotor agitation
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excessive motor and cognitive overreactivity, usually nonproductive and in response to inner tension
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Hyperactivity (hyperkinesia)
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restless, aggressive, destructive activity, usually nonproductive and in response to inner tension
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Tic
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involuntary, spasmodic motor movement
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Sleepwalking (somnambulism)
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motor activity during sleep
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Hyperactivity (hyperkinesia)
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restless, aggressive, destructive activity, usually nonproductive and in response to inner tension
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Akathisia
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subjective feeling of muscular tension secondary to antipsychotic or other medication which can cause restlessness, pacing, repeated sitting and standing; can't be mistaken for psychotic agitation
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Tic
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involuntary, spasmodic motor movement
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Sleepwalking (somnambulism)
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motor activity during sleep
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Compulsion
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uncontrollable impulse to perform an act repetitively
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Dipsomania
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compulsion to drink alcohol
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Akathisia
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subjective feeling of muscular tension secondary to antipsychotic or other medication which can cause restlessness, pacing, repeated sitting and standing; can't be mistaken for psychotic agitation
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Compulsion
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uncontrollable impulse to perform an act repetitively
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Kleptomania
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compulsion to steal
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Dipsomania
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compulsion to drink alcohol
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Nymphomania
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excessive and compulsive need for coitus in a woman
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Kleptomania
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compulsion to steal
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Satyriasis
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excessive and compulsive need for coitus in a man
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Nymphomania
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excessive and compulsive need for coitus in a woman
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Trichotillomania
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compulsion to pull out hair
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Satyriasis
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excessive and compulsive need for coitus in a man
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Trichotillomania
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compulsion to pull out hair
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Ritual
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automatic activity, compulsive in nature, anxiety reducing in origin
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Ataxia
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failure of muscle corrdination, irregularity of muscle action
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Polyphagia
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pathological overeating
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Ritual
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automatic activity, compulsive in nature, anxiety reducing in origin
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Tremor
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rhythmical alteration in movement, which is usually faster than one beat a second; typically, tremors decrease during periods of relaxation and sleep and increase during periods of anger and increased tension
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Ataxia
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failure of muscle corrdination, irregularity of muscle action
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Floccillation
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aimless picking usually at clothing or bedclothes, commonly seen in delirium
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Polyphagia
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pathological overeating
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Hypactivity (hypokinesis)
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decreased motor and cognitive activity, as in psychomotr retardation; visible slowing of thought, speech, and movements
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Tremor
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rhythmical alteration in movement, which is usually faster than one beat a second; typically, tremors decrease during periods of relaxation and sleep and increase during periods of anger and increased tension
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Floccillation
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aimless picking usually at clothing or bedclothes, commonly seen in delirium
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Mimicry
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simple, imitative motor activity of childhood
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Hypactivity (hypokinesis)
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decreased motor and cognitive activity, as in psychomotr retardation; visible slowing of thought, speech, and movements
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Aggression
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forceful, goal-directed action that may be verbal or physical; the motor counterpart of the affects of rage, anger, or hostility
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Acting out
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direct expression of an unconscious wish or impulse in action; living out unconscious fantasy impulsivity in behavior
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Mimicry
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simple, imitative motor activity of childhood
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Abulia
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reduced impulse to act and think, associated with indifference about consequences of action, a result of neurological deficit
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Aggression
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forceful, goal-directed action that may be verbal or physical; the motor counterpart of the affects of rage, anger, or hostility
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Acting out
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direct expression of an unconscious wish or impulse in action; living out unconscious fantasy impulsivity in behavior
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Abulia
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reduced impulse to act and think, associated with indifference about consequences of action, a result of neurological deficit
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Anergia
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lack of energy
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Astasia abasia
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the inability to stand or walk in a normal manner, even though normal leg movements can be performed in a sitting or lying down position. The gait is bizarre and is not suggestive of a specific organixc lesion; seen in conversion disorder
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Coprophagia
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eating of filth or feces
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Dyskinesia
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difficulty in performing voluntary movements, as in extrapyramidal disorders
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Muscle rigidity
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state in which the muscles remain immovable; in in schizophrenia
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Twirling
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a sign present in autistic children who continually rotate in the direction in which their head is turned
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Bradykinesia
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slowness of motor activity with a decrease in normal sponatneous movement
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Chorea
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random and involuntary quick, jerky, purposeless movements
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Convulsion
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an involuntary, violent muscular contraction or spasm
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Clonic convulsion
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convulsion in which the muscles alternately contract and relax
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Tonic convulsion
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convulsion in which the muscle contraction is sustained
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Seizure
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an attack or sudden onset of certain symptoms, such as convulsions, loss of consciousness, and psychic or sensory disturbances; seen in epilepsy and can be substance-induced
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Generalized tonic-clonic seizure
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generalized onset of tonic-clonic movements of the limbs, tongue biting, and incontinence followed by slow, gradual recovery of consciousness and cognition; also called grans mal seizure and psychomotor seizure
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Simple partial seizure
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localized ictal onset of seizure without alterations in consciousness
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Complex partial seizure
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localized ictal onset of seizure with alterations in consciosness
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Dystonia
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slow, sustained contractions of the trunk or limbs; seen in medication-induced dystonia
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Aminia
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inability to make gestures or to comprehend those made by others
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Thinking
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goal-direced flow of ideas, symbols, and associations initiated by a problem or task and leading toward a reality-oriented conclusion; when a logical sequence occurs, thinking is normal
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Abstract thinking
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ability to grasp the essentials of a whole, to break a whole into its parts, and to discern common properties.
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Mental disorder
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clinically significant behavior or psychological syndrome associated with distress or disability, not just an expected response to a particular event or limited to relations between a person and society
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Psychosis
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inability to distinguish reality from fantasy; impaired reality testing with the creation of a new reality
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Neurosis
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mental disorder in which reality testing is intact; behavior may not violate gross social norms, but is relatively enduring or recurrent without treatment
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Reality testing
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objective evaluation and judgement of the world outside the self
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Formal thought disorder
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disturbance in the form of thought rather than the content of thought; thinking characterized by loosened associations, neoglisms, and ilogical constructs; thought process is disordered, and the person is defined as psychotic
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Illogical thinking
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thinking containing erroneous conclusions or internal contradictions; psychopathological only when it is marked and when not caused by cultural values or intellectual deficit
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Dereism
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mental activity not concordant with logic or experience
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Austistic thinking
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preoccupation with inner, private world; term used somewhat synonymously with dereism
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Magical thinking
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a form of dereistic thought; thinking similar to that of the preoperational phase in children (Jean Piaget), in which thoughts, words, or actions assume power (for example, to cause or prevent events)
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Primary Process thinking
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general tem for thinking that is dereistic, illogical, majical; normally found in dreams, abnormally in psychosis
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Emotional insight
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deep level of understanding or awareness that is likely to lead to positive changes in personality and behavior
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Neologism
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new word created by a patient, often by combining syllables of other words, for idiosyncratic psychological reasons
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Word salad
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incoherent mixture of words and phrases
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Circumstantiality
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indirect speech that is delayed in reaching the point but eventually gets from original point to desired goal; characterized by an overinclusion of details and parenthetical remarks
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Tangentiality
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inability to have goal-directed associations of thought; speaker never gets from desired point to desired goal
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Incoherence
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thought that generally is not understanable; running together of thoughts or words with no logical or grammatical connection, resulting in disorganization
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Perseveration
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persisting response to a previous stimulus after a new stimulus has been presented; often associated with cognitive disorders
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Verbigeration
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meaningless repition with specific words or phrases
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Echolalia
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psychopathological repeating of words or phrases of one person by another; tends to be repetitive and persistent; may be spoken with mocking or staccato intonation
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Condensation
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fusion of various concepts into one
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Irrelevent answer
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answer that is not in harmony with the question asked (person appears to ignore or not attend to the question
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Loosening of associations
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flow of thought in which ideas shift from one subject to another in a completely unrelated way; when severe, speech may be incoherent
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Derailment
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gradual or sudden deviation in train of thought without blocking; sometimes used synonymously with loosening of associations
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Flight of ideas
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rapid, continuous verbalizations or plays on words produce constant shifting from one idea to another; ideas tend to be connected, and in the less severe form a listener may be able to follow them
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Clang association
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association of words similar in sound not in meaning; words have no logical connection; may include rhyming and punning
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Blocking (thought deprivation)
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abrupt interruption in train of thinking before a thought or idea is finished; after a brief pause, person indicates no recall of what was being said or was going to be said
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Glossolalia (speaking in tongues) (cryptolalia)
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expression of a revelatory message thoguh unintelligible words; not considered a disturbance in though if assocated with practices of specific Pentecostal religions
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Poverty of content
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thought that gives little information because of vagueness, empty repetitions, or obscure phrases
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Overvalued idea
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unreasonable, sustained false belief maintained less firmly than a delusion
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Delusion
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false belief, based on incorrect inference about external reality, not consistent with patient's intelligence and cultural background; cannot be corrected by reasoning
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Bizarre delusion
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an absurd, totally implausible, strange false belief (example, invaders from space have implanted electrodes in a person's brain)
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Systematized delusion
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false belief or beliefs united by a single event or theme (for example, a person is being persecuted by the CIA, the FBI or the Mafia
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Mood-congruent delusion
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delusion with content that has no association to mood or is mood neutral (for example, a depressed patient has delusions of thought control or thought broadcasting)
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Nihilistic delusion
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false feeling that self, others, or the world is nonexistent or coming to an end)
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Delusion of poverty
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a person's false belief that he or she is bereft or will be deprived of all material possessions
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Somatic delusion
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false belief involving functioning of the body (for example, belief that the brain is rotting or melting)
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Paranoid delusions
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include persecutory delusions and delusions of reference, control, and grandeur(distinguished from paranoid ideation, which is suspiciousness of less than delusional proportions).
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Delusion of persecution
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a person's false belief that he or she is being harassed, cheated, or persecuted; often found in litigious patients who have a pathological tendency to take legal action because of imagined mistreatment
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Delusion of grandeur
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a person's exaggerated conception of his or her importance, power, or identity
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Delusion of reference
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a person's false belief that the behavior of others refers to himself or herself; that events, objects, or other people have a particular and unusual significance, usually of a negative nature; derived from idea of reference, in which a person falsely feels that others are talking about him or her
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Delusion of self-accusation
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false feeling of remorse and guilt
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Delusion of control
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false feeling that a person's will, thoughts, or feelings are being controlled by external forces
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Thought withdrawal
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delusion that thoughts are being removed from a person's mind by other people or forces
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Thought insertion
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a delusion that thoguths are being implanted in a person's mind by other people or forces
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Thought broadcasting
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delusion that person's thoughts can be heard by others, as thought they were being broadcast over the air
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Thought control
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delusion that a person's thoughts are being controlled by other people or forces
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Delusion of infidelity (delusional jealousy)
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false belief derived from pathological jealousy about a person's lover being unfaithful
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Erotomania (Clerambault-Kandinsky complex)
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delusional belief, more common in women than in men, that someone is deeply in love with them
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Pseudologia phantastica
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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; associated with Munchausen syndrome, repeated feigning of illness
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Trend or preoccupation of thought
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centering of thought content on a particular idea, associated with a stong affective tone, such as a paranoid trend or a suicidal or homicidal preoccupation
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Egomania
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pathological self-preoccupation
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Monomania
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preoccupation with a single object
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Monomania
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preoccupation with a single object
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Hypochondria
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exaggerated concern about health that is based not on real organic pathology but, rather, on unrealistic interpretations of physical signs or sensation as abnormal
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Obsession
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pathological persistence of an irresistible thought or feeling that cannot be eliminated from consciousness by logical effort; associated with anxiety
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Compulsion
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pathological need to act on an impulse that, if resisted, produces anxiety; repetitive bahvior in response to an obsession or perfomed according to certain rules, with no true end in itself other than to prevent something from occurring in the future
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Coprolalia
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compulsive utterance of obscene words
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Erythrophobia
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dread of red (refers to a fear of blushing)
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Panphobia
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dread of everything
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Claustrophobia
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dread of closed places
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Xenophobia
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dread of strangers
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Zoophobia
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dread of animals
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Needle phobia
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the persistent, intense, pathological fear of recieving an injection
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Noesis
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a revelation in which immense illumination occurs in association with a sense that a person has been chosen to lead and command
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Unio mystica
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an oceanic feeling of mystic unity with an infinite power; not considered a disturbance in thought content if congruent with person's religious or cultural milieu
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Speech
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ideas, thoughts, feelings as expressed through language; communication through the use of words and language
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Pressure of speech
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rapid speech that is increased in amount and difficult to interrupt
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Volubility (logorrhea)
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copious, coherent, logical speech
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Poverty of speech
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restriction in the amount of speech used; replies may be monosyllabic
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nonspontaneous speech
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verbal responses given only when asked or spoken to directly; no self-initiation of speech
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Poverty of content of speech
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speech that is adequate in amount but conveys little information because of vagueness, emptiness, or stereotyped phrases
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Dysprosody (prosody)
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loss of normal speech melody
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Dysarthria
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difficulty in articulation, not in word finding or in grammer
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Excessively loud or soft speech
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loss of modulation of normal speech volume; may reflect a variety of pathological conditions ranging from psychosis to depression to deafness
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Stuttering
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frequent repitition or prolongation of a sound or syllable, leading to markedly impaired speech fluency
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Cluttering
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erratic and dysrhythmic speech, consisting of rapid and jerky spurts
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Aculalia
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nonsense speech associated with marked impairment of conprehension
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Bradylalia
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abnormally slow speech
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Dysphonia
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difficulty or pain in speaking
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Aphasic disturbances
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disturbances in language output
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Motor aphashia (Broca's, nonfluent, and expressive aphasia)
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disturbance of speech caused by a cognitive disorder in which undertsaning remains but the ability to speak is grossly impaired; halting, laborious, and inaccurate speech
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sensory aphasia (Wernicke's, fluent and receptive aphasia)
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organic loss of the ability to comprehend the meaning of words; fluid and spontaneous but incoherent and nonsensical speech
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Nominal aphasia (anomia, amnesic aphasia)
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difficulty in finding correct name for an object
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Syntactical aphasia
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inability to arrange words in proper sequence
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Jargon aphasia
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words produced are totally neologistic; nonsense words repeated with various intonations and inflections
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Global aphasia
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combination of a grossly nonfluent aphasia and a severe fluent aphasia
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Alogia
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inability to speak because of a mental deficiency or an episode of dementia
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Coprophasia
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involuntary use of vulgar or obscene language; seen in Tourette's dosorder and some cases of schizophrenia
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Perception
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process of transferring physical stimulus into psychological information; mental process by which sensory stimuli are brought to awareness
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Hallucination
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false sensory perception not associated with real external stimuli; there may or may not be a delusional interpretation of the hallucinatory experience
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Hypnagogic hallucination
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false sensory perception occurring while falling asleep; generally considered a nonpatholical phenomenon
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Hypnopompic hallucination
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false perception occurring while awakening from sleep; generally considered nonpathological
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Auditory hallucination
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false perception of sound, usually voices but also other noises, such as music; most common hallucination in psychiatric disorders
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Visual hallucination
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false perception involving sight consisting of both formed images (for example, people) and unformed images (for example, flashes of light); most common in medically determined disorders
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Olfactory hallucination
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false perception of smell; most common in medical disorders
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Gustatory hallucination
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false perception of taste, such as unpleasant taste, caused by an uncinate seizure; most common in medical disorders
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Tactile (haptic) hallucination
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false perception of touch or surface sensation, as from an amputaed limb (phantom limb); craling sensation on or under the skin (formication).
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Somatic hallucination (cenesthesic hallucination)
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false sensation of things occurring in or to the body, most often visceral in origin
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Lilliputian hallucination (micropsia)
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false perception in which objects are seen as reduced in size
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Mood-congruent hallucination
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hallucination in which the content is consistent with either a depressed or a manic mood (for example, a depressed patient hears voices saying that the patient is a bad person; a manic patient hears voices saying that the patient is of inflated worth, power, and knowledge).
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Mood-incongruent hallucination
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hallucination in which the content is not consistent with either depressed or manic mood(for example, in depression, hallucinations not involving such as themes as guilt, deserved punishment, or inadequacy; in mania, hallucinations not involving such themes as inflated worth and power
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Hallucinosis
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hallucinations, most often auditory, that are associated with chronic alcohol abuse and occur within a clear sensorium, as opposed to delirium tremens, hallucinations that occur in the context of a clouded sensorium
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Synethesia
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sensation or hallucination caused by another sensation (for example, anauditory sensation accomanied by or triggering a visual sensation; a sound experienced as being seen or a visual event experienced as being heard)
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trailing phenomenon
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perceptual abnormality associated with hallucinaogenic drugs in which moving objects are seen as a series of discrete and discontinuous images
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Command hallucination
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false perception of orders that a person may feel obliged to obey or unable to resist
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Illusion
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misperception or misinterpretation of real external sensory stimuli
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Agnosia
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an inability to recognize and interpret the significance of sensory impressions
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Anosognia (ignorance of illness)
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a person's ability to recognize a neurological deficit as occurring to himself or herself
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Somatopagnosia (ignorance of the body) (autotopagnosia)
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a person's inability to recognize a body part as his or her own
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Visual agnosia
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inability to recognize objects or persons
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Astereognosis
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inability to recognize objects by touch
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Prosopagnosia
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inability to recognize faces
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Apraxia
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inability to carry out specific tasks
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Simultagnosia
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inability to comprehend more than one element of a visual scene at a time or to integrate the parts into a whole
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Adiadochokinesia
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inability to perform rapid alternating movements
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Aura
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warning sensations such as automatisms, fullness in the stomach, blushing, and changes in respiration, cognitive sensations, and affective states usually experienced before seizure, a sensory prodrome that precedes a classic migraine headache
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Disturbances associated with conversion and dissociative phenomena
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somatization of repressed material or the development of physical symptoms and distortions involving the voluntary muscles or special sense organs; not under voluntary control and not explained by any physical disorder
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Hysterical anesthesia
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loss of sensory modalities resulting from emotional conflicts
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Macropsia
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state in which objects seen larger than they are
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Micropsia
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state in which objects seem smaller than they are (both macropsia and micropsia can also be associated with clear organic conditions, such as complex seizures)
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Depersonalization
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a person's subjective sense of being unreal, strange, or unfamiliar
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Derealization
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a subjective sense that the environment is strange or unreal; a feeling of changed reality
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Amnesia
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partial or total inability to recall past experiences; may be organic or emotional in origin
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Anterograde
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amnesia for events occurring before a point in time
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Retrograde
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amnesia for events occurring before a point in time
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Paramnesia
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falsification of memory by distortion of recall
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Fausse reconnaissance
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false recognition
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Deja vu
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illusion of visual recognition in which a new situation is incorrectly regarded as a repitition of a previous memory
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Deja extende
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illusion of auditory recognition
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Deja pense
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illusion that a new thouth is recognized as a thought previously felt or expressed
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jamais vu
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false feeling of unfamiliarity with a real situation that a person has experienced
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false memory
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a person's recollection and belief by the patient of an event that did not actually occur
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Hypermnesia
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exaggerated degree of retension and recall
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Eidetic image
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visual memory of almost hallucinatory vividness
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Screen memory
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a consciously tolerable memory covering for a painful memory
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Repression
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a defense mechanism characterized by unconscious forgetting of unacceptable ideas or impulses
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lethologica
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temporary inability to remember a name or a proper noun
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Blackout
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amnesia experienced by alcoholics about behavior during drinking bouts; usually indicates that reversible brain damage has occurred
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Multiple personality (dissociative identity disorder)
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one person who appears at different times to be two or more entirely different personalities and characters
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Dissociation
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unconscious defense mechanism involving the segregation of any group of mental or behavioral processes from the rest of the person's psychic activity; ,ay entail the separation of an idea from its accompanying emotional tone, as seen in dissociative and conversion disorders
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confabulation
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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; most often associated with organic pathology
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Immediate memory
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reproduction or recall of perceived material within seconds to minutes
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Recent memory
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recall of events over the past few days
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Recent past memory
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recall of events over the past few months
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remote memory
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recall of events in distant past
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Alexia
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loss of a previously possessed reading facility, not explained by defective visual acuity
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Dysgraphia (agraphia)
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loss of ability to write in cursive style; loss of word structure
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Rabbit syndrome
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tremor affecting the lips and perioral muscles; most commonly considered part of the syndrome of neuroleptic-induced parkinsonism
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Parkinsonian features
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slowed thinking, worsening of negative symptoms, excessive salivation, drooling, shuffling gait, micrographia, seborrhea, and dysphoria
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Cogwheel rigidity
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occurs around the axis of the wrist and encounters a regular, rhythmycal, ratchet-like resistance
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3 steps in treating parkinsonian symptoms
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reduce the dosage of the neuroleptic, instituting antiextrapyramidal system medications, and possible changing the neuroleptic
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Stimulation of alpha2-adrenergic receptors
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reduces the firing rate of noradrenergic, neurons and reduces plasma concentration of norepinephrine used in ADHA, opioid withdrawal. Tourette's disorder, and suppression of agitation in PTSD
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Clonidine and guanfacine are effective in reducing the autonomic symptoms of rapid opioid withdrawal (e.g. htn, tachycardia, dilated, pupils, sweating, lacrimation, and rhinorrhea)
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Clonidine and guanfacine can reduce symptoms of alcohol and benzodiazepine withdrawal, including anxiety, diarrhea, and tachycardia. Also reduce craving, anxiety, and irritability symptoms of nicotine
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