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14 Cards in this Set
- Front
- Back
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what is the difference btw a bizarre and non-bizarre delusion?
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Delusion-erroneous beliefs that usually involve a misinterpretation of perceptions or experiences
Bizarre-clearly implausible, not understandable, and not derived from ordinary life experiences (guy thinks someone took all his organs while he slept even though he has no scars) Non bizarre- involve situations that can conceivably occur in real life |
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what is the difference btw positive and negative symptoms?
examples? |
Positive=Present and shouldn’t be
Delusions Hallucinations Disorganized Speech Disorganized Behavior Negative= Missing and should be there Flattened Affect Alogia-impoverished speech Avolition- can’t initiate or persist in goal-directed activities Anhedonia- loss of interest or pleasure |
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in Schizophrenia, you need to have 2 or more of the following symptoms for at least 1 month...what are these sx? (5)
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Delusions
Hallucinations Disorganized speech Disorganized or catatonic behavior Negative symptoms (e.g., flat affect, avolition) |
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Delusions
Hallucinations Disorganized speech Disorganized or catatonic behavior Negative symptoms (e.g., flat affect, avolition) describes what kind of Schizophrenia? |
Paranoid
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Disorganized Speech
Disorganized Behavior Flat/Inappropriate Affect Active, but aimless Little contact w/reality Does not meet criteria for Catatonic type. describes what kind of Schizophrenia? |
Disorganized
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Motoric immobility
Excessive motor activity Extreme negativism or mutism Peculiarities of voluntary movement as evidenced by posturing Echolalia or Echopraxia describes what kind of Schizophrenia? |
Catatonic
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What is one of the worst prognostic factors in Schizophrenia?
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Assaultiveness
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Acute onset, later age of onset, mood symptoms present, and no psychiatric history are what type of prognostic factors for Schizophrenia?
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Good prognostic factor
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How is Schizophreniform different from Schizophrenia?
***TEST |
Schizophreniform:
Essential features are identical to those of Schizophrenia except for two differences: Total duration of illness is at least 1 month but less than 6 months. Impaired social or occupational functioning is not required |
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What is the key to Schizoaffective disorder
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An uninterrupted period of illness during which, at some time, there is either a Major Depressive Episode, a Manic Episode, or a Mixed Episode concurrent with symptoms that meet criteria A for Schizophrenia
**During the same period of illness there have been delusions or hallucinations for at least 2 weeks in the absence of prominent mood symptoms.** IN ESSENCE: wild changes in mood and 2 week period visual disturbances with no mood fluctuation |
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What is a delusional disorder?
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Nonbizarre delusions-1 month
Criterion A for Schizophrenia never been met Functioning is not markedly impaired Behavior is not obviously odd or bizarre If mood episodes have occurred concurrently with delusions, their total duration has been brief relative to the duration of the delusional periods. example: Erotomanic- think someone of high stature in love with you Grandiose: you have a connection with god |
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What is Shared Psychotic Disorder (Folie à Deux)
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A delusion develops in an individual in the context of a close relationship with another person, who has an already-established delusion.
The delusion is similar in content to that of the person who already has the established delusion. seen in dependent child parent relationship |
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Prominent hallucinations or delusions
Evidence (hx, physical exam, lab findings) that the disturbance is the direct physiological consequence of a GMC. Not better accounted for by another mental disorder. Does not occur exclusively during a delirium. |
Psychotic Disorder Due to a General Medical Condition
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Substance-Induced Psychotic Disorder
define it (pretty simple) |
Prominent hallucinations or delusions. Note: Do not include hallucinations if the person has insight that they are substance induced.
There is evidence (hx, physical exam, lab findings) that The symptoms developed during, or within a month of, Substance Intoxication or Withdrawal Medication use is etiologically related to the disturbance Not better accounted for by a psychotic disorder that is not substance induced. Does not occur exclusively during a delirium. |
