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14 Cards in this Set

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what is the difference btw a bizarre and non-bizarre delusion?
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
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
in Schizophrenia, you need to have 2 or more of the following symptoms for at least 1 month...what are these sx? (5)
Delusions
Hallucinations
Disorganized speech
Disorganized or catatonic behavior
Negative symptoms (e.g., flat affect, avolition)
Delusions
Hallucinations
Disorganized speech
Disorganized or catatonic behavior
Negative symptoms (e.g., flat affect, avolition)

describes what kind of Schizophrenia?
Paranoid
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
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
What is one of the worst prognostic factors in Schizophrenia?
Assaultiveness
Acute onset, later age of onset, mood symptoms present, and no psychiatric history are what type of prognostic factors for Schizophrenia?
Good prognostic factor
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
What is the key to Schizoaffective disorder
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
What is a delusional disorder?
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
What is Shared Psychotic Disorder (Folie à Deux)
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
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
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.