3.7 Flashcards
what is the most common substance used in patients with schizophrenia
nicotine
positive symptoms in schizophrenia are thought to be due to what pathway
mesolimbic pathway
negative symptoms in schizophrenia are thought to be due to what pathway
mesocortical pathway
how long should symptoms be present in schizophrenia
6 months
what are the most common types of hallucinations in schizophrenia
auditory
what will be see on CT scan in schizophrenia
ventricular enlargement of lateral and third ventricles
decreased cortical volume
what personality disorders are in cluster A
schizoid personality disorder
schizotypal personality disorder
paranoid personality disorder
lifelong pattern of voluntary social withdrawal and anhedonic introversion
schizoid personality disorder
in what population does schizoid personality disorder most commonly occur
men; usually more severe in men
people with schizoid personality disorder and paranoid personality disorder may find therapy
threatening
Schizoid personality disorder mnemonic
SIR SAFE
Solitary lifestyle
Indifferent to praise or criticism
Relationships of no interest
Sexual experiences not of interest
Activities not enjoyed
Friends lacking
Emotionally cold and detached
characterized by odd, eccentric, bizarre behavior and peculiar thought patterns suggestive of schizophrenia without psychosis (no delusions/hallucinations)
schizotypal personality disorder
some people with what cluster A disorder may develop schizophrenia
schizotypal personality disorder
schizotype personality disorder mnemonic
UFO AIDER
Unusual perceptions
Friendless except for family
Odd beliefs, thinking, speech
Affect - inappropriate, constricted
Ideas of reference
Doubts others - suspicious
Eccentric - appearance/behavior
Reluctant in social situations, anxious
pervasive pattern of excessive distrust and suspiciousness of others, and often interpret their motives as malevolent
paranoid personality disorder
what is the hallmark feature of paranoid personality disorder
generalized distrust or suspiciousness
paranoid personality disorder mnemonic
GET FACT
Grudges held for long periods
Exploitation expected
Trustworthiness of others doubted
Fidelity of sexual partner questioned
Attacks on character are perceived
Confides in others rarely, if at all
Threatening meanings read into events
what personality disorders are cluster B disorders
antisocial personality disorder
borderline personality disorder
histrionic personality disorder
narcissistic personality disorder
pervasive socially irresponsible, exploitative and guiltless behaviors that deviate sharply form the norms, values, and laws of society, often violating the rights of others
antisocial personality disorder
in what population is antisocial personality disorder most common
males
in what disorder are patients impulsive, deceitful, and often violate the law without regard (may commit criminal acts)
antisocial personality disorder
many people with antisocial personality disorder have a history of
conduct disorder
how old do you have to be to be diagnosed with antisocial personality disorder
at least 18
antisocial personality disorder mnemonic
CORRUPTS
conduct disorder by 15 years and must be 18 years when diagnosed
Obligations not honored
Reckless and disregard of others safety
Remorselessness
Use others and Untruthful
Planning not meditated
Temper irritable and aggressive
Society laws violated/Social norms disregarded
disorder characterized by instability of interpersonal relationships, self images, and emotions, hypersensitivity to rejection, as well as impulsivity, causing significant impairment or subjective distress
borderline personality disorder
hallmark features of borderline personality disorder
instability of interpersonal relationships, self-image, moods, and behavior as well as impulsivity
in what disorder do we see the concept of “splitting”
borderline personality disorder
what is splitting
black and white thinking - tend to view others as good or bad
B’s in Borderline Personality Disorder
Bat - mood SWINGS
Black and white thinking (splitting)
Blown up reaction
Broken - unstable relationships and fear of abandonment (breaking up)
Bad behavior - impulsivity in self damaging behaviors
disorder characterized by being overly emotional, dramatic, seductive, and attention-seeking
histrionic personality disorder
in what population is histrionic personality disorder most commonly diagnosed
females
in what disorder do patients often exhibit childlike regressive behaviors (temper tantrum’s, tearful outburst, dramatic accusations when upset)
histrionic personality disorder