723 Exam 2 Flashcards
6 types of delusions PRE-RN’s (not including bizarre)
Persecutory
Referential
Erotomantic
Religious
Nihilistic
Somatic
3 types of bizarre delusions (DTT)
Delusions of control (controlled by outside force)
Thought of w/drawl (thoughts removed)
Thought of Insertion (thoughts implanted into mind)
State just prior to falling asleep is called?
hypnagogic
State just after waking is called?
hypnopompic
Positive symptoms are an _____ or _____ of normal functions and include what four s/s? (HDDD)
hallucinations
delusions
disorganized thinking
disorganized behavior
Gustatory hallucinations example.
Tasting/believing food has been poisoned
What is defined as a marked decrease in reactivity to the environment.
catatonia
4 types of catatonia (COMN.. come on, really)
Catatonic excitement
Other (rigid, bizarre postures, repeated movements, starting, grimacing, echolalia)
Mutism and Stupor, complete lack verbal/motor response
Negativism resistant to instructions
Negative symptoms reflect a __________ or ______ of normal functions and are harder to assess and _______ .
loss or decrease; treat
Negative s/s are due to decreased DA in the _________________ pathway at the _____ receptors.
mesocortical pathway; D1
What are the negative symptoms (5-A’s)
Anhedonia
Affect that is flat
Alogia (poverty of speech)
Avolition (apathy) w/o motivation to initiate activities
Asociality/Attention that is poor
To dx psychosis, one of these three must be present.
delusions, hallucinations, disorganized thinking (speech)
What is the time frame to dx “Brief Psychotic DO”? Does it come with a prodrome? Are they at risk for suicide? What happens when the episode ends?
1 day but less than a month (w/a return to premorbid functioning); no; YES; they go back to prior functioning
Specifiers for “Brief Psychotic DO”?
w/marked stressors
w/o marked stressors
w/peripartum onset (during pregnancy or w/in first 4 wks)
w/catatonia
With psychotic symptoms what should be ordered to r/o medical dx?
CT/MRI, lab work
What condition has a sudden onset, benign course which is associated with mood changes, clouding of consciousness and lasts 1-6 months (including prodromal, active and residual phases), after returning to baseline functioning? (basically same as schizophrenia w/exception to time frame)
Schizophreniform DO
(same as schizophrenia with the exception of time with s/s)
In schizophreniform DO have been no or present for only the minority of the of the active-phase symptoms or residual periods of illness? (2)
major depressive; manic
Specifiers for schizophreniform DO? (3)
w/good prognostic features
w/catatonia
w/o good prognostic features
What are the “good prognostic features” of schizophreniform DO? How many do you need to use this specifier?
Onset of psychotic s/s w/in 4 weeks of the first noticeable change in usual behavior or functioning
Confusion or perplexity
Good premorbid social and occupational functioning
Absence of blunted or flat affect
2
How long much symptoms be present to dx schizophrenia? There must be one of these three present to dx? And what are the other two s/s? How many do you need total for dx (assuming poor functioning and everything else ruled out)?
at least 6 months; delusions, hallucinations, disorganized speech; grossly disorganized/catatonic behavior, negative symptoms; 2 or more
Therapy for paranoid personality DO?
individual psychotherapy (CBT, psychodynamic, reality testing)
Therapy for schizotypal personality DO?
individual psychotherapy (CBT)
Therapy for paranoid personality DO?
group therapy (individual difficult - if did than metacognitive interpersonal therapy)
Therapy for avoidant personality DO?
individual and group
Therapy for histrionic personality DO? What is the focus?
individual and group; clarifying feelings
Therapy for schizoid personality DO?
individual and group
Therapy for antisocial personality DO?
individual (w/firm limits) and self-help group
Therapy for obsessive complulsive personality DO?
long-term directive psychotherapy, group, behavior therapy
Therapy for dependent personality DO?
psychodynamic therapy——- insight-orientated therapy - individual - aims to connect past experiences to current behaviors
Therapy for BPD personality DO?
DBT (type of psychotherapy) – helps manage intense emotions, improve relationships, and cope w/challenging situations
Autism DSM criteria (* = must have; others must have 2)
“AUTIISTICS”
Again and again (repetitive behavior or speech)
Unusual (hyper or hypo) reactivity to sensory
Toddlers (onset early development)
Insistence on sameness, rigid adherence to routines, or ritualised patterns of verbal or non-verbal behavior
Interests restricted with abn intensity
Socioemotional reciprocity deficits *
To relate to other is difficult *
Impairment in functioning *
Communication (non-verbal) poor for social interaction *
Social communication below expected level, not due to disability *
DSM delusional DO criteria “deluSIONAL”
Schizophrenia criteria A not met
Impairment functioning- absent
Odd or bizarre behavior - absent
Not due to substance/other med condition
Absence of mood episodes (if occur, brief r/t duration of delusional period)
Lasts 1 month or more
DSM brief psychotic DO
“HalDDDol disorganizes speech and behavior in a CAT for at least 1 day but less than 1 month”
1 must be first three
Hallucinations
Delusions
Disorganized speech
Disorganized behavior including CATatonia
DSM schizophreniform DO
“HalDDDol disorganizes speech and behavior in a CAT NEGATIVEly for at least a month but less than 6”
(1 from first three, and two of five)
Hallucinations
Delusions
Disorganized speech
Disorganized behavior including CATatonia
NEGATIVE symptoms
DSM Schizophrenia
“HalDDDol disorganizes speech and behavior in CAT NEGATIVEly impairing function for 6 months”
(1 from first three, and two of five)
Hallucinations
Delusions
Disorganized speech
Disorganized behavior including CATatonia
NEGATIVE symptoms
DSM Bulimia nervosa
“Bulimics Over Consume Pastries”
Binge eating, recurrent, at least once a week for 3 months w/sense of:
Out of control when overeating
Concern - excessive w/body shape/weight
Purging behaviors
