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
