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MEDS 525 - Mental Health > 9. Psychotic and Personality Disorders > Flashcards

9. Psychotic and Personality Disorders Flashcards

1
Q

What is the difference between positive and negative psychotic sx?

A

Positive:

  • delusions
  • hallucinations (auditory, visual, olfactory)
  • disorganized thoughts and behavior
  • bizarre behavior

Negative (think subdued):

  • flat affect
  • alogia (not talking)
  • anhedonia (disinterest/no pleasure in things)
  • avolition (decreased motivated activity)
  • memory issues
  • difficulties concentrating
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2
Q

Do positive or negative sx play a larger role in morbidity/suicidal thoughts in schizophrenia?

A

Negative sx

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3
Q

What are some sx of brief psychotic disorder and what’s the duration?

A

hallucinations, delusions, disorganized speech

-need to be there for more than 1 day but LESS THAN 1 month

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4
Q

What’s the difference between schizophreniform and schizophrenia?

A

-they have the same criteria of symptoms (2+ psychotic symptoms)

BUT schizphreniform must present for more than 1 month, less than 6 months

Schizophrenia presents for 6 months or longer

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5
Q

What’s the prevalence of schizophrenia? How does it compare with the prevalence of suicidal ideation in patients?

A

low prevalence of the illness but people with the illness have very high suicidal ideation due to “command hallucinations”

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6
Q

T/F schizophrenia has a strong genetic component

A

TRUE

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7
Q

T/F early onset psychotic disorders have worst prognoses than late onset

A

TRUE

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8
Q

Is schizophrenia more prevalent in males or females?

A

males

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9
Q

How is schizoaffective disorders different from other psychotic disorders?

A

has psychotic sx + mood disorder component

-mood sx present for the majority of the patient’s lifetime and psychotix sx present for 2+ weeks

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10
Q

How does delusional disorder differ from delusional symptoms in a psychotic patient?

A

patient has delusions for 1+ months

-it’s different from psychotic disorders because patient’s functioning is NOT impaired–> their behavior is not bizarre or odd

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11
Q

Culture: Amok

A
  • unprovoked episode of homicidal/destructive behavior
  • occurs without warning
  • many episodes end with suicide
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12
Q

Culture: Pibloqtok

A
  • fatigue, depression, confusion after “seizure” of bizarre behavior (tearing off clothes, rolling in snow)
  • short episodes and followed by amnesia
  • phases: social withdrawal, excitement, convulsions/stupor, recovery
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13
Q

Culture: Uqamairineq

A

“Sleep paralysis”

  • paralysis w/anxiety, agitation, hallucinations
  • thought to be soul loss, wandering, posession
  • short episodes followed by remission
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14
Q

Culture: Windigo

A

cannibalistic obsessions and compulsions

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15
Q

Culture: Bouffee delirante

A

“delirious flash”

  • outburst of aggression and confusion
  • visual/auditory hallucination
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16
Q

Culture: Lacura

A

“madness”

  • chronic psychosis from stress
  • thought to be due to curses
17
Q

Culture: Zou huo ru mo

A

Chinese

-dissociative/paranoid psychotic sx after episode of Chinese folk healing

18
Q

What are some characteristics of personality disorders?

A
  1. pattern of abnormal behavior, cognition, impulse control, affectivity, and interpersonal functioning
  2. starts in early adolescence and is stable and enduring
  3. causes significant distress in quality of life
19
Q

What are acute exacerbations of personality disorders due to?

A
  1. stress related

2. feeling out of control

20
Q

T/F Personality disorders make up 50% of hospitalized patients

A

TRUE

21
Q

What are the 3 clusters of personality disorders and their main features:

A

Cluster A: Odd and Eccentric
Cluster B: Dramatic, Emotional, Erratic
Cluster C: Anxious

22
Q

What is the difference between possessing some of these personality traits vs. personality disorder?

A

people can have similar personality traits but it’s not a disorder unless it AFFECTS FAILY LIFE

23
Q

T/F Personality disorders are easy to diagnose and treat with medications

A

FALSE, they are some of the most difficult disorders to diagnose and treat
-treatment is primary therapy based vs. drugs

24
Q

Characteristics of paranoid personality disorder

A

-suspicious of others
-reluctant to confide in others
-bears grudges
CLUSTER A

25
Q

Characteristics of schzoid personality disorder

A

-hard making interpersonal attachments and social relationships
-flat affect, little interest in sex with others
-chooses solitary activities- no desire for family/friends
CLUSTER A

26
Q

Characteristics of schizotypal personality disorder

A

-interpersonal deficits and eccentricities
-odd speech
-inappropriate affect and emotional responses
-lacks confidants
CLUSTER A

27
Q

Characteristics of antisocial personality disorder

A

-disregard for others and their safety
-no moral compass or remorse unless caught
-impulsive (brain abnormalities in ventral system/dopamine)
-don’t plan ahead
-don’t abide by social norms
-high comorbidity w/suicidality, SUD, MDD
CLUSTER B

28
Q

Characteristics of borderline personality disorder

A

-do excessive things to avoid abandonment
-unstable perception of self, self image, goals
-black/white thinking about their friendships/relationships
-impulsivity w/ sex, drugs, spending, self mutilation
-high comorbidity w/MDD, anxiety, SUD
CLUSTER B

29
Q

Characteristics of histrionic personality disorder

A

-attention seeking
-excessive emotions
-charming, manipulative, demanging
-seek medical services falsely
CLUSTER B

30
Q

Characteristics of narcissistic personality disorder

A

-grandiosty
-need for admiration
-aggression, depression when needs aren’t met
CLUSTER B

31
Q

Characteristics of avoidant personality disorder

A

-would love friends and socializing but avoid it because they’re too fearful of rejection
-feeling of inadequacy/inferiorities
-avoidance of said activities
CLUSTER C

32
Q

Characteristics of dependent personality disorder

A

-need to be cared for
-clingy and fear of loneliness
-seen in domestic violence survivors- go back to abusers because they feel like they can’t survive alone
CLUSTER C

33
Q

Characteristics of obsessive compulsive personality disorder

A

-preoccupation with perfection
-difficult to start/finish projects
-not as severely impairing/ADL as much as OCD
CLUSTER C

34
Q

What are delusions?

A

False fixed beliefs with a degree of conviction despite evidence

35
Q

What are some types of delusions?

A

Persecutory-harmed/harassed
Referential- gestures/cues that are provoking
Somatic- bodily concerns beyond reality
Religious- think they’re god, contact with god
Grandiose- think they’re exceptional., famous
Bizarre- loss of control, thought insertion, reading mind

36
Q

What are hallucinations?

A

perception like experiences w/out external stimulus

vivid and clear

not under voluntary control

37
Q

What are some types of hallucinations?

A

visual, auditory, olfactory

38
Q

What is disorganized speech?

A

loose associations, incoherent speech, unusual speed or volume

MEDS 525 - Mental Health (9 decks)

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