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Mental Health > Bipolar & Schizophrenia > Flashcards

Bipolar & Schizophrenia Flashcards

1
Q

Key Features that Define the Psychotic Disorders

A

Delusions, hallucinations, Disorganized Thinking (Speech), Grossly Disorganized or Abnormal Motor Behavior (including Catatonia), Negative Symptoms

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2
Q

Only subcategory of Symptomatology Presence

A

Catatonia

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3
Q

With schizophrenia, OT focus is on

A

Distress and dysfunction

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4
Q

substantial portion of the morbidity associated with schizophrenia but are less prominent in other psychotic disorder

A

Negative symptoms

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5
Q

fixed beliefs that are not amenable to change in light of conflicting evidence

A

Delusions

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6
Q

perception-like experiences that occur without an external stimulus

A

Hallucinations

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7
Q

ranges from childlike “silliness” to unpredictable agitation

A

Grossly Disorganized or Abnormal Motor Behavior (including Catatonia)

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8
Q

decrease in reactivity to the environment

A

Catatonia

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9
Q

Diminished emotional expression includes reductions in the expression of emotions in the face, eye contact, intonation of speech (prosody), and movements of the hand, head, and face that normally give an emotional emphasis to speech.

Avolition, Alogia, Anhedonia, Asociality

A

Negative symptoms

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10
Q

decrease in motivated self-initiated purposeful activities

A

Avolition

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11
Q

manifested by diminished speech output. Lack of speech

A

Alogia

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12
Q

the decreased ability to experience pleasure from positive stimuli or a degradation in the recollection of pleasure previously experienced

A

Anhedonia

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13
Q

refers to the apparent lack of interest in social interactions and may be associated with abolition, but it can also be a manifestation of limited opportunities for social interactions

A

Asociality

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14
Q

symptoms are primarily hallucinations, delusions, and bizarre behavior; often referred to as a thought disorder; also referred to as a psychotic disorder

A

Schizophrenia

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15
Q

delusions, perceptual distortions, hallucinations

No cognitive deficits, physch tic episodes, responds well to meds

A

Positive symptoms (Type 1)

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16
Q

affective flattening or blunting, alogia, avolition, anhedonia, inattention

Onset not all at once, chronic course (lifelong), poor response to meds

A

Negative symptoms (Type 2)

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17
Q

disconnection from reality

Hallucinations
Delusions — persecutory, referential, somatic, religious, grandiose

A

Psychotic symptoms

18
Q

Negative symptoms cluster

A

Alogia — LACK OF SPEECH
Avolition — LACK OF MOTIVATION
Anhedonia — LACK OF PLEASURE
Attentional impairment — LACK OF FOCUS

19
Q

Disorganized symptoms

A

Disorganized
Disorganized and bizarre behavior
Inappropriate affect

20
Q

Gender differences in schizophrenia

A

Higher incidence in males

21
Q

POORER RESPONSE TO MEDS

A

MORE NEGATIVE SYMPTOMS

22
Q

RESPONSE TO MEDS

A

MORE POSITIVE SYMPTOMS

23
Q

Psychosocial interventions for schizophrenia

A

Illness management
Assertive community treatment
Family psychoeducation
Supported employment

24
Q

Medications in schizophrenia

A

Antipsychotic

25
Q

many harmful side effects (sedation, sun sensitivity, anticholinergic effects — dry mouth, constipation, blurred vision; movement d/o - tardive dyskinesia)

A

Typical (1st generation or conventional)

26
Q

Typical (1st generation or conventional)

A

Thorazine
Haldo
Prolixin

27
Q

Atypical (2nd generation)

A

Clozaril (wt. gain and diabetes)
Risperdal
Zyprexa (wt. gain and diabetes)
Seroquel
Geodon

28
Q

Bipolar and related disorders are placed between the chapters on schizophrenia spectrum and other psychotic disorders to recognize their place as a bridge between 2 diagnostic classes in terms of

A

•Symptomatology
•Family
•History, and
•Genetics

29
Q

BIPOLAR & RELATED CONDITIONS

A

•Bipolar I disorder
•Bipolar II disorder
•Cyclothymic disorder
•Substance/medication induced bipolar and related disorder
•Bipolar and related disorder due to another medical condition
•Other specified
•Unspecified

30
Q

Bipolar 1

A

Represents the classic manic-depressive disorder (affective psychosis)

31
Q

Bipolar 2

A

Requires at least one episode of major depression and at least one hypomanic episode

32
Q

CYCLOTHYMIC DISORDER

A

Diagnosis given to adults who experience at least 2 years of hypomanic and depressive periods without ever fulfilling the criteria for an episode of mania, hypomania, or major depression

33
Q

a mood state characterized by period of at least one week where an elevated, expansive or unusually irritable mood exists

A

Mania

34
Q

Can be associated with a number of substances of abuse, some prescribed medications, and some medical conditions

A

MANIC-LIKE PHENOMENA

35
Q

1.Inflated self-esteem or grandiosity
2.Decreased need for sleep
3.More talkative than usual or pressure to keep talking
4.Flight of ideas
5.Distractibility
6.Increase in goal-oriented activity
7.Excessive involvement in activities that have high potential for painful outcome

A

Manic episodes

36
Q

Distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least 4 consecutive days and present most of the day, nearly every day.

A

Hypomanic episode

37
Q

Hypomanic episode requirements needs at least 3 symptoms. What are they?

A

1.Grandiosity
2.Decreased need for sleep
3.More talkative than usual or pressure to keep talking
4.Flight of ideas or subjective experience that thoughts are racing
5.Distractibility
6.Increase in goal-directed activity

38
Q

_________ _________ is associated with an unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic
Disturbance in mood and the change in functioning are observable by others
Episode is not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalization
Episode in not attributable to the physiological effects of substance

A

Hypomanic episode

39
Q

1.Feelings of worthlessness or excessive or inappropriate guilt (which can be delusional) nearly every day
2.Diminished ability to think or concentrate, or indecisiveness, nearly every day
3.Recurrent thoughts of death (not just fear of dying), suicidal ideations without a plan, or a suicide attempt or plan for suicide

A

major depressive episode

40
Q

Mean onset age of BP 1

A

18 years

41
Q

BP 2 age of onset

A

Mid-20s

42
Q

Essential feature is chronic, fluctuating mood disturbance involving numerous periods of hypomanic symptoms and periods of depressive symptoms that are distinct from each other.

A

CYCLOTHYMIA

Mental Health (31 decks)

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