Chapter 12 (psychotic disorders and schizophrenia) Flashcards

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1
Q

Psychotic disorders

A

9unusual emotional states or affect

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2
Q

Delusions

A

Extremely rigid or bizarre beliefs

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3
Q

Inappropriate affect

A

Mood that does not match the context of a given situation

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4
Q

Hallucinations

A

Sensory experiences without a real or environmental stimulus

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5
Q

Catatonia

A

-near immovable state for long periods of time

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6
Q

Avolition

A

Unable to care for oneself daily

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7
Q

Schizophrenia

A

Positive symptoms such as delusions and hallucinations and negative symptoms such as lack of speech or emotions and failure to care for oneself

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8
Q

Schizophreniform disorder

A

Features of schizophrenia for 1-6 months but not necessarily with great impairment in daily functioning

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9
Q

schizoaffective disorder

A

Characteristic features of schizophrenia and a depressive or manic episode

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10
Q

Delusional disorder

A

No psychotic symptoms except for one or more delusions

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11
Q

Brief psychotic disorder

A

Several key features of schizophrenia for 1 day-1 month

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12
Q

Positive symptoms

A

Represent excessive or overt symptoms(delusions, hallucinations,disorganized speech and behaivor, inappropriate affect, catatonia)

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13
Q

Negative symptoms

A

Represent deficits or covert symptoms(lack of speech or emotions, avolition, flat affect, anhedonia, lack of insight on ones condition)

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14
Q

Persecutory delusions

A

Type of delusion most commonly seen in peopke with schizophrenia that represent irrational beliefs one is being harmed or harrassed in some way

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15
Q

Control delusions

A

Irrational beliefs that others are deliberalty:

  • placing thoughts inside a persons head
  • transmitting thoughts so everyone can hear them
  • stealing thoughts to create memory loss
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16
Q

Grandios delusions

A

-irrational beliefs that one is an exceptionally powerful or important person when actually this is not so

17
Q

Referential delusions

A

Irrational beliefs that events in everyday life have something special to do with oneself

18
Q

Disorganized speech

A

Speech patterns so disorganized a person cannot maintain a regular conversation, verbilization may be disconnected, jumbled or interrupted/discontinues, neologism(making up fake words), rhyming, not speak at all

19
Q

Catatonic behaivor

A

Unusual moter symptoms(wild, uncontrolled moter activity, repeat others words, adopt an unchanging rigid posture)

20
Q

Alogia

A

Speaking very little to people and appearing withdrawn

21
Q

Prodromal phase

A

People with schizophrenia usual begin with this phase (last days, weeks, months, years) in which they act odd and have negative symptoms as well

22
Q

Schizophrenia DSM 5 criteria

A
  1. Two or more of the following during a one month period with at least one of them 1, 2 or 3.
    - delusions
    - hallucinations
    - disorganized speech
    - grossly sidorganized or catatonic behaivor
    - negative symptoms
  2. significant impairment and distress
  3. Continuous signs of disturbance persist for at least 6 months
  4. Other disorders ruled out becuse of a lack of major depressive or manic episodes
23
Q

Residual phase

A

usually involves symptoms very similar tot he prodromal phase

24
Q

Schizophreniform disorder DSM 5 criteria

A
  1. Two or more of the following each present for a sig amount of time during 1 month period and 1, 2, or 3 at least one
    - delusions
    - hallucinations
    - disorganized speech
    - grossly disorganized or catatonic behaivor
    - negative symptoms
  2. episode of the disorder lasts at least 1 month but less than 6 months
25
Q

Schizoaffective disorder DSM 5 criteria

A
  1. Uninterrupted period of illness during which there is a major mood episode(mania or depression) concurrent withcriteria for schizophrenia
  2. delusions or hallucinations for 2 or more weeks in absence of major mood episode
  3. Symptoms meet criteria for major mood episode and are present for the majority of the total duration of the active residual portions of an illness
26
Q

Delusional disorder DSM 5 criteria

A
  1. Presence of 1 or more delusions with a duration of one month or longer
  2. criterion a for schizophrenia has never been met
  3. Functioning is not very impaired apart from ramifications of delusions
27
Q

Brief psychotic disorder DSM 5 criteria

A
  1. Presence of 1 or more of the following symptoms at least one of these must be 1, 2, or 3
    - delusions
    - hallucinations
    - disorganized speech
    - catatonia or grossly disorganized behaivor
  2. Duration is lat least a day but less than 1 month with eventual full return to premorbid functioning
28
Q

Post-partum psychosis

A

Psychotic symptoms that may occur in women after giving birth

29
Q

Brain features of schizophrenia

A
  • enlarged ventricles
  • smaller thalamus and parietal/occipital lobes
  • smaller basal ganglia and cerebellum
  • smaller corpus colosum
30
Q

Neurodevelopmental hypothesis

A

Essential states that a subtle disease process affects brain areas early in life and progresses graduallly to where full blown symptoms are present

31
Q

Poor theory of the mind

A

A poor understanding of the thoughts and beliefs of other

32
Q

Typical antipsychotics

A

Traditionally used for this population and focus on reducing levels of dopamine in the brain, not as effective for sever cases, and more severe side effects

33
Q

Atypical antipsychotics

A

Appear more effective for treatment of Elsevier cases and longer term effects

34
Q

Extrapyramidal effects

A

Involuntary movements of the body typically caused by typical antipsychotics

35
Q

Milieu therapy

A

Establishing an environment in with pro social and self-care skills are encouraged

36
Q

Token economy

A

Pro social or self care skills are tangibly rewarded and later exchanged for privileges