Exam 1 - Schizophrenia Flashcards
alogia
the inability to speak due to a mental illness
ambivalence
experience of conflicting emotions
anergia (pos or neg?)
lack of energy
negative
anhedonia (pos or neg?)
inability to enjoy anything pleasant
negative
ansognosia (pos or neg?)
the inability to realize they are mentally ill
negative
apathy (pos or neg?)
lack of ability to feeling emotion
negative
associative looseness (pos or neg?)
the shifting of topics while talking - unrelated topic to unrelated topic
positive
autistic thinking
focus is directed inward - a lot of daydreams and fantasy
catatonia (pos or neg?)
excitement is modeled by psychomotor purposelessness and random movements
negative
circumstantiality (pos or neg?)
a type of conversation that leads to immense detail in conversations
positive
clang association (pos or neg?)
a pattern of speech that is composed due to rhyming
positive
delusions (pos or neg?)
a false personal belief that they will stand by no matter the correction
positive
echolalia (pos or neg?)
the repetition of words that are spoken by the person speaking (ECHOING)
POSITIVE
echopraxia (pos or neg?)
meaningless repetition of another persons movement
positive
erotomania
the belief that another person is in love with them even though it is false
flight of ideas
continuous FAST speech that may change from one topic to another, but may still have the same idea
grandiose
exaggerated feeling of importance (i.e. “god”)
hallucinations (pos or neg?)
false sensory perceptions not associated with real stimuli
positive
ideas of reference
idea that small ideas in life mean something big
illusions (pos or neg?)
incorrect perception of a real stimulus
positive
labile
a mood state that defines wild and inconsistent mood changes
magical thinking (pos or neg?)
an idea that makes a person believe that thinking of something will make it happen (i.e. it snowed because i wished it would)
positive
mutism (pos or neg?)
anxiety disorder that causes the individual to remain mute (refusal)
positive
negative symptoms
decrease in normal function
neologism (pos or neg?)
new words created that are meaningless to others
positive
paranoia
extreme suspicion
characterized by delusions and hallucinations
perseveration
repetition of the same words to different questions
positive
positive symptoms
excessive distortion in normal functioning – extreme symptoms but still is manageable
posturing (pos or neg?)
voluntary assumption of bizarre positioning
negative
poverty of thought
reduction of thought or focus on the same topics
premorbid
state of function prior to onset of schizophrenia
prodromal symptoms
the initial onset of symptoms prior to schizophrenia diagnosis
psychosis
a mental state where there is an extreme loss of touch with reality
religiosity (pos or neg?)
excessive demonstration with a religious idea (i.e. listening to god)
positive
residual symptoms
beliefs, attitudes, experiences that can contribute to low self esteem
somatic (pos or neg?)
false idea of function of their body (doctor says not pregnant but i am)
positive
tangentiality (pos or neg?)
inability to reach a point in their story
positive
volition (pos or neg?)
inability to initiate goal directed activities
negative
waxy flexibility (pos or neg?)
positions themselves in whichever way someone would like
negative
word salad (pos or neg?)
a group of words that are put together without logical fashion
positive
what are the four phases of schizophrenia?
premorbid
prodromal
active or “schizophrenia”
remission
what happens during the premorbid phase of schizophrenia
usually normal functioning occurs along with shy ness and withdrawal
what happens during the prodromal phase of schizophrenia
deterioration of normal function and cognitive impairment
what is a diagnosis of schizophrenia based on
2 or more symptoms including hallucinations and delusions
decrease in normal function
symptoms for 6+ months
other disorders ruled out
medical reasons ruled out
pre-existing conditions ruled out and assessed
what are psychological treatments (nonpharm)
individual psychotherapy group behavior therapy social skills training social treatments
What is delusional psychosis disorder
delusions that last for at least 1 month
what is brief psychotic disorder
symptoms that last for 1 d to 1 month
what is substance induced psychosis
psychosis from intoxication
what is schizophreniform
1 m to 6 m of schizophrenia symptoms
what is schizoaffective disorder
schizophrenia symptoms with depression and mania involved
blocks dopamine receptors and may affect cholinergic, adrenergic, and histamine receptors
typical antipsychotics
weaker dopamine receptor antagonist - more potent serotonin antagonists - affects cholinergic, adrenergic, and histamine receptors
atypical antipsychotics
weight gain and sedation is caused most by what type of antipsychotic med
histamine blockers
extrapyramidal symptoms are most caused by what type of antipsychotic med
dopamine blockers
dry mouth, blurred vision, urinary retention, constipation, and tachycardia is most often caused by what kind of antipsychotic medication
cholinergic blockers
dizziness, orthohypotension, tremors, and reflex tachycardia is most often caused by what type of antipsychotic medication?
adrenergic blockers
what is neuroleptic malignant syndrome
antipsychotic side effect that is very rare
what are the symptoms of NMS
high fever diaphoresis muscle rigidity tachycardia unstable BP coma