Psyc5 Flashcards
Schizophrenia Dissociative disordes Manic episodes Hypomanic episode Bipolar Cyclothymic disorder
To be diagnosed with Schizophrenia, you must have periods of psychosis, disturbed behavior and though, and decline in functioning for atleast ___ months.
6 months
What is schizophrenia associated with pathologically?
INcreased dopaminergic activity
DEcreased dendritic branching
What are the “positive” symptoms of schizophrenia?
Delusions
Hallucinations - often auditory
Disorganized speech - loose associations
Disorganized or Catatonic behavior
What are the “negative” symptoms of schizophrenia?
Flat affect
Social withdrawal
Lack of motivation
lack of speech or thought
To diagnose schizophrenia you must have __ of the following positive or negative symptoms.
2
What is brief psychotic disorder?
< 1 month, usually stress related
What is Schizophreniform disorder?
1-6 months
What is Schizoaffective disorder?
At least 2 weeks of stable mood with psychotic symptoms, plus a major depressive, manic, or mixed episode
2 subtypes:
- Bipolar
- Depressive
What is the lifetime prevalence of Schizophrenia?
1.5%
Schizophrenia is more common in men or women? Blacks or white?
Equal for all
Who presents earlier, men or women?
Men (late teens early 20s)
Women (late 20s early 30s)
What characterizes a Delusional disorder?
Fixed, persistent, nonbizarre belief system lasting > 1 month
Functioning otherwise not impaired
Example: Women who genuinely believes she is married to a celebrity
What is a Shared Psychotic Disorder (Folie å deux)?
Development of delusions in a person in a close relationship with someone with delusional disorder.
Often resolves upon seperation
What is dissociative identity disorder?
AKA - multiple personality disorder
Presence of 2 or more distinct indentities or personality states
What sex is Dissociative identity disorders associated with?
Women
Often associated with history of Sexual Abuse
What disorder is associated with persistent feelings of detachment or estrangements from one’s own body, a social situation, or the environment?
Depersonalization disorder
What is a Dissociative Fugue?
Abrupt change in geographic location with inability to recall the past, confusiong about personal identity, or assumption of a new identity
What is a Dissociative Fugue often associated with?
Traumatic circumstances
-natural disasters, wartime, trauma
Leads to significant distress or impairment
NOT the result of substance abuse or general medical condition
What is a Manic Episode?
Distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased actiity of energy lasting ATLEAST 1 WEEK
Diagnosis of a Manic episode requires hospitalization or at least 3 of the following:
"manics DIG FAST" Distractability Irresponsibilty (hedonistic) Grandiosity Flight of ideas Activity Increased/Agitation Psychomotor Talkativeness or pressured speech
What do you call a manic like episode that is not severe enough to cause marked impairment of hospitalization
Hypomanic episode
Are there psychotic features in a hypomanic episode?
no
What is Bipolar disorder?
Presence of at least 1 manic (bipolar I) or hypomanic (bipolar II) episode. Depressive symptoms always occur eventually
Use of what can lead to INcreased mania in bipolar patients?
Anti-depressants
What is the treatment of bipolar?
Mood stabilizers -Lithium -Valproic acid -Carbamazepine Atypical Antipsychotics
What is a Cyclothymic disorder?
Dysthymia and hypomania
Milder form of bipolar disorder lasting AT LEAST 2 Years
