Psych 7 Flashcards
What is it called when patient consciously fakes symptoms in order to obtain secondary (external) gain
Malingering
What is it called when patient consciously fakes symptoms in order to obtain primary gain (sick role)
Factitious disorder
Bodily complaints with excessive, persistent thought and anxiety about symptoms
Somatic symtoms disorder
Time frame of somatic symptom disorder
At least 6 months
Describe conversion disorder
- At least one neurological symptom (sensory or motor) which cannot be fully explained by a neurological condition (E.g. paralysis, weakness, blindness, mutism, paresthesias, seizures, globus sensation)
- Patient is aware of but sometimes indifferent towards symptoms
- Excessive preoccupation with acquiring or having some illness
- Absent or minimal somatic symptoms
Illness anxiety disorder
Time frame of illness anxiety disorder
at least 6 months
Falsification of physical or psychological symptoms, or induction of injury or disease, in the absence of obvious external gain
Factitious disorder
Recurrent behavioral outbursts resulting in verbal and/or physical aggression against people or property
Intermittent explosive disorder
What laboratory finding is associated with intermittent explosive disorder
Low levels of serotonin (5-HIAA) in the CSF
Tx of intermittent explosive disorder
SSRI, anticonvulsants, or lithium
CBT
What other disorder do 65% of patients with kleptomania have?
Bulimia nervosa
Sx of neuroleptic malignant syndrome
Muscle rigidity, dystonia, akinesia, mutism, obtundation, agitation, high fever, sweating, increased BP and HR
Medication other than Dantrolene used to treat NMS
Bromocriptine
Factors indicative of poor prognosis in schizophrenia
- Early/insidious onset of disease
- Lack of precipitating factors/stressors
- Poor premorbid functioning
- Neurological signs and symptoms
- Presence of social isolation
- Family history of schizophrenia
- Poor support system
- Presence of negative sx
Criteria and time frame for delusional disorder
o >/= 1 delusions for >/= 1 month
o Other psychotic symptoms absent or not prominent
o Ability to function apart from delusion; behavior not obviously bizarre or odd
What is catatonia
o Diagnosis includes 3 or more of the following:
♣ Catalepsy (immobility)
♣ Stupor
♣ Waxy flexibility
♣ Mutism
♣ Negativism (resisting attempts to move patient and does opposite to what is asked)
♣ Posturing
♣ Mannerism
♣ Stereotypy (repetitive behavior)
♣ Agitation not influenced by external stimuli
♣ Grimacing
♣ Echolalia (meaningless repetition of another person’s spoken words)
♣ Echopraxia (meaningless repetition of the movements of others)
Describe grandiose delusional disorder
Delusions of having great talents
Which antipsychotics are available as long acting injectables
THINK: How Ridiculous, Paying For A hOle
H = Haloperidol R = Risperidone P = Paliperidone F = Fluphenazine A = Aripiprazole O = Olanzapine
What is the life time prevalence of schizophrenia
0.3-0.7%
Is rapid onset of schizophrenia a good or poor prognostic factor?
Good
Insidious onset is a poor prognostic factor
Is onset of schizophrenia at age 22 a good or poor prognostic factor?
Good
Onset age 20-25 is a good
Name 3 drugs that can produce psychosis similar to schizophrenia
Amphetamines
PCP
LSD
What psychotic feature is almost purely seen in psychiatric disorders (vs. medical causes of psychosis)
Auditory hallucinations
Families of patients with schizophrenia, who are overtly hostile and overly controlling, affect the patient in which way?
Increased relapse rate
It is a myth that it causes paranoid type of schizophrenia
Common cause of hyponatremia in schizophrenic patients
Psychogenic polydipsia
What percentage of patients with a single psychotic episode will relapse off medication within 5 years
80%
What psychiatric symptom is seen in 90% of all terminally ill patients
Delirium
Delusions, anxiety, and depression may also occur, but not with such overwhelming frequency
Visual hallucination of a transparent phantom of one’s own body
Autoscopic psychosis
Belief that familiar persons have been replaced by identical imposter who behave exactly like the original person
Capgras syndrome
Delusion that the person is a werewolf or other animal
Lycanthropy
The false perception of having lost everything, including money, status, strength, health, and internal organs
Cotard syndrome
Psychotic disorder in which one person develops psychotic symptoms similar to the ones a long-term partner has been experiencing
Folie a deux
What drug is Zyprexa
Olanzapine
What drug is Abilify
Aripiprazole
What drug is Seroquel
Quetiapine
What drug is Zydis
Olanzapine
What is disruptive mood dysregulation disorder (DMDD)
Chronic, severe, persistent irritability occurring in childhood and adolescence
What is oppositional defiant disorder (ODD)
Pattern or irritability/anger, defiance/argumentativeness, or vindictiveness
Does not involve physical aggression or violating others’ basic rights
Conduct disorder
The most serious disruptive behaviors, which violate the rights of other humans and animals
Precursor to antisocial personality disorder
What drug is Prozac
Prozac/Fluoxetine
What drug is Zoloft
Zoloft/Sertraline
