Psych Test 1 Flashcards
(53 cards)
What are thought disorders
Spectrum of disorders having several conmmon characteristics
What are the 5 things an individual can have with a thought disorder
Delusions
Hallucinations
Disorganized thinking and speech
Disorganized or abnormal motor behaviors
Negative symptoms
Positive symptoms
Added to - symptoms that shouldn’t be there
- delusions
Hallucinations
Altered speech patterns
Negative symptoms
“Normal things” a person should have but are taken away
Think 6 A’s
What are the 6 A’s of negative symptoms
Anhedonia - lack of pleasure
Flat affect - lack of expression
Apathy - lack of interest
Anergia - lack of energy
Alohia - lack of speech
Avolition- lack of motivation
Delusional disorder
Delusion is present
- explain delusion type/ characteristics
Asociality
Lack of interest in social interactions
Anhedonia
Lack of pleasure
Apathy
Lack of feeling , emotion , or interest
Avolition
Lack of motivation
Alogia
Lack/ decrease of speech
- symptom of schizophrenia
Hallucinations
False sense of perception
- any of the senses
Brief psychotic disorder
Sudden onset of at least one
Delusions / hallucinations/ disorganized speech / catatonic behavior
- more common in females
Schizophreniform disorder
Looks just like schizophrenia, but lasts less than 6 months
- may have social/ occupational impairments
What is schizoaffective disorder
Link b/w bipolar / mood disorders and schizophrenia/ thought disorders
How does schizoaffective disorder affect
How person expresses mood
Why does early onset diagnosis of schizophrenia lead to poor prognosis?
Because younger people do not have frontal lobe development and have not yet formed coping strategies
What are safety considerations with auditory hallucinations?
Ask if they are command hallucinations
What is the cause of schizophrenia?
No one cause!!!
Genetics
abnormalities in your translators - dopamine and glutamate
Structural abnormalities - atrophy of cerebellum enlarged ventricle, reduction of size of certain brain regions
How is schizophrenia diagnosed
Mental status exam for cognition
Psychiatric history from family/past medical records
- Careful, clinical observation
Physical exam to rule out in Medical causes such as substance induced psychosis and mood
- Vitamin deficiencies, vitamin D in first year of life in miles
Interventions for delusions
Ask
Be open and honest/nonjudgmental
Remember, it is real to the client
Encourage expression of feelings
If needed, set limits
Provide structure as needed
Acknowledg
Interventions for hallucinations
Monitor for cues and assess -
Ask if they are commands ?
Intervene, if needed
Decree stimuli
Limit therapeutic touch
Redirect if needed
Provide structure like set schedules
What are prognosis factors for schizophrenia?
Play or sudden disease onset
Female
Good pre-illness
Minimal cognitive impairment
Early inconsistent treatment
Family history of mood disorders
What are cool occurring diseases that may occur with schizophrenia?
Substance use disorder
Anxiety and depression
Cardiovascular disease
Metabolic syndrome
