Psychiatric Signs and Symptoms Flashcards
it means there is an impaired reality testing, detached to reality and disorder of thought
Psychosis
T/F
Psychosis is a Symptom not an illness
True
What are the 5 criteria of Psychosis and explain
- Hallucination (false perception)
- Delusions (false beliefs)
- Disorganized behavior (aggressive, unruly, unkempt)
- Disorganized Speech (no speech clarity or no words)
- Negative Symptoms (something should be present but is absent)
shows no emotion, poker face
flat affect
lack of motivation
avolition
inability to experience pleasure
anhedonia
poverty of speech
Alogia
lack of ability to socialize
asocial
what are the 3 perceptual disturbances and explain
- Hallucination - false perception without stimuli
- Illusions - false perception WITH stimuli (e.g. mic as bomb)
- Hallucinatory Gestures- actions that points out hallucination even if patient denies (talks to self)
What are the 4 Thought content Disorders, explain
(laman ng isip)
- Delusions-false beliefs
- Preoccupations- religious or sexual themes, always occupying the person’s thought, too engrossed)
- Obsessions- repetitive and specific intrusive thoughts
- Ideations- ideas that they always think of (SHEA)
What is the most common Ideations
Suicidal
Type of delusion that cannot happen in real life
Bizarre
What are the 2 Thought Process Disorders and explain
- Tangentiality- most common wherein there is no connection in answers of cx
- Looseness of Association (LOA)- moves from one point to another, and contain unnecessary details
Type of Schizophrenia:
time frame 1 day to 1 month
not usually associated with negative sx, associated with stressor
Brief Psychotic Disorder
Type of Schizophrenia:
time frame 1-6 months
Schizophreniform
Type of Schizophrenia: time frame more than 6 months with active symptoms
Schizophrenia
type of Psychotic Disorder where there is presence of psychotic sx and develops a major mood episode
Schizoaffective Disorder
T/F
in schizoaffective Mood episodes develop first before psychosis
False
Most common type of condition that later on results to psychosis
Systemic lupus Erythematosus (SLE)
Time frame for Major Depressive Disorder and how many symptoms at least should be present
at least 2 weeks; 5/9 sx with at least 1 core sx
2 more symptoms of MDD
Depressed mood and anhedonia
3 psychological sx of MDD
Suicidality
Feeling of worthlessness or inappropriate guilt
Difficulty concentrating
4 somatic sx of MDD
disturbance in appetite
disturbance in sleep
psychomotor agitation/retardation
fatigue
Mood disorder where there is presence of
(+) manic episode and
(+/-) depressive episode
Bipolar 1 Disorder
time frame for manic episode and depressive episode
1 week, 2 weeks
Enumerate 7 manic symptoms
- inflated self esteem/grandiosity
- decreased need for sleep
- more talkative/pressure of speech
- Flight of ideas
- Distractibility
- increase in goal-directed activity/psychomotor agitation
- excessive involvement in activities that have high potential for painful consequences
mood disorder where there is:
(+) hypomanic episode and
(+) depressive episode
Bipolar 2 Disorder
time frame for hypomanic episode in BPD 2
4 consecutive days
Which among the bipolar disorders is less severe
Bipolar II Disorder
A thought content disorder where client has false beliefs
Delusions
delusions that can happen in extreme reality but simply not true
Non-bizarre
a thought process disorder where patient’s answer only partially connected with question, involves irrelevant details
Circumstantiality
Thought process disorder where pt has a lot of ideas but coming out of mind too fast for completion
Flight of ideas
Thought process disorder where cooperative patient does not answer particular questions
thought blocking
speech-related disorder where there is restriction in the amount of speech used; monosyllabic (either yes/no only)
Poverty of speech/Laconic speech
speech disorder there pt conveys little info (too vague, empty)
Poverty of content of speech
speech disorder where there is increase in amount speech, rapid/ too loud
Pressured speech
results to response to a threat that is unknown
Anxiety
results to response to a known threat
Fear
T/F
panic attack is a diagnosis
false
it is a criterion
fear in enclosed spaces
Agoraphobia
it is a spontaneous episode of severe anxiety characterized by a combination of psychological sx and physiological sx.
Panic attack
stress-related disorder with time frame of 3 days to 1 month
Acute Stress Disorder
stress-related disorder with time frame of more than 1 month
Post-traumatic Stress Disorder
It refers to the development of an out of proportion emotion or behavioral symptoms in response to an identifiable stressor
Adjustment Disorder
Time frame for Adjustment Disorder
within 3 months of onset
where pt is under influence of the substance
intoxication
pt suddenly stops use of substance and results to ____
withdrawal
t/f
Anxiety is a response to a known threat while fear is a response to an unknown threat.
false
t/f
Psychosis is never a normal response to any stressor. Regardless of trigger, a patient presenting with psychosis receives a diagnosis falling under the psychosis category.
true
These are false perceptual experiences that arise without a stimuli.
Hallucinations
correct sequencing of psychotic disorders according to increasing minimum duration of persistent signs of disturbance as established by their DSM-V diagnostic criteria?
brief psychotic disorder – schizophreniform – schizophrenia
Anita, a 85-year old patient, is currently experiencing severe cognitive decline as reported by her daughters. One time, she was found sleeping on the floor of their terrace because she forgot her way to her bedroom. She also often forgets the name of her daughters. What is her most probable diagnosis?
Major neurocognitive disorder
t/f
A manic episode may occur concurrent with psychosis
true
t/f
If the psychosis occurred first, the diagnosis given is schizophreniform disorder.
false
This refers to the abrupt cessation of a drug that has been used for a prolonged period and in heavy amounts.
Substance withdrawal
Patient has a lot of ideas which are connected to each other but are coming in and out of his/her mind too fast for completion. This psychiatric symptom is known as:
Flight of ideas
An individual alternately exhibits laughter and crying throughout a treatment session. This behavior should be documented as:
Emotional lability
