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psych exam #1 > psychotic disorders > Flashcards

psychotic disorders Flashcards

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1
Q

characteristics of psychosis

A
  1. disorganization
    - can’t put thoughts or actions together
  2. decreased social functioning
    - inability to interact
  3. loss of contact with reality
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2
Q

predisposing factors

A
  • *no single cause, but a combo
    1. biological (genetics, neurotransmitters, diseases)
    2. psychological (family, stress)
    3. environmental/sociocultural (lower socioeconomic status)
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3
Q

transaction model

A
  1. precipitating event that leads to symptoms
  2. predisposing factors
  3. cognitive appraisal
  4. quality of response (adaptive or maladaptive)
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4
Q

positive symptoms

A
  • exaggeration of normal function
  • more successful at treating
  • content of thought
  • form of thought
  • perception
  • sense of self
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5
Q

negative symptoms

A
  • loss of normal function
  • more detrimental
  • affect
  • volition
  • impaired social function
  • psychomotor
  • associated features
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6
Q

phases of psychotic disorder

A
  1. premorbid
  2. prodomal
  3. schizophrenia/psychosis
  4. residual
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7
Q

content of thought (+ symptoms)

A
  • delusions
  • religiosity
  • paranoia
  • magical thinking
  • idea of reference
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8
Q

delusion of persecution

A

some out to get you

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9
Q

delusion of grandeur

A

somebody super important

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10
Q

delusion of reference

A

everything in the environment pertains to me; someone is trying to send me a message

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11
Q

delusion of control & influence

A

someone is controlling me

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12
Q

somatic delusion

A

related to body; you say you are pregnant, but you really aren’t

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13
Q

nihilistic delusion

A

self or a body part is non existent

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14
Q

idea of reference

A

if 2 people are talking or laughing, they are talking about me

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15
Q

form of thought (+ symptoms)

A
  • associative looseness
  • neologisms
  • concrete thinking
  • clang associations
  • word salad
  • circumstantiality
  • tangentiality
  • mutism
  • perservation
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16
Q

associative looseness

A
  • speech shifts from one thought to an unrelated thought

- sort of connected but doesn’t really make sense

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17
Q

neologisms

A

make up own word

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18
Q

concrete thinking

A

thinking literally

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19
Q

clang associations

A

using words that rhyme

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20
Q

word salad

A

words with no connection put together in a sentence

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21
Q

circumstantiality

A

give so many details that you never get to the point

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22
Q

tangentiality

A

jumping from one subject to another

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23
Q

perservation

A

person gives the same answer/idea to every question

24
Q

perception (+ symptoms)

A
  • hallucinations (nothing there)

- illusion (something there, interpreting differently)

25
Q

sense of self (+ symptoms)

A
  • uniqueness and individuality a person feels
  • echolalia (words)
  • echopraxia (actions)
  • identification
  • imitation
  • depersonalization
26
Q

identification

A

unconscious, imitating actions

27
Q

imitation

A

conscious, imitating actions

28
Q

depersonalization

A

outside looking in; an observer watching self

29
Q

affect (- symptoms)

A
  • inappropriate (incongruent with circumstances)
  • bland/blunted (weak)
  • apathy (don’t care what’s happening around)
  • flat
30
Q

volition (- symptoms)

A
  • inability to initiate a goal directed activity

- emotional ambivalence (conflict between need & fear)

31
Q

interpersonal function (- symptoms)

A
  • autism

- no care for appearance

32
Q

psychomotor (- symptoms)

A
  • anergia
  • waxy flexibility
  • posturing
  • pacing & rocking (lack of purpose)
33
Q

anergia

A

no energy to do anything

34
Q

waxy flexibility

A

put into a position, stay in that position

-able to move if moved by another person

35
Q

posturing

A

voluntary positioning

-resistance if moved by another person

36
Q

associated features

A
  • anhedonia

- regression

37
Q

anhedonia

A

no pleasure in anything

-high correlation with suicide

38
Q

regression

A

-returning to a previous level of development and using coping mechanisms of that level of development

39
Q

phase 1 of psychosis

A
  • premorbid
  • functional
  • shyness, difficulty making friends
  • do poor in school
40
Q

phase 2 of psychosis

A
  • prodomal
  • symptoms begin to manifest
  • decline in function, can’t work or go to school
  • nonspecific symptoms (anxiety, sleep disturbance, fatigue)
41
Q

phase 3 of psychosis

A
  • schizophrenia/psychosis
  • active + and - symptoms
  • full blown
42
Q

phase 4 of psychosis

A
  • residual
  • pt gets a little bit better, less + symptoms
  • negative symptoms still there
  • impairment in role functioning
43
Q

disorganized schizophrenia

A
  • most debilitating
  • early onset (25 yrs old or before)
  • most severe form
44
Q

catatonic schizophrenia

A
  • stupor: extreme psychomotor retardation

- excitement: extreme psychomotor agitation; can be life threatening

45
Q

paranoid schizophrenia

A
  • delusions of persecution/grandeur

- a. halluc

46
Q

undifferentiated schizophrenia

A
  • NOS

- looks like schizo, but have different types of schizo in one

47
Q

residual schizophrenia

A
  • pt has the chronic form of dx and is in the stage that follows an acute episode
  • no strong symptoms
48
Q

schizoaffective disorder

A

psychosis + mood disorder

49
Q

brief psychotic disorder

A
  • sudden onset
  • short term (<1 mo)
  • precipitating event
  • full recovery
50
Q

schizophreniform disorder

A

-pt has all the features of schizo, but it hasn’t been 6 mo yet

51
Q

delusional disorder

A

-presence of one or more non bizarre delusions

52
Q

shared psychotic disorder

A
  • two people share psychosis
  • stronger personality convinces the weaker personality
  • usually a dependent & close relationship
53
Q

psychotic disorder d/t medical condition

A
  • head injury
  • brain tumor
  • this dx is not made during dementia
54
Q

substance induced psychotic disorder

A

from crystal meth

55
Q

dual dx psychotic disorder

A

substance abuse + psychosis

56
Q

phases of tx

A
  1. active phase
    - develop a trusting relationship
    - safety
    - alleviate symptoms
  2. maintenance phase
    - help improve daily function
    - 3. rehab phase
    - restore back to highest capacity

psych exam #1 (6 decks)

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