Psychotic Disorders Flashcards
DSM 5 defines schizophrenia spectrum and other psychotic disorders are defined by abnormalities in one or more of which five domains?
Delusions Hallucinations Disorganized thought/speech Disorganized/Abnormal Behavior Negative Symptoms
________ are fixed ideas or beliefs that are not amenable to change in light of clear and conflicting evidence to the contrary.
Delusions
_________ are perception-like experiences that occur without an external stimulus. They are vivid and clear, full force and impact of normal perceptions, they are not under voluntary control.
Hallucinations
What are some examples of delusions?
Persecutory Grandiose Erotomanic Nihilistic Somatic
What are examples of hallucinations?
Auditory
Visual
Somatic/tactile
Olfactory
Thought __________ (Broadcasting/Insertion/Withdrawal) is when the patient believes their thoughts are being heard by others, perhaps over radio, perhaps out loud in the room. Voices outside their head.
Thought Broadcasting
Thought __________ (Broadcasting/Insertion/Withdrawal) is when the patient believes their thoughts are not their own, they have been inserted into their mind by another person or entity
Thought Insertion
Thought __________ (Broadcasting/Insertion/Withdrawal) is when the patient believes thoughts are being taken from their mind by another, thoughts are initiated but cannot be completed because it was removed by an outside force
Thought Withdrawal
Variation between extremes of emotions such as happiness, crying, and explosive anger would be considered what type of affect?
Labile Affect
Unchanging facial expression, paucity of gestures, and poor eye contact would indicate what type of affect?
Affect Flattening
Alogia is defined as what?
Impoverished thinking and cognition. (Can only be inferred from patient’s speech.) May have a poverty of speech versus poverty of content
_________ is defined as apathy, lack of energy or drive, cannot manage simple, every day tasks, often are unkempt, poor hygiene, poor performance at school or work.
Avolition
What is Anhendonia/Asociality?
Lack of interest of pleasure
Decreases activity
No Interest in Sex
Inability to feel intimate
A patient exhibiting purposeless motor activity and agitation would be considered to have what type of motor behavior?
Catatonic Motor Behavior
How may a patient exhibit attention impairment?
Difficulty focusing
Sporadic Attention Capabilities
Wander away in the middle of Conversations
Lack of identifying social ques
Flight of ideas would be indicative of _________ (Mania/Depression)
Mania
Change in weight either direction would be indicative of _________ (Mania/Depression)
Depression
Insomnia would be indicative of _________ (Mania/Depression)
Depression
Decreased need for sleep would be indicative of _________ (Mania/Depression)
Mania
Poor Judgement would be indicative of _________ (Mania/Depression)
Mania
Poor Concentration would be indicative of _________ (Mania/Depression)
Depression
Are the following positive or negative symptoms…..
Delusions
Hallucinations
Thought Disorders
Movement Disorders
Positive Symptoms
Diagnosis of schizophrenia requires that two or more positive, negative and/or disorganized symptoms be present for at least how long?
The patient must also have at least one of what three symptoms to be diagnosed with Schizophrenia?
1 month
Must have one of the following…..
Delusions
Hallucinations
Disorganized Speech
If a patient has a first-degree relative with schizophrenia, they have about a __% chance of developing schizophrenia as well.
10%
T/F: To be diagnosed with schizophrenia, a patient’s symptoms must interfere significantly with ADLs (work, school, relationships)
True
T/F: Childhood trauma is not associated with schizophrenia later in life
False
It is
What age range is schizophrenia more likely to onset?
16 - 30 y.o.
50% of schizophrenic patients will complain or exhibit symptoms of what?
Depression
Exhibition of negative symptoms in schizophrenia are associated with a _______ (Better/Poorer) prognosis
Poorer Prognosis with negative symptoms
T/F: One potential cause of schizophrenia may be the dopamine system being overly active
If true, what medication class may be used to treat this?
True
Consider Dopamine Antagonist
A _____ (viral/fungal/bacterial) infection in the SECOND trimester of pregnancy is also a theorized cause of schizophrenia
Viral Infection
A _____ (viral/fungal/bacterial) infection in the SECOND trimester of pregnancy is also a theorized cause of schizophrenia
Viral Infection
If a schizophrenic patient has a loss of daily function then what treatment should be considered?
Hospitalization
What are examples of low potency neuroleptics used in schizophrenia treatment?
Chlorpromazine
Thioridazine
Mesoridazine
What are examples of high potency neuroleptics used in schizophrenia treatment?
Haloperidol
Fluphenazine
Thiothixene
Loxapine
_________ symptoms are drug-induced movement disorders that include acute and tardive symptoms.
What are examples of these?
Extrapyramidal Sx
Dystonia Akathasia Parkinsonism Bradykinesia Tremor Tardive Dyskinesia
T/F: Extrapyramidal Sx are NOT side effects of neuroleptics
False
They are side effects
Which high potency neuroleptic is most closely associated with extrapyramidal Sx?
Haloperidol (Haldol)
Is benadryl (PO, IM, or IV) a good choice in treating neuroleptic side effects?
Yes!
Which pyschotic disorder would be best described as…..
Symptoms of schizophrenia for at least 1 month BUT less than 6 months
Schizophreniform Disorder
Which psychotic disorder would be best described as…..
Symptoms of schizophrenia and major mood disorders for 2 weeks without prominent mood symptoms, but OTHERWISE the mood symptoms predominate the duration of illness
Schizoaffective Disorder
Which psychotic disorder would be best described as…..
Persistent, brief, contrary to reality without other symptoms of schizophrenia for 1 month of longer
Delusional Disorder
Which psychotic disorder would be best described as…..
Delusions, Halucinations, and Disorganized speech that lasts for 1 day BUT less than 1 month and the patient often returns to their usual level of function
Brief Psychotic Disorder
Which psychotic disorder would be best described as…..
Symptoms of psychosis developed during or after substance intoxication OR often as a part of a withdrawal syndrome
Substance/Medication-induced Psychotic Disorder
