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DSM5 > Schizophrenia and psychotic disorders > Flashcards

Schizophrenia and psychotic disorders Flashcards

1
Q

what is a delusion

A

fixed belief that is not changed when presented with conflicting evidence

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2
Q

persecutory delusion

A

one will be harmed/harassed by an individual/group/organization

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3
Q

referential delusion

A

belief that certain gestures/comments/environmental cues are directed at oneself

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4
Q

grandiose delusions

A

exceptional abilities, wealth, or fame

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5
Q

erotomanic delusions

A

belief that another person, usually of higher status, is in love with them

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6
Q

nihilistic delusion

A

conviction that a major catastrophe will occur

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7
Q

somatic delusion

A

preoccupation with health and organ function

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8
Q

thought withdrawal

A

bizarre delusion that thoughts are removed by an outside force

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9
Q

thought insertion

A

bizarre delusion that thoughts have been put in their head by an outside force

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10
Q

delusions of control

A

bizarre delusion that body/actions are being manipulated by an outside force

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11
Q

most common type of hallucinations

A

auditory

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12
Q

how do you assess disorganized thinking

A

by their speech

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13
Q

derailment or loose associations

A

type of disorganized thinking switching rapidly from one topic to the next

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14
Q

tangentiality

A

type of disorganized speech where answers are either slightly related or completely unrelated to the question

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15
Q

how severe must disorganized speech be

A

enough to impair communication

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16
Q

negativism

A

type of catatonic behavior characterized by resistance to instruction

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17
Q

stupor

A

type of catatonic behavior maintaining rigid, bizarre, or inappropriate posture

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18
Q

mutism

A

complete lack of verbal and motor response

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19
Q

catatonic excitement

A

purposeless and excessive motor activity without obvious cause

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20
Q

diminished emotional expression

A

negative symptom: reduction of emotional expression in eyes, face, tone of speech, and movements of hand/head/face that typically give emotional emphasis to speech

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21
Q

avolition

A

negative symptom
decrease in motivated self-initiated purposeful activity

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22
Q

alogia

A

negative symptom
diminished speech output

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23
Q

anhedonia

A

negative symptom
decreased ability to experience pleasure

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24
Q

asociality

A

negative symptom
lack of interest in social interaction

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25
what are ideas of reference?
misinterpretations of casual events as having a particular unusual meaning for the person specifically
26
delusions of reference
when ideas of reference are onto with delusional conviction
27
delusional disorder
one or more delusions for at least a month criteria for schizophrenia not met function not markedly impaired not due to substance/other medical condition
28
what is factual insight without true insight
able to realize others think their behavior is bizarre but unable to accept it themselves
29
associated symptoms of delusional disorder
may be poor psychosocial functioning due to beliefs behavior does not appear impaired when not discussing delusions
30
what are the positive sx that you must have 1 of to qualify for brief psychotic disorder
delusions hallucinations disorganized speech grossly disorganized/catatonic behavior
31
diagnostic criteria for brief psychotic disorder
-1+ of the positive symptoms -at least 1 day but less than a month -complete return to baseline functioning -not better explained a substance, another mental disorder, or a medical disorder
32
Brief psychotic disorder with marked stressors
symptoms are in response to something that would be markedly stressful to anyone
33
diagnostic criteria for schizophreniform disorder
2+ psychotic sx lasts at least 1 month but less than 6 ruled out other mental disorders not due to a substance or medical disorder
34
what are good prognostic factors for schizophreniform disorder
at least 2: -onset of sx w/i 4 weeks of change in behavior -confusion/perplexity -good premorbid functioning -absence of blunted/flat affect
35
what do you label psychotic disorders if there is no recovery prior to diagnosis
provisional
36
does schizophreniform require impaired functioning
no
37
what are the 5 possible sx for schizophrenia
delusions hallucinations disorganized speech grossly disorganized/catatonic behavior negative symptoms
38
diagnostic criteria for schizphrenia
-2+ of the possible sx -markedly impaired functioning in at least 1 area -sx present for at least 6 months -not d/t mental/medical disorder not d/t substance
39
what if there are mood episodes along with active phase of schizophrenia
they can only be present for a minority of the time
40
what is the most common predictor of nonadherence to schizophrenia tx
lack of insight
41
schizophrenic sx in pregnancy
tend to get better and then worsen again after delivery
42
diagnostic criteria for schizoaffective disorder
-mood episode occurs during psychotic phase and are present for the majority of the time -delusions/hallucinations must be present for at least 2 weeks w/o mood sx
43
schizoaffective disorder with bipolar type
manic episode is part of the presentation
44
schizoaffective disorder with depressive type
if depressive episode is part of the picture
45
what if mood sx are only present for a brief portion of psychotic episode
dx is schizophrenia
46
does there have to be impaired functioning for dx of schizoaffective disorder
not required for dx but often associated
47
when might mood sx develop in schizoaffective disorder
prior to psychosis during psychosis during residual phase after psychosis
48
diagnostic criteria for substance-induced psychotic disorder
-delusions or hallucinations present -sx during/soon after substance intoxication/withdrawal -substance capable of causing sx -causes clinically significant distress/impairment -does not occur exclusively in delirium
49
what is the person knows sx are d/t a substance
then the dx is substance intoxication/withdrawal w/ specifier of "with perceptual disturbance"; not substance-induced psychotic disorder
50
medical conditions that can cause psychotic sx
neurological endocrine metabolic B12 deficiency fluid/electrolyte imbalance hepatic/renal disease autoimmune disorders
51
how many catatonic sx must be present to qualify for specifier
3
52
13 catatonic sx
stupor catalepsy waxy flexibility mutism negativism posturing mannerism stereotypy agitation not influenced by external stimuli grimacing echolalia echopraxia
53
catalepsy
catatonic behavior passive induction of posture held against gravity
54
waxy flexibility
catatonic behavior resistance to posturing by the examiner
55
negativism
catatonic behavior opposition or no response to instruction
56
mannerism
catatonic behavior odd circumstantial caricature of normal actions
57
stereotypy
catatonic behavior repetitive, abnormally frequent, non-goal oriented movment
58
echolalia
catatonic behavior mimicking speech
59
echopraxia
catatonic behavior mimicking another's movements
60
neurologic conditions that can cause catatonia
neoplasms head trauma cerebrovascular disease encephalitis
61
metabolic conditions that can cause catalepsy
hypercalcemia hepatic encephalopathy homocystinuria DKA

DSM5 (18 decks)

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