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Psychopathology > Schizophrenia Spectrum and Other Psychotic Disorders > Flashcards

Schizophrenia Spectrum and Other Psychotic Disorders Flashcards

1
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizotypal (Personality) Disorder

Q: CRITERIA for schizotypal (personality) disorder can be found in…

A

in the chapter “Personality Disorder”

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2
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Delusional Disorder

Q: (A). presence of ___ (+) delusions with a duration of ___ (+)

A

1 (+) delusions

1 (+) month

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3
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Delusional Disorder

Q: (B). Criterion (A). for _____ has never been met,

A

SCHIZOPHRENIA

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4
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Delusional Disorder

Q: (B). Note: Hallucinations, if present, are _____ and are related to _____.

A

NOT PROMINENT

related to the DELUSIONAL THEME

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5
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Delusional Disorder

Q: (C). Apart from impact of the delusions or its ramifications, functioning is ….. and behavior is ….

A

functioning is NOT markedly impaired

behavior is NOT obviously bizarre or odd

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6
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Delusional Disorder

Q: (D). If MANIC or MAJOR DEPRESSIVE episodes have occured, these have been …

A

BRIEF relative to the DURATION of the delusional periods

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7
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Delusional Disorder

Q: (E). disturbance is not attributable to….

A

the physiological effects of a substance or another medical condition and is not better explained by another mental disorder, such as body dysmorphic

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8
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Delusional Disorder

Q: Specifiy whether (7 types!):

(EGSPUM)

A

whether:

  • Erotomanic type (belief another person loves you)
  • Grandiose type (great talent)
  • Persecutory type (conspiracy)
  • Somatic type (bodily functions or sensations)
  • Mixed type (no one theme dominates=
  • Unspecified type (cannot be determined, or isnt descriped in types)

(EGSPUM)

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9
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Delusional Disorder

Q: Specify if:
Specify if: (ARE ONLY TO BE USED AFTER 1-YEAR DURATION OF DISORDER)

A

if:
-with BIZARRE content (etc. organs replaced)

if:

  • first episode, currently in acute episode
  • first episode, currently in partial remission (partially fullfilled criteria only)
  • first episode, currently in full remission
  • multiple episodes, currently in acute episode
  • multiple episodes, currently in partial episode
  • multiple episodes, currently in full remission
  • CONTINUOUS
  • UNSPECIFIED
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10
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Delusional Disorder

Q: severity is rated by…
(diagnosis of delusional disorder can be made without using the severity specifier)

A

by a QUANTITATIVE assessment of the PRIMARY SYMPTOMS of PSYCHOSIS
including delusions, hallucinations, disorganized speech, abnormal psychomotor behavior, and negative symptoms (e.g. catatonia)

rated on 5-point scale (0-4)

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11
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Brief Psychotic Disorder

Q: (A). Presence of ___ (+) of the following symptoms. At least ___ must be 1., 2.,or 3. (DHD)

A

1 (+)

AT LEAST 1

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12
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Brief Psychotic Disorder

Q: (A). name 1.-4. (DHD, G)

A
  1. Delusions
  2. Hallucinations
    3- Disorganized speech (frequ. derailment, incoherence)
  3. Grossly DISORGANIZED or CATATONIC behavior

Note: do not include a symptom if it is a culturally sanctioned response.

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13
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Brief Psychotic Disorder

Q: (B). duration of episode of disturbance at least ___ but less than ___

A

at least 1 day but less than 1 month,

with eventual full return to premorbid level of functioning.

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14
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Brief Psychotic Disorder

Q: specify if..

A

if:

  • with marked stressors (brief reactive psychosis)
  • without marked stressors (no stressful event)
  • with postpartum onset (onset during pregnancy or within 4 weeks postpartum)

if:
- with CATATONIA

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15
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Brief Psychotic Disorder

Q: severity is rated by…
(diagnosis of delusional disorder can be made without using the severity specifier)

A

by a QUANTITATIVE assessment of the PRIMARY SYMPTOMS of PSYCHOSIS
including delusions, hallucinations, disorganized speech, abnormal psychomotor behavior, and negative symptoms (e.g. catatonia)

rated on 5-point scale (0-4)

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16
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizophreniform Disorder

Q: (A). ___ or more of following ____ symptoms, each presented for a significant portion of time during a ___ period (or less if successfully treated). At least ___ of these must be 1., 2., or 3.

A
  • 1 (+) of the following
  • 5 symptoms
  • 1 month period
  • at least 1 must be 1.,2.or 3.
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17
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizophreniform Disorder

Q: (A). 1 (+) or more of following 5 symptoms, each presented for a significant portion of time during a 1 month period (or less if successfully treated). At least 1 of these must be 1., 2., or 3.
name 1.,2.,3 :

A
  1. Delusions
  2. Hallucinations
  3. Disorganized speech
  4. Grossly DISORGANIZED or CATATONIC behavior
  5. Negative symptoms
18
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizophreniform Disorder

Q: (A). In&raquo_space; Brief Psychotic Disorder there are the same 1.-4. criteria, except there is no 5. symptom as in the&raquo_space; Schizophreniform Disorder. what is that 5th symptom in&raquo_space; Schizophreniform Disorder?

A

(5.) Negative symptoms

19
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizophreniform Disorder

Q: (B). episode lasts at least ___ but less than ____

A
  • at least 1 month but less than 6 months
  • (in&raquo_space; Brief Psychotic Disorder at least 1 day but less than 1 month)
  • when diagnosis must be made without waiting for RECOVERY, it should be qualified as “provisional”
20
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizophreniform Disorder

Q: (C).&raquo_space;Schizoaffective disorder and&raquo_space;depressive or&raquo_space;bipolar disorder with psychotic features have been ruled out because either 1).. 2)..

A

1) NO &raquo_space;major depressive or&raquo_space;manic episode have occured CONCURRENTLY with the ACTIVE-phase symptoms
2) if mood episodes present in active-phase symptoms, then for minority of active and residual period

21
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizophreniform Disorder

Q: specify if:

A

if:

  • WITH good prognostic features (at least two features present of:
    1. onset of symptoms within 4 weeks of first change, 2.confusion or perplexity,
    3. good premorbid social and occup. functioning, 4.absence of blunted or flat affect)

-WITHOUT good prognostic features: if two or more features HAVE NOT BEEN PRESENT

if:
- WITH CATATONIA

22
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizophreniform Disorder

Q: severity is rated by…
(diagnosis of delusional disorder can be made without using the severity specifier)

A

by a QUANTITATIVE assessment of the PRIMARY SYMPTOMS of PSYCHOSIS
including delusions, hallucinations, disorganized speech, abnormal psychomotor behavior, and negative symptoms (e.g. catatonia)

-rated on 5-point scale (0-4)

23
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizophrenia

Q: (A). ___ or more of the following ___symptoms, each presented for a significant portion of time during a ___ period (or less if successfully treated), at least ___ must be 1., 2. or 3.

A
  • 2 (+) of the following symptoms
  • 5 symptoms
  • 1 month period
  • at least 1 must be 1.,2.or 3.
24
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizophrenia

Q: (A) for&raquo_space; Schizophrenia TWO of the FIVE symptoms must apply, whereas for
» Schizophreniform Disorder (5 symptoms) and&raquo_space; Brief Psychotic Disorder (which has only 4 symptoms)…

A

1 (+) must apply, with at least 1 from 1., 2., and 3.

25
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizophrenia

Q: (B). Failure to achieve…

A

expected level of interpersonal, academic,or occupational functioning

26
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizophrenia

Q: (C). continuous signs of disturbance persist for at least ___ . this month period must include at least ___ of symptoms that meet Criteria ___.

A
  • 6 months
  • 1 month
  • (A).
27
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizophrenia

Q: (C). may include periods of ____ or ____ symptoms. during these periods, the signs of the disturbance may be manifested by only ____ symptoms or by _____ symptoms listed in criterion A present in an attenuated form.

A

prodromal or residual symptoms.
negative symptoms
2 (+)

28
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizophrenia

Q: (D). what disorders have been ruled out? (for same reasons as in&raquo_space; Schizophreniform Disorder –> minority of time)

A

> > Schizoaffective disorder and
depressive or
bipolar disorder with psychotic features

ruled out due to:
1) NO &raquo_space;major depressive or&raquo_space;manic episode have occured CONCURRENTLY with the ACTIVE-phase symptoms

2) if mood episodes present in active-phase symptoms, then for minority of active and residual period

29
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizophrenia

Q: additional diagnosis of schizophrenia is only made if…

A

prominent DELUSIONS or HALLUCINATIONS, in addition to the other required symptoms of schizophrenia, are also present for at LEAST 1 MONTH (or less if successfully treated)

30
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizophrenia

Q: specify if
(only to be used after 1 YEAR DURATION)

A

if:

  • first episode, currently in acute episode
  • first episode, currently in partial remission (partially fullfilled criteria only)
  • first episode, currently in full remission
  • multiple episodes, currently in acute episode
  • multiple episodes, currently in partial episode
  • multiple episodes, currently in full remission
  • CONTINUOUS
  • UNSPECIFIED

if:
-WITH CATATONIA

31
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizophrenia

Q: current severity is rated by…
(same as for all others mostly)
(diagnosis of delusional disorder can be made without using the severity specifier)

A

by a QUANTITATIVE assessment of the PRIMARY SYMPTOMS of PSYCHOSIS
including delusions, hallucinations, disorganized speech, abnormal psychomotor behavior, and negative symptoms (e.g. catatonia)

-rated on 5-point scale (0-4)

32
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizoaffective Disorder

Q: (A).

A

an uninterruped period of illness during which there is a major mood episode (major depressive or manic) concurrent with criterion A of&raquo_space;schizophrenia

Note: the major depressive episode must include criterion A1: Depressed mood

33
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizoaffective Disorder

Q: Delusions or hallucinations for ____ in the absence

A
  • 2 (+) weeks

- of a major mood episode (depressed or manic)

34
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizoaffective Disorder

Q: symptoms that meet criteria for a major mood episode are present for …

A

the majority of the total duration of the active and residual portion of the illness.

35
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Schizoaffective Disorder

Q: specify whether, if ,

A

whether:

  • Bipolar type (if manic is present)
  • Depressive type (if only major depress. episode is present)

if:
- with CATATONIA

if: (SAME AS FOR SCHIZOPHRENIA, (first episode,multiple episodes…)

36
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Substance/Medication-Induced Psychotic Disorder

Q: (A). presence of ___ (+) of the following symptoms (1) , (2) : ____

A

1 (+)

  1. Delusions
  2. Hallucinations
37
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Psychotic Disorder Due to Another Medical Condition

Q: (A). Prominent ….(1 + 2)

A
  1. Delusions

2. Hallucinations

38
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)

> > Psychotic Disorder Due to Another Medical Condition

Q: specify whether:
(severity rating same as for others , e.g.&raquo_space;schizophrenia)

A
  • with delusions

- with hallucinations

39
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)
(> Catatonia)

> > Catatonia Assoc. with Another Mental Disorder (CATATONIA SPECIFIER)

Q. The clinical picture is dominated by ___ (+) of the following _____ symptoms:

A

3 (+)

12

40
Q

(Schizophrenia Spectrum and Other Psychotic Disorders)
(> Catatonia)

> > Catatonia Assoc. with Another Mental Disorder (CATATONIA SPECIFIER)

Q. The clinical picture is dominated by 3 (+) of the following 12 symptoms:

A
  1. Stupor
  2. Catalepsy
  3. Wavy flexibility
  4. Mutism
  5. Negativism
  6. Posturing
  7. Mannerism
  8. Stereotypy
  9. Agitation
  10. Grimacing
  11. Echolalia
  12. Echopraxia

Psychopathology (2 decks)

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