SW592 MT2 Flashcards
Delusional Disorder (Schizophrenia Spectrum & other psychotic disorders)
The presence of one or more delusions that last at least one month.
Delusional Disorder Subtypes
- Erotomanic (stackers-believe that they are in love with a stranger.. out of reality and hard to convince otherwise).
- Grandiose (believe that they have some great talent-hard to treat)
- Jealous (believes lover is unfaithful-might hire private detective, use phone to track lover)
- Persecutory (believe that P are conspiring against him)
- Somatic (a believe that they have an illness when they don’t- bodily functions or sensations)
Obsessive-Compulsive Disorder (OCD)
- Recurrent obsessions or compulsions that are severe enough to cause significant distress, to be time-consuming, or to interfere with the person’s usual routine, occupational, academic, or social functioning.
- The behaviors or mental acts are aimed at preventing or reducing anxiety, however the acts are not connected in a realistic way with what they are designed to prevent and are clearly excessive.
- affects the ability to get out of the house
- obsessive thoughts always returns
Schizophrenia
- delusions (fixed beliefs not amenable to change)
- Hallucinations (perception like experiences that occur w/out external stimulus
- Disorganized Speech (loose associations, incoherence)
- Disorganized behavior (unpredictable agitation, catatonic behavior)
- Negative Symptoms (diminished emotional expression, abolition, anhedonia)
- usually auditory, hearing noises or words
- unable to complete goals directed activities
- Rx don’t do much for the negative symptoms
- bizarre delusions
Schizophreniform Disorder
*Criteria identical to schizophrenia except that the disturbance is present for at least one month but less than six months.
- delusions (fixed beliefs not amenable to change)
- Hallucinations (perception like experiences that occur w/out external stimulus
- Disorganized Speech (loose associations, incoherence)
- Disorganized behavior (unpredictable agitation, catatonic behavior)
- Negative Symptoms (diminished emotional expression, abolition, anhedonia)
Brief Psychotic disorder
*delusions, hallucinations, disorganized or catatonic behavior that is present or at least 1 day BUT less than 1 month, with a return to full premorbid functioning.
Major Neurocognitive Disorder (Dementia)
- Evidence of significant cognitive decline from a previous level of functioning in one or more cognitive domains… based on
- concern of the indv, an informant, or clinician that there has been a significant decline in cognitive functioning.
- a substantial impairment in cognitive performance documented by neuro-psychological testing
- the deficits interfere with independence in everyday functioning (e.g. paying bills)
- unable to live independently
Mild Neurocognitive Disorder (Dementia)
Evidence of modest cognitive decline from a previous level of performance… based on:
- concern of the indv, an informant, or clinician that there has been a mild decline in cognitive functioning
- A modest impairment in cognitive performance documented by neuro-psychological testing
- The deficits do not interfere with independence in everyday functioning (e.g. paying bills), but greater effort, compensatory strategies or accommodation may be required
- able to live indp. with some accommodation
- family role is important for P to continue living independently.
Types of Major and Mild Neurocognitive disorder
*Alzheimer’s
*Frontotemporal lobar degeneration
*Lewy body disease
*vascular disease -strokes
*Traumatic brain injury
*substance/medication use
HIV infection
*Prion disease
*Parkinson’s disease
*Huntington’s disease
*Another Medical condition
*Multiple etiologies
*unspecified
Real dementia is a long slow decline
Somatic Symptom Disorder
- One or more somatic symptoms that are distressing or result in disruption of daily life
- excessive thoughts, feelings, or behaviors related to the somatic symptoms or associated health concerns as manifested by at least ONE of the following:
- disproportionate and persistent thought about the seriousness of one’s symptoms
- persistently high levels of anxiety about health and symptoms
- excessive time and energy devoted to these symptoms
- although any one symptom may not be continuously present, the state of being symptomatic is persistent (typically 6 mo)
Illness Anxiety Disorder
- preoccupation with having or acquiring a serious illness
- somatic symptoms are not present, or only mild in intensity
- the preoccupations is clearly excessive or disproportionate
- there is a high level of anxiety about health and the individual is easily alarmed about personal health status
- the indv performs excessive health related behaviors (e.g. checks body for signs or illness) or avoidance behaviors (e.g. avoids doctors)
- Illness anxiety has been present for 6mo.
-symptoms are primary medical
Factitious disorder (AKA Munchausen’s)
- falsification of physical or psychological signs or symptoms or induction of injury or disease, associated with identified deception
- the indv presents as ill, impaired or injured
- the deceptive behavior is evident even in the absence of obvious external rewards
- factitious disorder imposed on another (falsification of physical or psychological signs or symptoms or induction of injury or disease in another associated with identified deception)
- P is making themselves sick usually for attention, internal rewards for recognition.
- making their own child sick somehow makes them feel good
Malingering (V-code)
- The intentional production of symptoms physical or psychological in order to obtain EXTERNAL rewards such as avoiding work, financial compensation, or obtaining drugs.
- not a mental disorder - fraud/illegal
Dissociative Amnesia
*characterized by one or more episodes of an inability to recall important personal info, usually of a traumatic or stressful nature, that cannot be attributed to ordinary forgetting
Dissociative identity disorder
*is characterized by the existence in one indv of two or more distinct personality states that may be in some cultures as an experience of possession. The disruption in identity involves marked discontinuity in sense of self and sense of agency, accompanied by related alterations in affect, behavior, consciousness, memory, perception, cognition and / or sensory functioning. These symptoms may be reported by the indv or others
*recurrent gaps in the recall or everyday events, important personal info, and or traumatic events that are inconsistent with ordinary forgetting. (AKA Multiple personality disorder)
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