Thought Disorders Flashcards
What are the steps to assess a patient?
- Age
- Gender
- Symptoms
- Time issues
- onset, frequency, duration
- Past episodes / treatments
- Better / Worse?
- Family History
- genetic potential & learned behavior
- Hallucinations , Homicidal Ideation, Suicidal Ideation
- Think of neurophysical / neurochemical pathways
- SAMCEL (S)
- rule out underlying physical illness / disorders
What are the thought disorders?
- brief psychotic disorder
- delusional disorder
- schizotypal (personality) disorder
- schizoaffectie disorder
- schizophreniform disorder
- schizophrenia
Whta is psychosis?
disorganization of thoughts
patients in a psychotic episode demonstrate strane behviors that are the result of srange thought processes
Psychotic patients may be free from halucinations & suffer instead from what?
fixed, false belief, known as a delusion
What is the duration of brief psychotic disorder?
1 - 30 days
eventual full return to premorbid level of functioning
There must be 1+ of what symptoms to diagnose a brief psychotic disorder?
- delusions (fixed false belief)
- hallucinations (auditory, visual, or tactile)
- disorganized speech (derailment or incoherenece)
- grossly disorganized or catatonic behavior (muscular rigidity/tightness & lack or response to environment)
What is the diagnostic criteria for schizophreniform disorder?
2+ during a one month period:
- delusion
- hallucination
- disorganized speech
- grossly disorganized or catatonic behavior
- negative symptoms
What is the timeline for schizophreniform disorder?
one month to < 6 months
if diagnosis must be made without waiting for recovery - qualified as “provisional”
What is the diagnostic criteria for schizophrenia?
2+ of teh following for at least 1 month (unless successfullly treated)
- delusions
- hallucinations
- disorganized speech
- grossly disorganized or catatonic behavior
- negative symptoms
individual must also have a disturbance in social, occupational, or hygeine function from the onset of the illness
What is the timeline of schizophrenia?
unless successfully treated, symptoms must persist at least 6 months
What are the 5 types of schizophrenia?
- Catatonic
- Disorganized
- Paranoid
- Residual
- Undifferentiated
What are the characteristics of catatonic schizophrenia?
- catatonic (2+ following)
- catalepsy w/ waxy flexibility or stupor
- echolalia or echopraxia
- increased motor activity (catatonic excitement)
- mutism
- odd postuting or stereotyped movements
List the time frames for:
brief psychotic disorder
schizophreniform disorder
schizophrenia
- brief psychotic disorder
- 1 - 30 days
- schizophreniform disorder
- 30 to 6 months
- schizophrenia
- > 6 months
What is a delusional disorder?
Timeframe?
fixed, false belief
lasts at least 1 month - but does not meet criteria for schizophrenia
the individual lives a usual & customary life - only thing that is unusual is the circumscribed fixed, false belief - everything else is fine
What is the disorder that is effectively schizophrenia + mood disorder?
schizoarrective disorder
