Flashcards in Psychiatric Disorders Deck (80)
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1
What are the two psychiatric disorders?
-Bipolar
-Schizophrenia
2
What were the four A's of psychosis?
-Autism
-Apathy
-Associations (loose)
-Affect (flat)
3
What are the first rank symptoms of psychosis?
-Delusions
-Hallucinations
-Hearing voices
-Thought withdrawl
-Imposed feelings/impulses
4
What are the diagnostic criteria for schizophrenia? (5) How many are needed?
-Delusions
-Hallucination
-Disorganized thinking/speech
-Disorganized or abnormal motor behavior
-Negative symptoms
-1 or more
5
What are delusions?
Fixed beliefs that are not amenable to change in light of conflicting evidence
6
What are persecutory delusions?
Harmed or harassed by individual or group
7
What are referential delusions?
Gestures, comments, environmental cues are directed at oneself
8
What are grandiose delusions?
Individuals believe that they have exceptional abilities of wealth or fame
9
What are erotomanic delusions?
Individuals believes falsely that another person is in love with them
10
What are nihilistic deulsions?
Involve a conviction that a major catastrophe will occur
11
What are somatic delusions?
Preoccupation regarding health and organ function
12
In what mental health disorder is somatic delusions common in?
MDD
13
What is the age distribution of MDD
Bimodal--20s and 60s
14
What are hallucinations?
Perception-like experiences that occur without an external stimuli
15
What are auditory hallucinations?
Voices distinct from an individual's thoughts
16
What is disorganized speech? What must be present in order to diagnose this correctly?
Inferred from the individual's speech and it *must impair communication*
17
What is derailments or loose association speech?
Switching from topic to topic
18
What is tangentiality or loose association speech?
Answers to questions obliquely related or unrelated
19
What is incoherence or loose association speech?
"word salad"--Severely disorganized resembling receptive aphasia
20
What are the grossly disorganized or abnormal motor behaviors? When in particular are the noticeable?
Behavior that manifests in a variety of ways from childlike silliness to unpredictable agitations.
Problems may be noted in any form of goal directed behavior including performing ADLs
21
Why do schizophrenics smell bad?
They have a disturbed sense of smell
22
What is negativism catatonia?
Resistance to instruction
23
What is mutism and stupor catatonia?
Ridigs, inappropriate or bizarre posture to a complete lack of verbal or motor responses
24
What is catatonic excitment?
Purposeless and excessive motor activity without an obvious cause
25
True or false: catatonia can occur in bipolar, depressive, or other medical conditions
True
26
Are echolalia and coprolalia forms of catatonia?
Yes
27
What are the negative symptoms of psychosis?
Diminished emotional expression--reductions in the expression of emotions in face, eye contact and intonation of speech
28
What is avolition?
Decrease in motivated self initiated purposeful activities
29
What is alogia?
Diminished speech output--sometimes to the point of mutism
30