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Mental Health > Chapter 12: Schizophrenia Spectrum Disorders > Flashcards

Chapter 12: Schizophrenia Spectrum Disorders Flashcards

(101 cards)

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1
Q

affect of schizophrenia

A

flat

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2
Q

associative looseness schizophrenia

A

illogical thinking

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3
Q

schizophrenia autism

A

thinking that’s not bound to reality

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4
Q

schizophrenia ambivalence

A

feeling you can’t make up your mind

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5
Q

hallmark sign of schizophrenia spectrum disorders

A

psychosis

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6
Q

psychosis is
- altered _________
- altered ___________
and/or
- impaired ability to determine what is or is not ________

A

cognition
perception
real

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7
Q

delusional disorder

A

false thoughts or beliefs

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8
Q

time frame for delusional disorder

A

1 month

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9
Q

delusional disorder delusion types
- grandiose

A

better than everyone
the best

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10
Q

delusional disorder delusion types
- persecutory

A

after them

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11
Q

delusional disorder delusion types
- somatic

A

physical

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12
Q

delusional disorder delusion types
- referential

A

specific
can be religion
keep going back to it

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13
Q

delusional disorder
are delusions severe enough to impair functioning

A

no
- do not harm self or others
- do not cause unable to meet basic needs

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14
Q

schizophreniform disorder
- difference between this and schizophrenia

A

time difference
this one last less than 6 months

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15
Q

schizophreniform disorder
- will impaired social/occupational functioning be apparent

A

may or may not

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16
Q

will schizophreniform disorder return to previous level of funcitoning

A

maybe

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17
Q

what should be ruled out before a primary diagnosis of schizophrenia is made

A

substance use and medical conditions

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18
Q

brief psychotic disorder time frame

A

last longer than 1 day but no longer than 1 month

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19
Q

will brief psychotic disorder return to normal functioning

A

it is expected

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20
Q

brief psychotic disorder
- sudden onset of

A

delusions
hallucinations
disorganized speech
disorganized or catatonic behavior

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21
Q

schizoaffective disorder
- effects what

A

thought and mood!!!!

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22
Q

schizoaffective disorder
- schizophrenia mixed with

A

major depressive disored
manic
mixed episode

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23
Q

cis characterized by

A

psychosis

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24
Q

when do schizophrenia start to present

A

15-25 years old

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25
time frame for schizophrenia
longer than 6 months otherwise it is schizophreniform disorder
26
schizophrenia onset
gradual
27
comorbidity disorders in schizophrenia
POLYDIPSIA substance us disorders suicude anxiety depression
28
schizophrenia - dopamine hypothesis
excess dopamine is responsible for psychotic symptoms
29
stages of schizophrenia
prodromal acute stabilization maintenance
30
prodromal stage
onset mild changes beginning stages can treat to prevent psychosis
31
acute stage
exacerbations of symptoms delusions and hallucinations changed distortions can be slow or abrupt actively psychotic
32
stabilization phase
symptom diminishing get to baseline education
33
maintence or residual
new baseline is established similar to symptoms experienced during prodromal
34
positive symptoms examples
deusions hallucinations
35
negative symptoms examples
autism affective flattening avolition social withdrawn alogia
36
positive symptoms definition
presence of symptoms that should not be present
37
negative symptoms definition
absence of qualities that should be present
38
cognitive symptoms definition
subtle or obvious impairment in memory, attention, thinking, and impaired executive functioning
39
affective symptoms
symptoms involving emotions and their expression
40
positive symptoms are associated with
acute onset
41
word salad
jumble of words meaningless to a listener
42
clang association
words chosen based on sound
43
neologisms
meaning for the patient only
44
echolalia
pathological repetition of another words
45
associative looseness
loosely associated, haphazard, illogical, confused speech that can sometimes be decoded
46
circumstantiality
including unnecessary and often tedium details in conversation but eventually reaching the point
47
tangentiality
wandering off topic or going off on tangents and never reaching the point
48
cognitive retardation
generalized slowing of thinking, which is represented by delays in responding to questions or difficulty finishing thoughts
49
pressured speech
urgent or intense and resists comments from others
50
flight of idea
moving rapidly from one though to the next, often making it difficult for others to follow
51
symbolic speech
using symbols instead of direct communication
52
thought blocking
reduction or stoppage of thought, interruption of thought by hallucinations can cause this
53
thought insertion
the uncomfortable belief that someone else has inserted thoughts into their brains
54
thought deletion
a belief that thoughts have been taken or are missing
55
magical thinking
believing that thoughts or actions affect others consequences
56
paranoia
irrational fear, ranging from mild to profound
57
hallucination types
auditory: hearing visual: seeing olfactory: smelling gustatory: taste tactile: feeling command: hallucinations are commanding person to do something
58
illusions
misperceptions or misinterpretations or a real experience
59
depersonalization
feeling of being unreal or having lost identity body parts do not belong or the body has drastically changed
60
derealization
false perception that the environment has changed
61
catatonia
increase or decrease in rate and amount of movement
62
waxy flexibility
excessive maintence of stupor- remaining motionless and unresponsive
63
extreme motor agitation
running about in response to inner or outer stimuli
64
stereotyped behaviors
motor patterns that have become mechanical and purposeless
65
active negativism
involves the patient doing the opposite of what is suggested
66
passive negativism
involves not doing the things one is expected to do, such as getting out of bed, eating, and so forth
67
agitated behavior
related to difficulty with impulse control, because of cognitive deterioration, patients lack social sensitivity and may act out impulsively
68
echopraxia
mimicking of movements of another
69
gesturing or posturing
assuming unusual and illogical expressions, posture, or positions
70
boundary impairment
an impaired ability to sense where ones body or influence ends and another begins
71
alterations in speech
associative looseness neologisms clang associations world salad echolalia circumstantiality tangentiality cognitive retardation pressured speech flight of ideas symbolic speech
72
disorders or distortions of thought
thought blocking thought insertion thought deletion magical thinking paranoia
73
alterations in perception
hallucinations illusions depersonalization derealization
74
alterations in behavior
Catalonia waxy flexibility motor retardation motor agitation stereotyped behaviors echopraxia negativism impaired impulse control gesturing or posturing boundary impairment
75
negative symptoms
a words
76
anhedonia
reduced ability or inability to experience pleasure in everyday life
77
avolition
loss of motivation, difficulty beginning and sustaining goal directed activities
78
asociality
decreased desired for, or comfort during, social interaction
79
affective blunting
reduced or constricted
80
apathy
decreased interest in, or attention to, activities or beliefs that would otherwise be interesting or important
81
alogia
reduction in speech, poverty of speech
82
affect
outward expression of a persons internal emotional state - flat, blunted, constricted, inappropriate, bizarre
83
flat affect
immobile or blank facial expression
84
blunted affect
reduced or minimal emotional response
85
constricted affect
reduced in range go intensity
86
inappropriate affect
incongruent with the actual emotional state or situation
87
bizarre affect
odd, illogical, inappropriate, or unfounded, includes grimacing
88
cognitive symptoms
concrete thinking impaired memory impaired information processing impaired executive functioning anosognosia
89
concrete thinking
impaired ability to think abstractly, resulting in interepreting or preceving thongs in a literal manner difficult responding to things like love or humor
90
impaired memory
impacts short term memory and ability to learn
91
impaired information processing
delayed responses, misperceptions, or difficulty understanding others, may lose the ability to screen out insignificant stimuli
92
anosognosia
do not realize they are ill
93
it is important to assess for what other issue
depression
94
what are some medical problems that mimic psychosis
delirium hyperglycemia hypoglycemia substance use
95
priority is
safety
96
external factors that impact schizophrenia
living arrangement economic social supports relationships
97
internal factors that impact schizophrenia
resilience coping skills
98
regularly assess for
safety
99
how should you respond to delusions
empathy clarify misinterpretations
100
how should you respond to associative looseness
mirror patient thoughts don't pretend to understand when you cant
101
meds used for schizophrenia
antipsychotics (1 and 2 gen)

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