Chapter 7 - Psychological Disorders Flashcards

(33 cards)

1
Q

How to diagnose schizophrenia?

A

Psychotic disorder: suffer from one or more of :

  • delusions
  • hallucinations
  • disorganized thoughts
  • disorganized behavior
  • Catalonia
  • negative symptoms

SCHIZOPHRENIA:
- continuous signs of the disturbance for min 6months
- period must include min 1 month of «active symptoms»
(Delusions, hallucinations, disorganized speech)

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2
Q

Positive vs negative symptoms of schizophrenia?

A

Positive:
- added to normal behaviour

Negative :

  • absence of normal or desired behaviour
  • *disturbance of affect and avolition
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3
Q

Delusion of reference

A

Pos symptom of schizophrenia:
- belief that common elements in the environment are directed toward individual

**characters on tv are talking to individual

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4
Q

Delusions of persecution

A

Person is being deliberately interfered with, discriminated against, plotted against, threatened

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5
Q

Delusions of grandeur

A

Belief you are remarkable in some significant way

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6
Q

Thought broadcasting vs thought insertion

A

Broadcasting:
- ones thoughts are broadcast to the external world

Thought insertion:
- thoughts are placed into ones head

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7
Q

Catatonia

A

Type of disorganized behaviour

Certain motor behaviours characteristic of some people with schizophrenia

**rigid posture, spontaneous activity , bizar movements

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8
Q

Disturbance of affect

A

Affect: display of emotion

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9
Q

Avolition

A

Negative symptom of schizophrenia

Decreased enlargement in purposeful , goal-directed actions

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10
Q

Prodromal phase

A

Prior to schizophrenia being diagnosed, patient often goes through period of poor judgement

*clear evidence of deterioration, Social withdrawal, peculiar behavior …etc

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11
Q

Major depressive disorder

A

A mood disorder characterized by at least one major depressive episode:

  • a period of at least two weeks with at least five of:
  • persistent depressed mood
  • decreased energy
  • feelings of worthlessness
  • excessive guilt
  • difficulty concentrating
  • psychomotor symptoms (slowing down)
  • suicidal thoughts

These symptoms must cause significant distress or impairment in functioning

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12
Q

Persistent depressive disorder

A

Dysthymia: a depressed mood that isn’t severe enough to meet the criteria of major depressive disorder

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13
Q

Bipolar 1 disorder

A

Manic episodes with or without major depressive episodes

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14
Q

Bipolar II disorder

A

Hypomania with at least one major despressive episode

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15
Q

Generalized anxiety disorder

A

Disproportionate and persistent worry about many different things

  • may also have physical symptoms:
  • fatigue
  • muscle tension
  • sleep problems..etc
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16
Q

Agoraphobia

A

Anxiety disorder : fear of being in places or situations where it is difficult to escape

17
Q

Panic disorder

A

Repeated panic attacks

«Sense of impending doom»

18
Q

Obsessive-Compulsive disorder

A

Obsessions which produce tensions, compulsions (repetitive tasks) that relieve tension

19
Q

Body dysmorphic disorder

A

Person has unrealistic negative evolution o this or her personal appearance and attractiveness

20
Q

Dissociate disorders

A

Person avoids stress by escaping from his identity

21
Q

Dissociative amnesia

A

Inability to recall past experiences

*often linked to trauma

  • may experience «dissociative fugue»
  • sudden or purposeless wandering away from ones home or location
22
Q

Dissociative identity disorder (DID)

A

(Formerly multiple personality disorder)

23
Q

Depersonalization/déréalisation disorder

A

Individuals feel detached from their own mind and body (personalization)

Or from their surroundings (derealization)

24
Q

Somatic symptom disorder

A

Have at least one somatic symptom

25
Illness anxiety disorder
Being consumed with thoughts about having or developing a serious medical condition
26
Conversion disorder
Unexplained symptoms affecting voluntary motor or sensory functions ex: blindness without neurological damage
27
Personality disorder
Pattern of behaviour that is inflexible and maladaptive Cluster A, B, C - weird, wild, worried
28
Ego-syntonic personality disorder
Individual perceives his behaviour as normal
29
Egodystonic
Individual sees their illness as something thrust upon them that is intrusive and bothersome
30
Cluster A (personality disorder)
“Weird” - Paranoid - schizotypal: patterns of odd/eccentric thinking - schizoid: pattern of detatchment from social relationships
31
Cluster B
“Wild” ANTISOCIAL: psychopathic BORDERLINE: pervasive instability in interpersonal behavior, mood, self-image HISTRIONIC: attention seeking NARCISSITIC: grandiose sense of self importance / uniqueness
32
cluster C
“Worried” AVOIDANT: extreme shyness, fear of rejection DEPENDENT: continuous need for reassurance OBSESSIVE COMPULSIVE PERSONALITY: - perfectionist and inflexible - like rules and order OCPD is lifelong, egosyntonic OCD: focal and acquired, ego-dystonic
33
Markers associated with depression
- high glucose metabolism in amygdala - hippocampal atrophy - high levels of cortisol - decreased norepi, serotonin, dopamine