Psych 7 Flashcards
(42 cards)
What is it called when patient consciously fakes symptoms in order to obtain secondary (external) gain
Malingering
What is it called when patient consciously fakes symptoms in order to obtain primary gain (sick role)
Factitious disorder
Bodily complaints with excessive, persistent thought and anxiety about symptoms
Somatic symtoms disorder
Time frame of somatic symptom disorder
At least 6 months
Describe conversion disorder
- At least one neurological symptom (sensory or motor) which cannot be fully explained by a neurological condition (E.g. paralysis, weakness, blindness, mutism, paresthesias, seizures, globus sensation)
- Patient is aware of but sometimes indifferent towards symptoms
- Excessive preoccupation with acquiring or having some illness
- Absent or minimal somatic symptoms
Illness anxiety disorder
Time frame of illness anxiety disorder
at least 6 months
Falsification of physical or psychological symptoms, or induction of injury or disease, in the absence of obvious external gain
Factitious disorder
Recurrent behavioral outbursts resulting in verbal and/or physical aggression against people or property
Intermittent explosive disorder
What laboratory finding is associated with intermittent explosive disorder
Low levels of serotonin (5-HIAA) in the CSF
Tx of intermittent explosive disorder
SSRI, anticonvulsants, or lithium
CBT
What other disorder do 65% of patients with kleptomania have?
Bulimia nervosa
Sx of neuroleptic malignant syndrome
Muscle rigidity, dystonia, akinesia, mutism, obtundation, agitation, high fever, sweating, increased BP and HR
Medication other than Dantrolene used to treat NMS
Bromocriptine
Factors indicative of poor prognosis in schizophrenia
- Early/insidious onset of disease
- Lack of precipitating factors/stressors
- Poor premorbid functioning
- Neurological signs and symptoms
- Presence of social isolation
- Family history of schizophrenia
- Poor support system
- Presence of negative sx
Criteria and time frame for delusional disorder
o >/= 1 delusions for >/= 1 month
o Other psychotic symptoms absent or not prominent
o Ability to function apart from delusion; behavior not obviously bizarre or odd
What is catatonia
o Diagnosis includes 3 or more of the following:
♣ Catalepsy (immobility)
♣ Stupor
♣ Waxy flexibility
♣ Mutism
♣ Negativism (resisting attempts to move patient and does opposite to what is asked)
♣ Posturing
♣ Mannerism
♣ Stereotypy (repetitive behavior)
♣ Agitation not influenced by external stimuli
♣ Grimacing
♣ Echolalia (meaningless repetition of another person’s spoken words)
♣ Echopraxia (meaningless repetition of the movements of others)
Describe grandiose delusional disorder
Delusions of having great talents
Which antipsychotics are available as long acting injectables
THINK: How Ridiculous, Paying For A hOle
H = Haloperidol R = Risperidone P = Paliperidone F = Fluphenazine A = Aripiprazole O = Olanzapine
What is the life time prevalence of schizophrenia
0.3-0.7%
Is rapid onset of schizophrenia a good or poor prognostic factor?
Good
Insidious onset is a poor prognostic factor
Is onset of schizophrenia at age 22 a good or poor prognostic factor?
Good
Onset age 20-25 is a good
Name 3 drugs that can produce psychosis similar to schizophrenia
Amphetamines
PCP
LSD
What psychotic feature is almost purely seen in psychiatric disorders (vs. medical causes of psychosis)
Auditory hallucinations
