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Flashcards in Psychotic Disorders Deck (78)
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1

Psychosis

defined as an abnormal state in which thoughts, feelings and perceptions are altered

2

Psychosis may be due to...

psychiatric or neurologic disorder or secondary to physiological stressors

3

Schizophrenia

disease of the brain that causes distorted and bizarre thoughts, perceptions, emotions, movements, and behavior

-syndrome or disease process vs. a single illness

4

Two major categories of symptoms for Schizophrenia

positive and negative

5

Positive Schizophrenia Symptoms

-delusions
-hallucinations
-grossly disorganized thinking, speech, and behavior

6

Negative Schizophrenia Symtpoms

-flatted affect
-social withdrawal
-lack of volition

7

Symptom rule for Schizophrenia

Two or more of the following, each present for a significant portion of time during a 1 month period (or less if successfully treated).

Of the symptoms, at least 1 of them has to be delusions, hallucinations, or disorganized thoughts.

1. delusions
2. hallucinations
3. disorganized speech
4. grossly disorganized or catatonic behavior
5. negative symptoms

8

Adult Schizophrenia patients...

demonstrate a decreased ability to function either at work, in relationships, or in ability to care for themselves

9

Children Schizophrenia patients....

fail to achieve expected level of performance in tasks related to interpersonal, academic, or occupational functioning

10

Symptoms of Schizophrenia must be present for...

6 months

11

Schizoaffective disorder

experience hallucinations, delusions, disorganized thought and disorganized behavior

-they suffer from at least one manic episode or period of major depression

-must experience depressive or manic episodes at least 50 percent of the time throughout the entire course of their illness

-must persist for 2 weeks or more

-often misdiagnosed

12

Schizophreniform disorder

presents similarly to schizophrenia but symptoms last 1-6 months whereas a full 6 month duration is needed for schizophrenia

13

Brief psychotic disorder

brief episode of typically positive psychotic behavior and lasts between 1 day and 1 month

14

catatonia

unusual or lack of body movement

15

wavy flexibility

will maintain any position in which they are placed

16

Mood and affect

-variable: flat or blunted to silly and inappropriate

-mood and affect may be incongruent

-anhedonia (lack of pleasure)

-euphoria

17

Thought context

-WHAT THE CLIENT ACTUALLY SAYS

-the ideas expressed

18

What is assess under thought content?

-delusions
-suicidal or homicidal ideation
-magical thinking
-poverty of speech or content

19

Thought Process

aka Form of Thought

-HOW the thoughts are expressed

-assessed through the client's verbal communication--inferred--speech reflects thoughts

20

Circumstantiality

speech that takes a circuitous route before reaching its goal

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Tangentiality

speech that talks past the point and never reaches the goal of answering the questions

22

Echolalia

repetition of speech

23

Clang associations

individual repeatedly uses rhyming words without apparent meaning

24

Neologisms

uses meaningless words that only have meaning to them

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Preservation

uses the same words or phrases over and over

26

Included in the assessment of perception are...

-hallucinations

27

Hallucinations

sensory perception in the absence of an actual external stimulus.

they can occur in any sensory system of the body, such as...
-auditory
-visual
-tactile
-olfactory
-gustatory

28

Command hallucinations

potentially the most dangerous

MUST ASK: "do the voices ever tell you to do thing? if so, do they ever tell you to hurt yourself or someone else?

29

Judgment

Defined in Taber's as: the use of available evidence or facts to formulate a rational opinion or to make socially acceptable choices or decisions

30

Intact judgment

requires the ability to interpret the environment correctly