Flashcards in Psychotic Disorders Deck (78)
defined as an abnormal state in which thoughts, feelings and perceptions are altered
Psychosis may be due to...
psychiatric or neurologic disorder or secondary to physiological stressors
disease of the brain that causes distorted and bizarre thoughts, perceptions, emotions, movements, and behavior
-syndrome or disease process vs. a single illness
Two major categories of symptoms for Schizophrenia
positive and negative
Positive Schizophrenia Symptoms
-grossly disorganized thinking, speech, and behavior
Negative Schizophrenia Symtpoms
-lack of volition
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.
3. disorganized speech
4. grossly disorganized or catatonic behavior
5. negative symptoms
Adult Schizophrenia patients...
demonstrate a decreased ability to function either at work, in relationships, or in ability to care for themselves
Children Schizophrenia patients....
fail to achieve expected level of performance in tasks related to interpersonal, academic, or occupational functioning
Symptoms of Schizophrenia must be present for...
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
presents similarly to schizophrenia but symptoms last 1-6 months whereas a full 6 month duration is needed for schizophrenia
Brief psychotic disorder
brief episode of typically positive psychotic behavior and lasts between 1 day and 1 month
unusual or lack of body movement
will maintain any position in which they are placed
Mood and affect
-variable: flat or blunted to silly and inappropriate
-mood and affect may be incongruent
-anhedonia (lack of pleasure)
-WHAT THE CLIENT ACTUALLY SAYS
-the ideas expressed
What is assess under thought content?
-suicidal or homicidal ideation
-poverty of speech or content
aka Form of Thought
-HOW the thoughts are expressed
-assessed through the client's verbal communication--inferred--speech reflects thoughts
speech that takes a circuitous route before reaching its goal
speech that talks past the point and never reaches the goal of answering the questions
repetition of speech
individual repeatedly uses rhyming words without apparent meaning
uses meaningless words that only have meaning to them
uses the same words or phrases over and over
Included in the assessment of perception are...
sensory perception in the absence of an actual external stimulus.
they can occur in any sensory system of the body, such as...
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?
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