Unit 3 Flashcards
(52 cards)
illness anxiety disorder (FRM: hypochondriasis)
unrealistically interpret bodily symptoms as signs of a serious illness- chronic anxiety/ preocupation- symptoms change as body changes
DC: - physical symptoms due to mild condition disproportionate to anxity
-can experience almost panic state
-repeated medical visits/ checking body
-worry despite assurances
-often aware that fear is exaggerated, not delusional
-1-5%
-treatments= antidepressants, tricyclic and SSRI- CBT and ERP used
conversion disorder (aka. functional neurological symptom disorder)
people experiencing a physical symptom without cause- neurological symptoms
-symptoms are REAL- not delusional, usually start suddenly in time of stress
-at least 1/3 of primary care visits involve unexplained symptoms
-historically, it was believed that psych trouble was CONVERTED Into physical illness (freud)
DC= 1+ symptom involving altered motor or sensory function, inconsistent with real physical disorder, symptoms are inexplicable by medicine, distress/ dysfunct
la belle indifference
patient sometimes dismisses the symptoms as minor, though they are incapacitated, NOT part of the DC
somatic symptom disorder
disproportionate and persistent concern about seriousness of one’s physical symptom- NOT neuro symptoms; often has history of large number of medical appts. (predominant pain and somatization subtypes)
-anxiety about illness, but symptoms are real and severe and physical with SSD> IAD
malingering
NOT an actual disorder- motivated by external incentives
factitious disorder (munchausens)
DC: intentionally produced physical or psych symptoms, person is motivated by internal incentives, may undergo multiple procedures, may have history of travel and different hospitals, person creates additional symptoms when test yields negatives
-can be imposed on self or another
psych factors affecting medical
coping, maladapt health behavior, stress etc can increase chance of MI
psychosis
severe disturbance in one’s experience of reality- difficult to discern what is real
positive symptoms
distortions or excess of normal behavior
-delusions, hallucinations, disorganized speech, abnormal motor behavior
negative symptoms
functioning below normal level
-avolition, affect flattening, alogia, anhedonia, sociality
delusion
deeply held, false belief (grandeur, persecution, somatic…)
disorganized speech
loose association, tangentiality, incoherence, neologisms
abnormal motor behavior (positive symptoms)
catatonic, agitation, staring, tick, bizarre/ purposeless movements
avolition
lack of self motivation
affect flattening
decreased emotional expression
alogia
poverty of speech- decreased speaking/ mute
anhedonia
decreased pleasure
schizophrenia
DC: 2+ active phase symptoms, at least one must be hall or delusion and present for significant portion of one month
- symptoms must last at least 6 months with one month active phase
- not due to subs use
schiz stats
10-25 year reduction in life expectancy due to suboptimal lifestyles and antipsychotic drug side effects
- affect less than 1% pop (equal males and females)
1/3 homeless pop has severe mental illness
DA hypothesis
overactive DA in schiz leads to positive symptoms
brain abnormalities
increased synaptic pruning increased ventricle size decreased white matter shrinkage of frontal and temporal lobe --flu exposure during second trimester
expressed emotion
extent to which close family members express negative attitudes towards the patient during private interview- hostile and critical
-4x more likely to relapse if in environment with EE
brief psychotic disorder
at least one psychotic symptom present for 1-30 days
-sudden onset (within 2 weeks)= reactive psychosis due to the nature of the disorder to be in response to something
(peripartum onset/ post partum response)
schizophreniform disorder
same symptoms as schiz, shorter duration (symptoms= 1-6 mo)… 2/3 will develop schiz
-those most likely to recove= no negative symptoms, sudden onset, and good functioning before the disorder presentation
