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PSYCH exam 1. PT 2

review in conjunction w/ part 1

QuestionAnswer
Delusional disorder: lasts ≥ 1 month, pt has general delusions (grandiose, persecutory, somatic, and referential delusions).
Brief psychotic disorder SUDDEN ONSET of at least one symptom, lasts for more than 1 day but no more than 1 month. Pt could exhibit hallucinations, delusions, disorganized speech, and disorganized or catatonic behavior.
Schizophreniform disorder: exactly like schizophrenia but lasts <6 months. Some pt’s return to baseline functioning, others don’t.
Schizoaffective disorder: symptoms of schizophrenia with UNINTERRUPTED periods of major depression, manic, or mixed episodes (MOOD disorder + schizophrenia = schizoaffective disorder)
POSITIVE symptoms ADD to the patient experience, i.e., delusions and hallucinations
NEGATIVE symptoms SUBTRACT from the patient experience, such as a lack of emotion and toneless voice! **
Prodromal: EARLIEST phase, where symptoms haven’t manifested completely
Acute: ACTIVE phase, where people experience full-blown symptoms for the first time (hallucinations, delusions);
Acute substance abuse or suicidal thoughts may begin, functioning at school or work deteriorates, aggression may develop → typically when patient’s finally reach a breaking point and seek help/treatment for the first time (typically an ER visit)
Stabilization/maintenance: consistent treatment focused on stabilizing and managing symptoms via relationships, community, medicine adherence, etc.
delusions are considered a PRIORITY!! because they are the most likely to be associated with violence** persecutory
PERSECUTORY: belief that one is being spied on, plotted against, drugged, followed, mistreated, etc.
Referential belief that normal events have hidden meanings that specifically are meant for the person having the delusion
Grandiose: belief that they have fame, power, talent, or wealth without actually having evidence of those things (like thinking that they’re God)
Erotomatic: belief that a person, normally of higher social status, is in love with them (like you’re convinced that Timothy Chalamet is your husband)
Nihilistic: belief that self, body part(s), or the world is dead or will cease to exist in the near future.
Somatic: the patient feels bodily sensations that are not really there (like spiders under their skin)
Control: someone or something is forcing the patient to do something or “controlling them”
Echolalia: repeating another person’s words like a parrot
Neologisms made up words
Circumstantiality speech answer with details that go around the world
Tangentiality answer with the same irrelevant topic
Flight of ideas: rapidly & repeatedly changing the topic of conversation
Symbolic speech- “demons are sticking needles in me”
negative symptoms Anhedonia: inability to experience pleasure Avolition Asociality Affective blunting Apathy Alogia
Schizophrenia is characterized by Hallucinations:Delusions:Disorganized speech
public stigma describes reactions that individuals receive from the public after being diagnosed with a particular illness
Self-Stigma: self-imposed negative stereotypes that prevent people from getting help
Label Avoidance: when a patient avoids seeking help in fear of receiving a diagnosis & the stigma that goes with it → pt will avoid seeking help/treatment until they’ve reached a crisis level, often associated with cultural norms
Created by: thannon
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