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PSYCH exam 1. PT 2
review in conjunction w/ part 1
Question | Answer |
---|---|
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 |