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PSYCH FINALS

QuestionAnswer
Delusion of Grandeur exaggerated/unrealistic sense of importance, power, identity. (Thinks he/she is the Pres or Jesus Christ)
Delusion of Persecution others are out to harm or persecute in some way. (May believe their food is being poisoned or they are being watched)
Delusion of Reference everything in the environment is somehow related to the person. (A television news broadcast has a special message for this person solely)
Somatic Delusion an unrealistic belief about the body, such as the (brain is rotting away)
Control Delusion someone or something is controlling the person (Radio towers are transmitting thoughts and telling person what to do)
CIRCUMSTANTIALITY excessive and irrelevant detail in descriptions w the person eventually making his/her pt. (we went to a new rest. The waiter wore several earrings & seemed to walk w a limp… yes, we loved the rest)
CONCRETE THINKING unable to abstract & speaks in concrete, literal terms. (For instance, a rolling stone gathers no moss would be interpreted literally)
CLANG ASSOCIATION association of words by sound rather than meaning (she cried till she died but could not hide from the ride)
LOOSE ASSOCIATION a loose connection between thoughts that are often unrelated. (the bed was unmade. She went down the hill and rolled over to her good side. And the flowers were planted there)
TANGENTIALITY digressions in conversation from topic to topic and the person never makes his/her point. (went to see Joe the other day. Btw, bought a new car, mary hasn’t been around lately)
NEOLOGISM creation of a new word meaningful only to that person(the hiphopmobilly is on its way_
WORD SALAD combination of words that be no meaning or connection (inside outside blue market calling)
SCHIZO - subtype - CATATONIC characterized by marked psychomotor problems: immobility or excessive activity with no purpose; odd movements, rigid posture, stereotyped movements, may be extremely negative or mute
SCHIZO - subtype - DISORGANIZED disorganized thinking, speech and behavior; affect is flat or inappropriate; primitive, uninhibited behaviors, unusual manerisms, distorted facial expressions, giggles or cries out.
SCHIZO - subtype - PARANOID organized delusions of grandeur or persecution, auditory hallucinations, high anxiety levels, guarded, suspicious, aloof, hostile, angry
SCHIZO - subtype - UNDIFFERENTIATED does not meet criteria for other subtypes; disorganized speech, behavior; hallucinations, delusions, negative symptoms, prognosis is fair.
SCHIZO - subtype - RESIDUAL has had at least one acute episode of schizo, is free of acute psychosis but still has negative symptoms of withdrawal, emotional changes, disorganized thinking, and odd behaviors.
DSM - IVR determines if a person has schizo. Need to have symptoms for 1 mo or more. Two of the present significan portion of the time. DELUSIONS, HALLUCINATIONS, DISORGARNIZED SPEECH, GROSSLY DISORGANIZED BEHAVIOR, NEG SYMPTOMS
DSM - IVR - DELUSIONS fixed false beliefs despite evidence that they are not true.
DSM - IVR - HALLUCINATONS response to internal stimuli of one of the 5 senses - w errors in perception of reality
DSM - IVR - DISORGANIZED SPEECH disorganized thinking so not able to interpret incoming information
DSM - IVR - GROSSLY DISORGANIZED BEHAVIOR or catatonia ADL's suffer and there may be purposeless movement and behavior
DSM - IVR - NEGATIVE SYMPTOMS less than normal behavior, falt affect, poor eye contact, ALOGIA (dec amt of, poverty of speech), very concrete, avolition - anhedonia
ANHEDONIA no pleasure in anything
SCHIZO - positive symptoms in excess of distortion of normal behavior - pressured speech, hallucinations, delusions
SCHIZO drugs antidepressants, antipsychotic and antianxiety
EPS (EXTRAPYRAMIDAL SIDE EFFECTS) abnormal involuntary movement disorders that develop because of drug induced imbalance between two major neurotransmitters, dopamine and acetylcholine, in portions of the brain
SCHIZO POSITIVE S/S DRUGS (PHENOTHIAZINES) THORAZINE, PROLIXINE, MELLARIL, STELAZINE
SCHIZO NEGATIVE S/S DRUGS CLORAZIL, ZYPREXA, SERAQUEL
EPS SYMPTOMS akathisia, akinesia, dyskinesia, dystonia, drug induced parkinsonism
AKATHISIA DEVELOPS WITHIN DAYS TO WEEKS. inability to sit still
AKINESIA absense of movement, both physically and mentally
DYSKINESIA LONGTERM S/E (YRS) involuntary skeletal muscle movements
DYSTONIA EARLIEST ONSET OF EPSE (WITHIN DAYS) impaired muscle tone
DRUG INDUCED PARKINSONISM DEVELOPS W/IN THE FIRST 4 WKS OF THERAPY, INITIATION DOSE INCREASE. tremors, muscle rigidity, difficulty with voluntary movments
NMS (NEUROLEPTIC MALIGNANT SYNDROME) potentially fatal EPS of antipsychotic med. Occurs more often when two or more psychotherapeutic drugs are combined. Death can occur from resp failure, kidney, aspiration pneumonia, or pulm emboli
NMS (NEUROLEPTIC MALIGNANT SYNDROME) - ss HIGH BODY TEMP, sudden change in LOC, rapid onset of rigid muscles. Resp difficulty, tremores, inability to speak
MANIC EPISODE a period of persistent, abnormally elevated expansive or irritable mood. Week or more. Requires hospitalization
DEPRESSED EPISODE flat affect (no facial expression), little speech, sad or lethargic
BIPOLAR I most severe form. Has grandiose behavior, flight of ideas and insomnia. Recurrent manic and depressive episode as long as 3-6 months.
BIPOLAR II shorter episodes of major depression accompanied by HYPOMANIC EPISODE. Causes significant distress w impaired social, occupational or other impt areas of functioning.
HYPOMANIA exaggerated sense of cheefulness.
MOOD prolonged emotional state that influence one's whole personality and life functioning.
LITHIUM 1st line RX for acute mania
SEASONAL AFFECTIVE DISORDER also known as winter depression. Occurs in ppl from oct to apr. daily exposure to full spectrum light (phototherapy) lessens the symptoms of sadness and social withdrawal.
DEPRESSION Mood of sadness, withdrawal from usual commitments.
MILD DEPRESSION grief process, triggered to the response to loss of something. Normally within a few wks. Loss is accepted.
MILD DEPRESSION - s/s blame of others, anorexia, overeating, complaints of real back pain
MODEREATE DEPRESSION helplessness, low self-esteem, increased use of substances, decreased interest in personal hygiene. Grief is prolonged, fixated, angry or unable to function w/o help. No longer normal
SEVERE DEPRESSION feelings of total despair, flat effect, inability to feel pleasure, social isolation, no personal hygiene, thoughts of suicide, loss of reality
SSRI's more often prescribed antidepressant because of low incidence of side effects. It prevents the uptake of neurochemical serotinin
TRICYCLIC ANTIDEPRESSANTS can produce severe CNS depression when they interract with barbituates, cetrain anticonvulsants, drugs and alcohol.
MAOIs can have severe and potentially fatal side effects. Night time antidepressants. The NS can become overexited.
SSRI's drugs PROZAC, paxil, luvox, zoloft
TRICYCLIC ANTIDEPRESSANTS drugs elavil, adepin, sinequan, surmontil, pamelor, anafranil, tofranil, norpramin, vivactil
MAOIs drugs marplan, parnate, nardil
MOOD STABILIZING DRUGS lithium, tegretol, klonopin, depakote, zyprexia
Created by: jekjes
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