• psychotic for at least a day, then return to baseline
• at least one symptom: delusions, hallucinations, disorganized speech
• not due to mood disorer/schiz./ shizoaffect.

• Someone closely assoc. with a delusional person also develops similar delusion
• content is similar
• Not explained by other psych. dis. or GMC

• Charles Bonnet Syndrome
• Postpartum Psychosis
• Auditory Hallucinations

• one or more episodes of inability to recall important personal info (not attribut. to forgetfulness)
• Usually related to traumatic events and gaps around event
• Chronic, yet reversible amnesia

- Abrupt/unexpected travel and inability to recall some or all of one's past

• confusion about personal identity or partial/total assumption of new identity
• very rare, usually during wartime/natural disaster

- Two or more distince identities/personalities that each has its own pattern of perceiving/relating to/thinking about self or environment

- at least 2 personalities take control of person's bx in sequence.

- changes triggered by stress or external cues (a way of protecting oneself)

- usually from severe trauma in childhood

- therapy seeks to reintegrate personalities

• one or more episodes of depersonalization - a feeling of detachment or estrangement from oneself
• Reality testing intact
• Sxs cause sig. impairment/distress

• Derealization without Depersonalization?
• Brainwashing
• Coma/LOC
• Ganser's Syndrome (most are males)
• Dissociative Trance Disorder

• Balderdash, pseudodementia, syndrome of approx. answers
• Answer questions with nonsensical responses
• Used to be a factitious disorder
• Most common in prison populations

• Visual hallucinations - see things that arent' real
• Person usually aware that visions are not real
• Usually remits within a year
• Usually Lilliput hallucinations (smaller than in real life)

• Impulse Disorder
• Several instances of losing control of aggressive impulses
• Aggression markedly out of proportion to psychological stressor
• Build up and release of pressure through aggressive action

• Repeated pattern of irresistable impulse to steal objects
• Not for monetary gain, or in response to delusions, anger/revenge
• Buildup and release of tension

• Repeated, irresistable urge to be attracted to and set fires
• Buildup of tension/anxiety and release through action
• Not better explained through other dx such as Conduct DO or manic episode

• Buildup of tensions and release through pulling out one's own hair

• Repeated gambling (and assoc. activities) usually to the point of losing job, money, friends, family
• Buildup of tension and release

• May be difficult to spot during testing, so be aware for signs of impulsive behavior
• Triggers may not be present in testing environment
• Use internal baserates to detect degree of impulsivity/aggression