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a pattern of observable behaviors that is the expression of s subjectively experienced feeling state - refers to more fluctuating changes in emotion |
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significant reduction in the intensity of emotional expression |
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absence or near absence of any signs of affective expression |
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discordance between affective expression and the content of speech or ideation |
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abnormal variability in affect with repeated, rapid, and abrupt shifts in affective expression |
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restricted or constricted affect |
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mild reduction in the range and intensity of emotional expression |
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agitation (psychomotor agitation) |
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excessive motor activity associated with a feeling of inner tension - repetitive pacing, pulling of clothes, etc. |
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an impoverishment in thinking that is inferred from observing speech and language behavior |
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loss of memory of events that occur after the onset of the etiological condition or agent |
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loss of memory of events that occurred before the onset of the etiological condition or agent |
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the apprehensive anticipation of future danger or misfortune accompanied by a feeling of dysphoria or somatic symptoms of tension |
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an impairment in the understanding or transmission of ideas by language in any of its forms - reading, writing, or speaking - that is due to injury or disease of the brain centers involved in language |
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an inability to initiate and persist in goal-directed activities - when severe enough to be considered pathological, avolition is pervasive and prevents the person from completing many different types of activities such as work |
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waxy flexibility - rigid maintenance of a body position over an extended period of time |
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marked motor abnormalities including motoric immobility (i.e., catalepsy or stupor), certain types of excessive motor activity (apparently purposeless agitation not influence by external stimuli), extremem negativism (apparent motiveless resistance to instructions or attempts to be moved), or mutism, posturing or stereotyped movements, and echolalia or echopraxia |
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a loss of, or alteration in, voluntary motor or sensory functioning suggesting a neurological or general medical condition |
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automatic psychological process that protects the individual against anxiety and from awareness of internal or external stressor or dangers such as projection, suppression, denial,etc. |
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a false belief based on incorrect inference about external reality that is firmly sustained despite what almost everyone else believes and despite what constitutes incontrovertible and obvious proof of evidence to the contrary |
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involves a phenomenon that the person's culture would regard as totally implausible |
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the delusion that one's sexual partner is unfaithful |
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a delusion of inflated worth, power, knowledge, identity, or special relationship to a deity or famous person |
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of being controlled delusion |
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a delusion in which feelings, impulses, thoughts, or actions are experienced as being under the control of some external force rather than being under one's own control |
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a delusion in which the central theme is that one (or someone to whom one is close) is being attacked, harassed, cheated, persecuted, or conspired against |
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a delusion whose main content pertains to the appearance or functioning of one's body |
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thought broadcasting delusion |
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the delusion that one's thoughts are being broadcast out loud so that they can be perceived by others |
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an alteration in the perception or experience of the self so that one feels detached from, and as if one is an outside observer of , one's mental processes or body |
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confusion about the time of day, date, or season (time), where one is (place), or who one is (person) |
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dyskinesia distortion of voluntary movements with involuntary muscular activity |
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the pathological, parrotlike, and apparently senseless repetition of a word or phrase just spoken by another person |
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a recurrence of a memory, feeling, or perceptual experience from the past |
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a nearly continuous flow of accelerated speech with abrupt changes from topic to topic that are usually based on understandable associations, distracting stimuli, or plays on words - when sever speech may be disorganized and incoherent |
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a person's inner conviction of being male or female |
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attitudes, patterns of behavior and personality attributes defined by the culture in which the person lives as stereotypically "masculine" or "feminine" social roles |
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a sensory perception that has the compelling sense of reality of a true perception but that occurs without external stimulation of the relevant sensory organ |
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involving the perception of sound, most commonly of voices |
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involving the perception of taste (usually unpleasant) |
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involving the perception of odor, such as of burning rubber or decaying fish |
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involving sight, which may consist of formed images, such as of people, or of unformed images, such as flashes of light |
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excessive sleepiness, as evidenced by prolonged nocturnal sleep, difficulty maintaining an alert awake state durng the day, or undesired daytime sleep episodes |
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speech or thinking that is essentially incomprehensible to others because words or phrases are joined together without a logical or meaningful connections |
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a subjective complaint of difficulty falling or staying asleep or poor sleep quality |
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the erroneous belief that one's thoughts, words, or actions will cause or prevent a specific outcome in some way that defies commonly understood laws of cause and effect |
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mood-congruent psychotic features |
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Delusions or hallucinations whose content is entirely consistent with the typical themes of a depressed or manic mood. If the mood is depressed, the content of the delusions or hallucinations would involve themes of personal inadequacy, guilt, disease, death, nihilism, or deserved punishment. The content of the delusion may include themes of persecution if these are based on self-derogatory concepts such as deserved punishment. If the mood is manic, the content of the delusions or hallucinations would involve themes of inflated worth, power, knowledge, or identity, or a special relationship to a deity or a famous person. The content of the delusion may include themes of persecution if these are based on concepts such as inflated worth or deserved punishment. |
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Mood-incongruent Psychotic features |
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Delusions or hallucinations whose content is not consistent with the typical themes of a depressed or manic mood. In the case of depression, the delusions or hallucinations would not involve themes of personal inadequacy, guilt, disease, death, nihilism, or deserved punishment. In the case of mania, the delusions or hallucinations would not involve themes of inflated worth, power, knowledge, or identity, or a special relationship to a deity or a famous person. Examples of mood-incongruent psychotic features include persecutory delusions (without self-derogatory or grandiose content), thought insertion, thought broadcasting, and delusions of being controlled whose content has no apparent relationship to any of the themes listed above. panic attacks Discrete periods of sudden onset of intense apprehension, fearfulness, or terror, often associated with feelings of impending doom. During these attacks there are symptoms such as shortness of breath or smothering sensations; palpitations, pounding heart, or accelerated heart rate; chest pain or discomfort; choking; and fear of going crazy or losing control. |
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Ideation, of less than delusional proportions, involving suspiciousness or the belief that one is being harassed, persecuted, or unfairly treated. personality Enduring patterns of perceiving, relating to, and thinking about the environment and oneself. Personality traits are
prominent aspects of personality that are exhibited in a wide range of important social and personal contexts. Only when personality traits are inflexible and maladaptive and cause either significant functional impairment or subjective distress do they constitute a Personality Disorder. |
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A persistent, irrational fear of a specific object, activity, or situation (the phobic stimulus) that results in a compelling desire to avoid it. This often leads either to avoidance of the phobic stimulus or to enduring it with dread. |
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Speech that is increased in amount, accelerated, and difficult or impossible to interrupt. Usually it is also loud and emphatic. Frequently the person talks without any social stimulation and may continue to talk even though no one is listening. |
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Visible generalized slowing of movements and speech. |
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This term has historically received a number of different definitions, none of which has achieved universal acceptance. The narrowest definition of psychotic is restricted to delusions or prominent hallucinations, with the hallucinations occurring in the absence of insight into their pathological nature. A slightly less restrictive definition would also include prominent hallucinations that the individual realizes are hallucinatory experiences. Broader still is a definition that also includes other positive symptoms of Schizophrenia (i.e., disorganized speech, grossly disorganized or catatonic behavior). Unlike these definitions based on symptoms, the definition used in DSM-II and ICD-9 was probably far too inclusive and focused on the severity of functional impairment, so that a mental disorder was termed psychotic if it resulted in "impairment that grossly interferes with the capacity to meet ordinary demands of life." Finally, the term has been defined conceptually as a loss of ego boundaries or gross impairment in reality testing. Based on their characteristic features, the different disorders in DSM-IV emphasize different aspects of the various definitions of psychotic. Stereotyped movements |
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Repetitive, seemingly driven, and nonfunctional motor behavior (e.g., hand shaking or waving, body rocking, head banging, mouthing of objects, self-biting, picking at skin or body orifices, hitting one's own body). |
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Any life event or life change that may be associated temporally (and perhaps causally) with the onset, occurrence, or exacerbation of a mental disorder. |
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A state of unresponsiveness with immobility and mutism. |
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A condition in which a sensory experience associated with one modality occurs when another modality is stimulated, for example, a sound produces the sensation of a particular color. tic An involuntary, sudden, rapid, recurrent, nonrhythmic, stereotyped motor movement or vocalization. |
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