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Psych 09
drew
24
Medical
Graduate
09/19/2009

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Term
DEFINITION OF SCHIZOPHRENIA 5 criteria
Definition
A. 2 or more of the following; only 1 if “bizarre delusions” present
1. Delusions
2. Hallucinations
3. Disorganized speech
4. Grossly disorganized/catatonic behavior
5. Negative Symptoms
B. Social and/or Occupational Dysfunction.
C. Duration (greater than 6 months).
D. Exclusion of Schizoaffective Disorder or Mood
Disorder with Psychosis.
E. Exclusion of Medical or Substance Use Disorders.
Term
Examples of positive symptoms in schizophrenia
Definition
�� Impaired Perception
�� Impaired Form of Thought
�� Impaired Emotion
�� Impaired Cognition
�� Impaired Behavior
Term
What are clang associations
Definition
Sounds take precedence over meaningful speech. Type of impaired speech where they rhyme and say nonsense things i.e. You're solar, bipolar
Panic disorder
Systematic, sympathetic
Quite pathetic, apologetic, paramedic.
Your heart is prosthetic
Term
What are some examples of negative symptoms seen in schizophrenia
Definition
-Affective blunting (diminished emotional expression, Alogia)
-Poor associations (anhedonia)
-Autism (loss of contact with others/reality)
-Ambivalence (contradictory emotional states)
Term
What is the major source of chronic functional disabiliteis in people with schizophrenia
Definition
Negative symptoms. Often manifest by lack of personal hygiene, inattention to normal activities of daily living, lack of meaningful personal relationships, inability to keep a job
Term
Brief Psychotic Disorder
Definition
-Presence of psychotic symptoms but with a duration of one month or less
-Three subtypes
With marked stressor, without marked stressor, with post-partum onset
Term
Schizophreniform Disorder
Definition
-Presence of psychotic state which is at least one month, but no more than six months in duration
-“schizophrenia with training wheels”
-Most become schizophrenic
Term
SCHIZOAFFECTIVE DISORDER
Definition
To be diagnosed the patient must have an uninterrupted
period (of greater than 6 months) in which the following
are present:
�� The simultaneous presence of criteria for both
Schizophrenia and a Mood Disorder (Depression, Mania,
or mixed state).
�� Mood symptoms should be present for a substantial
portion of the active illness.
�� Psychotic Symptoms must be seen outside the presence of
active mood instability of at least 2 weeks duration at some
point in the illness.
Two recognized subtypes:
1. Depressive sub-type
2. Bipolar sub-type
Term
DELUSIONAL DISORDERS
Definition
The presence of well-systematized, nonbizarre delusions (one month or longer) accompanied by affect
appropriate to the delusion and occurring in the presence of a relatively preserved
personality.
Term
Capgras
Definition
person not who they are because replaced; ex. Mom taken over by alien
Term
Fregoli
Definition
people you don’t know are actually people you do know in disguise
Term
Cotard
Definition
Delsuional belief that you are dead
Term
Somatic delusion
Definition
: ex. Parasites in me, something in my body even when doctor has proven nothing wrong
Term
Criteria for hypomania
Definition
Lasts at least 4 days, most of the same symptoms that define a manic episode but not severe enough to cause a impairment of function, hospitalization or psychotic features.
Term
Criteria for a mixed episode
Definition
If they meet criteria for both a manic episode and major depressive episode nearly everyday for one week.
Term
Criteria for a mixed episode
Definition
If they meet criteria for both a manic episode and major depressive episode nearly everyday for one week.
Term
Major Depressive EPISODE
Definition
1 of the following:
-depressed mood most of the day, nearly every day
-markedly diminished interest or pleasure in all, or almost all, activities
≥ 5 of the following including:
S- sleep change
I- interest/pleasure in activities ↓
G- guilt or feeling of worthlessness
E- energy loss/fatigue
C- concentration ↓ or indecisiveness
A- appetite or weight change
P- psychomotor agitation or retardation
S- suicide or death thoughts, attempt

Clinically significant distress or disability
Term
Manic EPISODE
Definition
Distinct period of abnormally and persistently elevated, expansive, irritable mood lasting at least one week

≥ 3 of the following (≥4 if mood is irritable)
D- distractibility
I- Indiscretion (↑ invol in pleasurable activ)
G- Grandiosity
F- Flight of ideas or racing thoughts
A- Activity increased
S- Sleep decreased need for
T- Talkativeness (more than usual)
Term
Bipolar I Disorder
Definition
Characterized by one or more manic or mixed episodes
Term
Bipolar II Disorder
Definition
Characterized by one or more major depressive episodes accompanied by at least one hypomanic episode- without history of a manic or mixed episode
Term
Cyclothymic Disorder
Definition
At least two years of numerous periods of manic symptoms that do not meet criteria for a manic episode and numerous periods of depressive symptoms that do not meet criteria for major depressive episode
Term
What are the 2 questions used for quickly screening for depression
Definition
During the past month, have you often
been bothered by:
Feeling down, depressed or hopeless?
Little interest or pleasure in doing things?
Yes to either question = positive
Term
The R's about depression. Response, Remission, recovery, relapse and recurrence.
Definition
Response-to treatment: 50% improvement of symptoms.
Remission: 100% symptom free.
Recovery: Remission greater then 2-12 months.
Relapse: return of symptoms before recovery.
Recurrence: return of symptoms after recovery
Term
Sty or hordeolum
Definition
an infection of the eccrine sweat glands or the glands of Moll. It is most often a low-grade Staph. infection. red mass mainly on the outside (skin surface) of the eyelid.
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