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PSYCH FINALS
| Question | Answer |
|---|---|
| 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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