Schizophrenia Spectrum and Psychotic Disorders
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***Psychotic Disorders to Follow*** | *
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Erroneous beliefs that usually involve a misinterpretation of perceptions or experiences ? | * Delusions - can either be non-bizarre or bizarre (most are non-bizarre, b/c most can actually occur/ can't prove they can't)
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Distortions in perception? | Hallucination- auditory (common), tactile, visual, olfactory
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Conversations that slip off track, combine many random weird things not pertaining to convo, flight of ideas? | * Disorganized Speech/Thinking
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Unkempt look, easily agitated, inappropriate sex behavior, and show child like silliness ? | * Disorganized Behavior
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Types of Symptoms these psychotic people will show ? | * Positive Sx = present and shouldn't be there (excess)---delusions, hallucinations, disorganized speech/behavior *Negative Sx = missing and should be there (loss)---flat expressions, low speech, feels no pleasure
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Brief Psychotic Disorder Dx Criteria ? | * Presence of at least one of the following:
-Delusions-Hallucinations-Disorganized speech-Disorganized or catatonic behavior *atleast 1 day duration, but under 1 month * return to NORMAL after episode *not manic or bipolar
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Delusional Disorder Dx Sx ? | * Constant delusions for at least one month and behavior isn't odd/bizarre *Delusions include constant thinking that someone is in love with them, think they have a great talent no one can see, super jealous, paranoid, somatic Sx
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Schizophrenia Dx Criteria ? | * have 2 or more of Criteria A, and meet Criteria B-F.
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Criteria A ? | * Delusions-Hallucinations-Disorganized speech-Disorganized or catatonic behavior
Negative symptoms (e.g., flat affect, avolition)
*have 2 or more
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Criteria B ? | * Social or occupational dysfunction
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Criterion C ? | * Continuous signs persist for at least 6 months
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Criteria D-f ? | * rule out other disorders
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Usually comes before Schizophrenia, Schizophreniform, differs in 2 ways, what are those ways ? | * same criteria, except duration is 1 - 6 months *see no social dysfunction like is s.phrenia
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Prognostic features that usually help predict a Positive psychosis outcome ? | * acute onset, short Sx, older age onset, good functioning before
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Prognostic features that usually help predict a Negative psychosis outcome ? | * young age onset, previous psych issues, absent mood, long Sx durations
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Schizoaffective Disorder Dx Criteria ? | * uninterrupted period of illness which there is either a Major Depressive Episode, a Manic Episode with Sx that meet criteria A for Schizophrenia
* During that period, there has been atleast a 2 week off period from their mood issue
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Schizoaffective Disorder basics ? | * Mood comes and goes, but psychosis is constant (delusions/hallucinations)
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Catatonia Sx ? | * waxy flexibility (hold position ppl put them in), mutism (little talk), Negativism (no rxn to external stimuli or instructions), Echolalia (mimick voices), Echopraxia (mimick mvts)
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*** Dissociative Disorders to Follow *** | .
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Dissociative Identity Disorder Sx ? | * someone who literally has two completely different personalities (Dr.Jek/Mr.Hyde or possessions) *have gaps of memory loss b/c of switching between identities
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Dissociative Amnesia Sx ? | * An inability to recall important autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting
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Depersonalization/Derealization Disorder Sx ? | * Presence of persistent or recurrent experiences of depersonalization, derealization, or both
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Describe Depersonalization/Derealization ? | *Depersonalization = detachment from self (outside observer of there body, emotions, actions) *Derealization = detachment from environment (surroundings are dream like, foggy, or visually distorted)
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