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Psych E2

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Term
Definition
Agitation   Inability to sit still & heightened emotions/tension  
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Algoia   Poverty of Speech; reduced fluency/productivity of thought and speech  
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Hypofrontality   Reduced cerebral blood flow & glucose metabolism in prefrontal cortex  
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Word Salad   Shift after 1 or 2 words  
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Non-Bizarre Delusions   C/B adherence to possible situations that could appear in real life (plausible)  
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Verbigeration   Purposeless repetition of words/phrases  
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Tangentiality   Topic changes to entirely different topic w/n logical progression but causes permanent detour from original focus  
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Stifled Language   Overly and inappropriately formal language  
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Referential Thinking   Belief neutral stimuli has special meaning to the individual (ex: TV commentator speaking directly to individual)  
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Prodromal   Early symptom indicating development of disease/syndrome  
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Pressured Speech   Speaking as if words are forced out  
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Neuroleptic Malignant Syndrome   Life-threatening condition that can develop in reaction to antipsychotic meds (muscle rigidity, HTN, tachycardia, incontinence, leukocytosis)  
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Neologisms   Words made up that have no common meaning and are not recognized  
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Metonymic Speech   Use of words with similar meanings interchangeably  
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Loose Associations/Flight of Ideas   Shift after 1 or 2 phrases  
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Illusions   Create oversensitivity to colors, shapes, background activities when person misperceives external environment  
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Hypervigilance   Sustained attention to external stimuli as if expecting something important/frightening to happen  
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Flight of Ideas   Repeated and rapid changes in topic  
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Echopraxia   Involuntary imitation of another person's movements & gestures  
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Echolalia   Parrot-like and inappropriate repetition of another person's words  
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Disorganized Symptoms   Symptoms of schizophrenia that make it difficult for person to understand and respond to ordinary sights and sights  
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Delusions   Fixed false beliefs that can't be changes by reason  
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Concrete Thinking   Lack of abstraction in thinking in which ppl are unable to understand punch lines, metaphors, and analogies  
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Clang Association   Repetition of words/phrases similar in sound but no other way (ex: right-light-sight)  
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Catatonic Excitement   Hyperactivity C/B purposeless activity & abnormal movements (ex: grimacing and posturing)  
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Avolition   W/drawal & inability to initiate/persist in goal-directed activity  
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Autistic Thinking   Thinking restricted to literal and immediate; individual has private rules of logic & reasoning that make no sense to others  
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Apathy   Diminished interest and desire  
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Anhedonia   Inability to express pleasure  
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Ambivalence   Presence/Expression of two opposing feelings - leads to inaction  
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Flat Affect   Emotional expression Absent  
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Blunt Affect   Expression greatly diminished  
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Affective Lability   Abrupt, dramatic, unprovoked changes  
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Dysarthria   Difficulty articulating words  
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Dysphagia   Difficulty swallowing  
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Bizarre Delusions   Impossible, illogical, and not derived from ordinary life experiences  
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Stereotypy   Idiosyncratic, repetitive, purposeless movements  
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Waxy Flexibility   Posture held in odd or unusual fixed positions for extended periods  
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Circumstantiality   Extremely detailed and lengthy discourse about a subject  
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Paranoia   Suspiciousness and guardedness that are unrealistic and often accompanied by grandiosity  
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Aggression   Behaviors or attitudes that reflect rage, hostility, and the potential for physical or verbal destructiveness  
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Regressed Behavior   Behaving in a manner of a less mature stage of life  
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Depression   Overwhelming sadness, loss of interest, guilt, disturbed sleep and appetite, low Energy  
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Unipolar   Single abnormal mood state (ex: depression)  
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Mood Episode   Severe mood changes that lasts @least 2 weeks that causes clinically significant distress/impairment  
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Major Depressive Episodes   Lasts @least 2 weeks and includes 4 symptoms  
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Dysthymic Disorder   Milder but more chronic form that lasts @least 2 years in adults and includes 3 symptoms  
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Psychosis   A state in which an individual experiences + symptoms  
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Delusional Disorder   Psychotic disorder C/B nonbizarre, logical, and stable delusions that occur in the absence of other psychiatric disordres  
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Nonbizarre Delusions   Ex: Being followed, poisoned, infected, loved at a distance, or deceived by lover/spouse  
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Erotomanic Delusions   C/B belief that the patient is loved intensely by "loved object" who is usually unattainable  
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Gradiose Delusions   Convinced have great, unrecognized talent/discovery; less common is special relationship with prominent person or is a prominent person  
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Jealous Delusions   Unfatihfulness belief that arises without cause and based on incorrect "evidence" (ex: spots on sheets)  
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Somatic Delusions   Involves bodily functions/sensations and belief they have ailments and seek medical care excessively  
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Mixed/Unspecified Delusions   1 or more types of delusions; delusions where person is replaced by imposter  
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Persecutory Delusions   Patient's belief being conspired against, cheated/spied on, followed poisoned, drugged, harassed  
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Persecutory Delusions   May repeatedly appeal to courts and other agencies; often angry, violent, and resentful  
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Schizophreniform Disorder   Identical to schizophrenia w/ symptoms @least 1 month duration but less than 6 months  
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Brief Psychotic Disorder   @least 1 day but less than 1 month, sudden onset and at least one + symptom  
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Shared Psychotic Disorder   Person believes and shares part or all of the inducer's delusional beliefs  
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Thymoleptic   Mood-stabilizing  
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Schizoaffective Disorder (SAD)   C/B periods of intense symptoms alternating with quiet periods during which psychosocial functioning is adequate  
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Anergia   Extremely Tired (ex: too tired to wipe snot from nose)  
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Delirium   Acute cognitive impairments that can be caused by medical condition, substance abuse, or multiple etiologies  
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Hyperkinetic Delirium   Behaviors most commonly recognized as delirium (psychomotor hyperactivity, excitability, hallucinations)  
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Hypokinetic Delirium   Lethargy, sleepiness, and apathy & a decrease in psychomotor activity  
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Mixed Variant Delirium   Behavior that fluctuates between hyperactive and hypoactive  
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Cortical Dementia   Results from a disease process that globally afflict cortex (Alzheimer's is most common)  
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Subcortical Dementia   Caused by dysfunction/deterioration of deep gray/white matter structures in brain and brain stem.  
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Subcortical Dementia   Tends to disrupt arousal, attention, and motivation  
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Alzheimer Dementia   Degenerative, progressive neuropsychiatric disorder that results in cognitive impairment, emotional and behavioral changes, physical and functional decline, and ultimately death  
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Aphasia   Alterations in language ability  
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Apraxia   Impaired ability to execute motor activities despite intact motor functioning  
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Agnosia   Failure to recognize or identify objects despite intact sensory function  
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Disturbance of Executive Functioning   Inability to think abstractly, plain, initiate, sequence, monitor, and stop complex behavior  
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Beta-Amyloid Plaques   Destroy cholinergic neurons; interferes with process of storing memories by interrupting synaptic connections  
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Neurofibrillatory Tangles   Abnormally twisted protein threads inside cells that disintegrates microtubules, collapses neuron's transport systems, and results in cell death  
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Acetylcholine (ACh)   A/W cognitive functioning (cell loss in nucleus leads to deficits in this chemical)  
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Catastrophic Reactions   Overreactions or extreme anxiety to everyday situations  
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Cognitive Reserve   Brain's ability to operate effectively even when there is disruptions in functioning  
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Vascular Dementia   Step-wise progressive dementia  
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Amnestic Disorder   Impairment in memory that is caused by direct physiologic effects of general medical condition or effects of substance  
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Confabulation   Filling gaps in memory with imaginary events (different from lying)  
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Expansive Mood   C/B lack of restraint in expressing one's feelings and frequently overvaluing one's own importance  
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Bipolar II   Has less dramatic symptoms & C/B hypomania  
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Bipolar I   @least 1 manic episode or mixed episode&depressive episode  
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Mania   C/B abnormally and persistently elevated, expansive or irritable mood  
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Hypomania   Mild form of mania  
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Hyomanic Episode   Less intense manic episode with little impairment in social/occupational functioning and intact judgment  
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Mixed Episode   When mania and depression occur @ same time, which leads to anxiety, agitation, and irritability  
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Manic Episode   Distinct period during which there is an abnormally & persistently elevated, expansive, or irritable mood  
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Irritable Mood   Being easily annoyed and provoked to anger, particularly when wishes are challenged  
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Rapid Cycle   Occurrence of 4 or more episodes that meet criteria for manic, mixed, hypomanic, or depressive episode during the previous 12 months  
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Disinhibition   Equilibrium is compensation for external disturbance  
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Hypersexuality   Inappropriate and socially unacceptable sexual behavior  
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Impaired Consciousness   Less environmental awareness and loss of ability to focus attention  
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Mild Cognitive Impairment (MCI)   Transitional state between normal cognition and Alzheimer's disease  
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Acknowledgement   Recognizing the client’s opinions and statements without imposing your own values and judgment  
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Clarifying   The process of making sure you have understood the meaning of what was said  
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Confrontation   Calling attention to inconsistent behavior, information shared or not shared  
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Focusing   Assisting the client to explore a specific topic which may include sharing perceptions and theme identification  
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Reflecting/Restating   Paraphrasing or repeating what the client has said (Be careful not to overuse; client will feel as though you are not listening)  
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Vascular Dementia   Caused by lack of brain to blood, "small strokes"  
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Parkinson's Disease   Disorder to the CNS that affects movement  
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Huntington's Disease   An inherited condition in which nerve cells in the brain break down over time.  
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Pick's Disease   a rare form of progressive dementia, typically occurring in late middle age and often familial, involving localized atrophy of the brain (distinguished from AD on autopsy)  
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Creutzfeldt-Jakob Disease   mad cow disease  
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Substance-Induced Persisting Dementia   most related to chronic alcohol abuse  
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