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Psychiatric & Cognitive Disorders: Signs & Symptoms

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Sign/Symptom
Definition
Type of Sign/Symptom
Selective inattention   Block out anxiety-producing activities/objects/concepts   Attention (Ability to concentrate/remain focused on activity of experience)  
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Hypervigilance   excessive attention/alertness   Attention (Ability to concentrate/remain focused on activity of experience)  
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Trance   minimal environmental awareness/amnesia   Attention (Ability to concentrate/remain focused on activity of experience)  
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Disorientation   not oriented to person, place or time   Consciousness (State of awareness)  
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Delirium   disoriented reaction with restlessness and confusion. May be associated with fear and hallucinations.   Consciousness (State of awareness)  
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Confusion   inappropriate reactions to environmental stimuli, manifested by a disordered orientation re person, place, and time.   Consciousness (State of awareness)  
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Sundowning   -occurs late afternoon/night in older adults -char. by drowsiness, confusion, ataxia, and falling. -associated with sedation, dementia, changes in orienting cues (light, familiar people/objects)   Consciousness (State of awareness)  
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Affect   observable component of emotions. Blunted (severe lack), inappropriate (inconsistent), restricted/constricted (reduced), flat (absence), labile (rapid/abrupt changes)   Emotion (Feeling state associated with affect and mood - consists of psychological/physical components)  
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Mood   pervasive/sustained emotion manifested by thoughts/actions   Emotion (Feeling state associated with affect and mood - consists of psychological/physical components)  
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Anxiety   feeling of apprehension/worry associated with anticipation of future danger   Emotion (Feeling state associated with affect and mood - consists of psychological/physical components)  
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Echopraxia   meaningless imitation of another person's movements   Motor Behavior (Behavioral and motoric expressions of impulses, drives, wishes, motivations, and cravings)  
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Catatonia   characterized by rigidity/immobility   Motor Behavior (Behavioral and motoric expressions of impulses, drives, wishes, motivations, and cravings)  
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Stereotypy   repetition of fixed patterns of movement and speech (e.g., echolalia)   Motor Behavior (Behavioral and motoric expressions of impulses, drives, wishes, motivations, and cravings)  
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Psychomotor agitation   excessive motor and cognitive activity, usually nonproductive and in response to inner tension.   Motor Behavior (Behavioral and motoric expressions of impulses, drives, wishes, motivations, and cravings)  
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Hyper-/Hypoactivity   -hyper: restless, sometimes aggressive or destructive activity, often associated with brain pathology. -hypo: decreased or slowed motor and cognitive activity.   Motor Behavior (Behavioral and motoric expressions of impulses, drives, wishes, motivations, and cravings)  
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Aggression   forceful, angry or destructive speech or behavior   Motor Behavior (Behavioral and motoric expressions of impulses, drives, wishes, motivations, and cravings)  
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Acting out   physical expression of thoughts and impulses   Motor Behavior (Behavioral and motoric expressions of impulses, drives, wishes, motivations, and cravings)  
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Akathisia   state of restlessness charaterized by an urgent need for movement, usually as a side effect of medication   Motor Behavior (Behavioral and motoric expressions of impulses, drives, wishes, motivations, and cravings)  
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Ataxia   irregularity or failure of muscle coordination upon movement   Motor Behavior (Behavioral and motoric expressions of impulses, drives, wishes, motivations, and cravings)  
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Circumstantiality   speech that is delayed in reaching the point and contains excessive or irrelevant details   Thinking (Goal-directed reasoned flow of ideas and associations. Logical flow is considered normal)  
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Tangentiality   abrupt changing of focus to a loosely associated topic   Thinking: Form (Goal-directed reasoned flow of ideas and associations. Logical flow is considered normal)  
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Perseveration   persistent focus on a previous topic or behavior after a new topic or behavior has been introduced   Thinking: Form (Goal-directed reasoned flow of ideas and associations. Logical flow is considered normal)  
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Flight of Ideas   rapid shifts in thoughts from one idea to another   Thinking: Form (Goal-directed reasoned flow of ideas and associations. Logical flow is considered normal)  
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Thought blocking   interruption of a thought process before it is carried through to completion   Thinking: Form (Goal-directed reasoned flow of ideas and associations. Logical flow is considered normal)  
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Delusions   false beliefs about external reality without an appropriate stimulus that cannot be explained by the individual's intelligence or cultural background   Thinking: Content (Goal-directed reasoned flow of ideas and associations. Logical flow is considered normal)  
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Compulsions   need to act on specific impulses to relieve associated anxiety   Thinking: Content (Goal-directed reasoned flow of ideas and associations. Logical flow is considered normal)  
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Obsessions   constitute a persistent thought or feeling that cannot be eliminated by logical thought   Thinking: Content (Goal-directed reasoned flow of ideas and associations. Logical flow is considered normal)  
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Pressured Speech   rapid and increased amount of speech. May be difficult to interrupt.   Speech (The expression of ideas, thoughts, and feelings through language.)  
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Poverty of Speech   speech that is limited in amount/content   Speech (The expression of ideas, thoughts, and feelings through language.)  
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Nonspontaneous Speech   consists of responses that are given only when spoken to directly   Speech (The expression of ideas, thoughts, and feelings through language.)  
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Stuttering   repetition or prolongation of sounds or syllables   Speech (The expression of ideas, thoughts, and feelings through language.)  
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Perseveration   continued repetition of a word or phrase   Speech (The expression of ideas, thoughts, and feelings through language.)  
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Expressive Aphasia (Broca's) - language output   disturbance in which the individual knows that s/he wants to say but cannot say it   Speech (The expression of ideas, thoughts, and feelings through language.)  
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Receptive Aphasia (Wernicke's) - language output   organic loss of ability to comprehend what has been said   Speech (The expression of ideas, thoughts, and feelings through language.)  
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Nominal aphasia (aka anominal or amnestic) - language output   inability to name objects   Speech (The expression of ideas, thoughts, and feelings through language.)  
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Global aphasia - language output   involves all forms of aphasia   Speech (The expression of ideas, thoughts, and feelings through language.)  
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Hallucinations   false sensory perceptions that are not in response to an external stimulus   Perception (process of interpreting sensory information received from the environment)  
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Illusions   misperceptions or misinterpretations of real sensory events   Perception (process of interpreting sensory information received from the environment)  
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Agnosia - cognitive disorder   inability to understand and interpret the significance of sensory input   Perception (process of interpreting sensory information received from the environment)  
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Astereognosis - cognitive disorder   inability to identify objects through touch   Perception (process of interpreting sensory information received from the environment)  
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Visual agnosia - cognitive disorder   inability to recognize people and objects   Perception (process of interpreting sensory information received from the environment)  
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Apraxia - cognitive disorder   inability to carry out specific motor tasks in the absence of sensory or motor impairment   Perception (process of interpreting sensory information received from the environment)  
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Adiadochokinesia - cognitive disorder   inability to perform rapidly alternating movements   Perception (process of interpreting sensory information received from the environment)  
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Depersonalization - assoc with conversion and dissociative phenomena   subjective sense of being unreal or inanimate   Perception (process of interpreting sensory information received from the environment)  
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[Conversion and Dissociative Phenomena]   in response to repressed material and involve physical symptoms and distortions that are not under voluntary control or associated with a physical disorder.   Perception (process of interpreting sensory information received from the environment)  
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Derealization   subjective sense that the environment is unreal   Perception (process of interpreting sensory information received from the environment)  
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Fugue   State of serious depersonalization, often involving travel or relocation, in which the individual takes on a new identity with amnesia for his/her old identity   Perception (process of interpreting sensory information received from the environment)  
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Dissociative identity disorder   appearance that an individual has developed two or more distinct personalities. -dissociation involves separation of group of mental/behavioral processes from rest of person's psychic activity (may involve separating an idea from its emotional tone)   Perception (process of interpreting sensory information received from the environment)  
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Amnesia   inability to recall past experiences or personal identity due to organic or emotional dysfunction. retrograde amnesia - inability to remember events that occurred prior to the precipitating event.   Memory (ability to store and retrieve information related to past experiences)  
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Immediate memory   ability to recall material within seconds or minutes   Level of memory  
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Recent memory   ability to recall events of the past few days   Level of memory  
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Recent past memory   ability to recall events of the past few months   Level of memory  
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Remote memory   ability to recall events of the distant past   Level of memory  
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Distractability   drawn to unimportant stimuli   Attention (Ability to concentrate/remain focused on activity of experience)  
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