Term
| Tactial hallucinations usually secondary to what? |
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Definition
- drug abuse
- alcohol withdrawl
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Term
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Definition
| misinterpretation of actual stimuli |
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Term
| medical conditions that can cause psychosis |
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Definition
- CNS disease
- cerebrovascular disease
- neoplasm
- multiple sclerosis
- Parkinson's
- Hunington's
- temporal lobe epilepsy
- encephalitis
- prion disease
- endocrinopathies
- Addison's and Cusiongs disease
- hyper/hypothyroidism
- hyper/hypocalcemia
- hypopituitarism
- nutritional/vitamin deficiency states
- others
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Term
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Definition
- prodromal- decline in functioning that precedes the first psychotic episode (socially withdrawn, irritable)
- psychotic- perceptual disturbances, delusions, disordered thought process/content
- residual- between episodes of psychosis
- flat affect
- social withdrawal
- odd thinking/behavior (negative symptoms)
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Term
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Definition
Duration of at least six months for illness, and two or more of the following must be present for at least one month:
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Term
| epidemiology of schizophrenia |
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Definition
- equal prevalence among men and women
- men present earlier (age 20) than women (age 30)
- course is generally more severe in men
- strong genetic component
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Term
| associated with better prognosis for schizophrenia |
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Definition
- later onset
- good social support
- positive symptoms
- mood symptoms
- acute onset
- female sex
- few relapses
- good premorbid function
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Term
| type of therapy used for schizophrenia |
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Definition
- behavioral therapy
- family therapy and group therapy as adjuncts
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Term
| schizophreniform disorder- prognosis, criteria |
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Definition
- meet schizophrenia critera, but had symptoms for at least one month, but less than six months
- prognosis- 1/3 completely recover, 2/3 progress on to schizophrenia or schizoaffective d/o
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Term
| criteria for schizoaffective d/o |
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Definition
- meet criteria for major depressive episode, manic episode, or mixed episode during which criteria for schizophrenia are also met
- delusions or hallucinations for 2 weeks in the absense of mood d/o symptoms
- not due to general medical condition or drugs
- mood symptoms present for substantia portion of psychotic illness
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Term
| shared psychotic d/o (definition, prognosis) |
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Definition
- patient develops same delusional symptoms as someone they are in a close relationship with
- prognosis- 20-40% recover after removing inducing person
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Term
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Definition
- suffer from nonbizarre, fixed delusions for at least one month
- does not meet criteria for schizophrenia
- functioning in life not significantly impaired
- tx- psychotherapy may be helpful (usually, antipsychotics dont help, but if you try one, use the high potency antipsyc drugs or one of the new atypical antipsyc drugs)
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