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generic psychiatric term for a mental state often described as involving a "loss of contact with reality" aka loss of reality testing |
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a patterned set of signs/symptoms that reflects a particular disease |
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ID nature of something or the process of identifying a medical condition A PARTICULAR INSTANCE OF THE SYNDROME |
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hallucination delusion disorganized speech grossly disorganized behavior prominant negative symptoms derealization severe dysregulation of affect
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Examples of first rank hallucinations |
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What types of patients can have psychotic presentations? |
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Examples of first rank (of Schneider) delusions (usually bizarre) |
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belief that one's thoughts are taken away by an outside force (thought withdrawl) belief that alien thoughts have been put into one's mind (thought insertion) belief that one's body is being acted upon or manipulated by some outside force (delusion of control) belief that one's thoughts are bein perceived by others (thought broadcasting)
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Define non-bizarre delusions |
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consistent with cultural beliefs (ex: my wife is cheating on me) |
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Example of bizarre delusions |
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Disorganized speech is indicative of what type of disorder? |
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Examples of negative symptoms |
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people feel like they are not part of reality or like "they are on the wall watchin the movie of their life" |
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What are the attenuated signs of psychosis? |
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ID syndrome work through causitive agents (VITAMINS) to determine secondary cause = medical differential diagnosis when all secondary causes exculded, primary psychiatric causes can be diagnosed
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How can you tell the difference between primary and seconary psychosis? |
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medical substance induced affective psychosis
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Term
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any mental imbalance that causes distress, but UNLIKE PSYCHOSIS, does not prevent or affect rational thought |
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sensory perception without stimuli |
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Describe what tangentiality speech is like |
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talk without ever getting back to point |
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define circumstantiality speech |
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talk around the point, but they talk the long way around |
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Overt (strong) signs of psychosis |
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Definition
- hallucinations
- delusions
- mood- blunted, flat, severely exaggerated
- language- lose associations, incoherent
- attachment- paranoid
- behavior- catatonic, disorganized
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