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DSM-V Psychotic Disorders
Description and diagnosis of Psychotic Disorders in DSM-V
27
Psychology
Graduate
03/05/2017

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Cards

Term
Schizophrenia Distant History
Definition

Schizophrenia caused by demon possession,

described through human history (Egyptian book of the Dead)

Middle Ages tx. was exorcism or hole drilled through skull.

Term
Schizophrenia Positive Sx.
Definition

Hallucinations

Delusions

 Bizarre Behaviors

Term
Schizophrenia Negative Sx.
Definition

Affective Flattening

Alogia (Poverty of speech)

Avolition (Decrease in motivation)

Anhedonia (Lack of pleasure)

Term
Schizophrenia Hx. - Early Tx. Names
Definition

William Battie

Jean-Etienne Dominique Esquirol

Phillippe Pinel

Benjamin Rush

Dorothea Dix

Term
Schizophrenia Early Hx. - Falvet/Hecker
Definition

Falvet describes cyclical madness

Hecker describes hebephrenia (Hebe, Goddess of Frivolity)

Term
Schizophrenia Early Hx. - Kahlbaum/Kraepelin
Definition

1874 Kahlbaum describes catatonia &

paranoid mental disorders

 

1878 Emile Kraepelin coins term of Demetia Praecox (simple, paranoid, hebephrenic, catatonic)

 

1911 Eugen Bleuler coined schizophrenia

 

Term
Schizophrenia Diagnosis
Definition

A. Two or more of the following

(1, 2, or 3 must be included):

1. Delusions

2. Hallucinations

3. Disorganized speech

4. Grossly disorganized or catatonic behavior

5. Negative sx.

B. Causing significant disturbance

C. For at least 6 months

D. No schizoaffective or Bipolar with Psychotic Features

Term
Schizophrenia Specifiers
Definition

First episode, currently in acute episode

First episode, currently in partial remission

First episode, currently in full remission

Multiple episodes, currently in acute episode

Multiple episodes, currently in partial remission

Multiple episodes, currently in full remission

Continuous

Unspecified

With catatonia

Term
Schizophrenia Genetic Predisposition
Definition
Risk alleles associated with other disorders including bipolar disorder, depression, & autism spectrum disorder
Term
Basal Ganglia: EPRs - Dystonia
Definition

Strange posture

 

Acute contractions of the tongue, jaw, & neck

usually occurs on first few hours or days on antipsychotic medication

 

Opisthotonis - tightening of entire body

Oculogyric crisis - eyes locked upward

Laryngospasm - with respitory difficulty

Torticollis - twisting of cervical muscles with unnatural head position

Term
Basal Ganglia EPRs - Parkinsonism
Definition

Tremors

 

Phenothiazines cause this in many people

Decrease arm swing, stiffness, stooped posture, masklike faces, shuffling, festinating gait

cogwheel rigidity, seborrhea, tremor

drooling, loss of spontaneous movement, pill-rolling

passive inactivity

 

Term
Basal Ganglia EPRs - Akinesia
Definition

Movement deficits

 

Lack of spontaneous gesstures or voluntary movements

apathy, rigid movement

lack of converation, arm swing decreased

short stride

Term
Basal Ganglia EPRs - Akathisia
Definition

Jittery

 

motor, inner driver restlessness

tapping, rocking, jiggling, weight shifting

Term
Delusional Disorder Diagnosis
Definition

A. One or more delusions for 1 month or more.

B. Never diagnosed with schizophrenia

C. Other than delusions, functioning is not impaired

 

Specify: Delusion type, with bizarre content, course of illness

 

Genetic familial relationship with schizophrenia and schizotypal personality disorder

Term
Types of Delusions
Definition

Erotomanic - love

Grandiose - great talent

Jealous - unfaithful lover

Persecutory - being conspired against

Somatic - bodily functions/sensations

Mixed - no theme predominates

Unspecified - No dominant type

Term
Neuroleptic Malignant Syndrome (NMS)
Definition

Severe parkinsonisms

muscle rigidity, catatonic appearance, tremors,

lead-pipe muscle tone,

autonomic dysfunction

severe lab abnormality

Term
Rabbit Syndrome
Definition

Occurs late in treatment

rapid lip movements

continues during sleep

Term
Tardive Dystonia
Definition

Sustained or repetitious contractions of one or more muscle groups

Rarely remits

Term
Tardive Dyskinesia
Definition

Involuntary face, trunk, & limb movements

facial-lingual-oral involuntary hyperkinesis

trunk movements

grunt, stress increases sx.

Term
Brief Psychotic Disorder
Definition

One or more of: delusions, hallucinations, disorganized speech, disorganized or catatonic behavior

For at least 1 day up to one month

 

Specify if: with or without marked stressor, with postpartum onset, with catatonia, severity

Term
Schizophreniform Disorder Diagnosis
Definition

A. Two or more of the following

(1, 2, or 3 must be included):

1. Delusions

2. Hallucinations

3. Disorganized speech

4. Grossly disorganized or catatonic behavior

5. Negative sx.

B. Causing significant disturbance

C. For at least 1 month up to 6 months

D. No schizoaffective or Bipolar with Psychotic Features

Term
Shizophreniform Disorder Specifiers
Definition

With/without good prognostic features

with catatonia

severity

Term
Schizoaffective Disorder Diagnosis
Definition

A. Uninterrupted period of illness where there is a major depressive or mania episode concurrent with Criterion A of schizophrenia

B. Delusions or hallucinations for 2 or more weeks in the absence of major mood disorder during lifetime of illness

C. Sx. that meet the criteria for major mood episode are present for the majority of the total duration of the active and residual portions of the illness

 

Term
Schizoaffective Disorder Specifiers
Definition

Bipolar or Depressive type

with catatonia

course of illness

 severity

Term
Substance medication-induced Psychotic D/O Dx.
Definition

Reread criteria

Divide by use with or without use disorder

specify with onset during intoxication or withdrawal

specify severity

 

Term
Catatonia Diagnosis
Definition

Associated with another mental disorder

Due to another medical condition

unspecified catatonia

Term
Catatonia Symptoms
Definition

stupor

catalepsy

waxy flexibility

mutism

negativism

posturing

mannerism

stereotypy

agitation

grimacing

echolalia

echopraxia

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