Term
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Definition
| Feeling "unreal" - when looking in the mirror and saying "that's not me" |
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Term
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Definition
| preoccupied by symptoms that aren't based on reality |
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Term
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Definition
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Term
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Definition
| content of thoughts is different from tone |
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Term
Autistic Thinking
(Not the disease "autism") |
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Definition
magical thinking - "I can do anything"
concrete thinking - can't think abstractly and has an inward focus |
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Term
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Definition
Loss of logical thought process
-trouble reading and putting words together |
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Term
| Private Languate includes: |
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Definition
neologism - meaning of word only pertains to that person
clang association - repetition of rhyming words ("eat, meat, feet")
echolalia - repeating speech of others
word salad - linking words without relation together |
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Term
| Ways of coping with hallucinations and delusions (8) |
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Definition
1. fighting back
2. doing nothing
3. isolated diversion
4. time out
5. medical intervention
6. social diversions
7. prayer
8. family |
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Term
| side effect of anitpsychotics |
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Definition
| weight gain, type II DM, orthostatic hypotension, photosensitivity, blurred vision, EPS (dystonia - small muscle spasms, akathisia - can't sit still, very common, pseudo-parkinsonism - give anticholenergic drugs like cojentin) |
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Term
| Other side effects of antipsych drugs (besides EPS) |
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Definition
| sedation, lethargy, seizures, temp regulation, tardive dyskinesia (long term effect; can't stop movement i.e. lips keep moving) |
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Term
problem with smoking and coffee in schizo
-% of those who smoke? |
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Definition
can affect NT's in the brain
-80-90% smoke (compared to 30% in gen. pop) |
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Term
what is the #1 cause of premature death in schizo?
-who is most at risk for this? |
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Definition
suicide - 10-18% of schizophrenics commit suicide (3/4 are men)
- remitting/relapsing course
-good insight (realize how serious the disease is and become hopeless)
-socially isolated
-hopeless
-discrepancy between achievements |
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Term
| Typical/Conventional/Old Antipysch Drugs |
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Definition
| -focus on blocking dopamine receptos; more chance for EPS and pseudo-parkinsonism |
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Term
| Atypical/New/Novel Antipsych Meds |
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Definition
| - focus on blocking both dopamine and serotonin receptors; less chance for EPS; more expensive; treat both pos and neg symptoms (better at treating the neg symptoms than typical meds) |
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Term
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Definition
| minimize side effects, increase med supervision, use long-acting injectable meds |
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Term
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Definition
| good for people who haven't responded to other meds; low risk for EPS; relatively no risk for TD; check CBC for agranulocytosis weekly; orthostatic hypotension possible (check BP lying/standing), other side efx include wt. gain, sedation, drooling, dizziness |
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Term
| affective flattening (similar to blunted affect) |
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Definition
| face doesn't show expression, fewer gestures, can't smile or laugh approp., monotone voice, poor eye contact |
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Term
| the 4 A's of Negative Symptoms in schizo |
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Definition
Anhedonia
Affective Flattening
Avolition - can't initiate activity of follow thru
Alogia - impoverished thinking and cognition |
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Term
| Diagnosing Schizo - DSMIV |
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Definition
-charicteristic sx for one month
-social/occupational dysfxn
-overall duration for 6+ months
-not attributable to other mood disorder, substance use, or other medical condition |
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Term
| Characteristic Symptoms for Schizo (must have at least 2 for majority of one month) |
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Definition
-delusions
-hallucinations
-disorganized speech
-grossly disorganized/catatonic behav
-negative symptoms |
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