lecture 22 Flashcards

(71 cards)

1
Q

what are needed to be diagnosed with schizo

A

positive symptoms and negative symptoms

you have to have at least 2 symptoms and one has to be positive

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2
Q

positive symptoms

A

presnece of behaviors that are not present in healthy people

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3
Q

negative symptoms

A

an absence of behviors seen in healthy people

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4
Q

how many people recover from schizo

A

about 30%

but most have in chronically

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5
Q

types of positive symptoms

A

delusions
grandiosity
presecution
delusions of reference
thought-broadcasting
hallucinations

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6
Q

delusions

A

false beilefs rigidly maintained despite overwhleming contradictory evidence; not accepted by ones culture or subculture

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7
Q

grandiosity

A

believing one has incredible powers

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8
Q

presecution

A

believing one is being stalked or singled out for punishment often by the goverment

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9
Q

Delusions of reference

A

receiving personal messages from neutral events like newscats, street signs ect

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10
Q

Thought-broadcasting

A

thoughts are broadcast out loud

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11
Q

hallucinations

A

sensory experiences such as sights and sounds that happen in the absence of any true sensory input

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12
Q

types of hallucinations

A

audiory
tactile
visual
olfactory
gustatory

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13
Q

auditory hallucinations

A

hallucinations in the form of voices

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14
Q

visual hallucinations

A

seeing numbers or writting, people or ghostly figures

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15
Q

tactile hallucinations

A

felling somones hands on your body

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16
Q

olfactory hallucinations

A

smelling decay, dead bodies, rotting

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17
Q

gustatory hallucinations

A

taste metalic or like poison

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18
Q

What does disorganized behaviour mean in schizophrenia?

A

Unusual or inappropriate actions that are not normally seen in healthy individuals

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19
Q

Forms of diaorganised behavior in schizophrenia

A

incoherent speech
public agitation
laughing childlike
inappropriate sexual behavior

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20
Q

Negative symptoms schizophrenia

A

affective flattening
motor slowing and cataonic behavior
anhedonia
social withdrawal

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21
Q

Affective Flattening

A

reduced outward expression of emotion, unresponsivness

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22
Q

Motor slowing and catatonic behavior

A

moving slowly, moving little or sitting frozen for hours, sometimes in unusual postures

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23
Q

Anhedonia

A

reduced feelings of pleasure and anticipation of pleasure

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24
Q

Social withdrawal

A

the act of intentionally or unintentially avoiding social contact

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25
whats the biggest contributing casue of schizophrenia
genetics as well as enviormental factors such as prenatal complications, living enviormental factors, neurodevelopmental factors, behavior risk factors
26
What is the striatum involved in?
Motivation, reward, habit formation, and motor control.
27
What does the nucleus accumbens regulate?
Reward, motivation, and pleasure/euphoria.
28
What is the function of the VTA (ventral tegmental area)?
It produces dopamine and sends dopamine signals to the nucleus accumbens and frontal cortex.
29
What major functions are controlled by dopamine pathways?
Reward, motivation, pleasure, motor fine-tuning, compulsion, perseveration, and sustained attention.
30
Dopamine is the ____________ focus of shizo
main focus of shizo and pyschotic symptoms
31
All effectibe antipsychotics block the __________
D2 dopamine receptor
32
Drugs that increase synaptic levels of dopamine can cause ______
psychotic episodes
33
What is the frontal-striatal circuit involved in?
Motivation, reward, planning, motor control, and attention
34
What neurotransmitter is central to the frontal-striatal circuits?
Dopamine
35
What brain regions are key in the dopamine pathway shown?
VTA, nucleus accumbens, frontal cortex, hippocampus, striatum.
36
What regulates subcortical dopamine activity normally?
Input from the frontal cortex.
37
What happens to frontal dopamine activity in schizophrenia?
its reduced casuing negative smyptoms
38
What causes positive symptoms according to the dopamine hypothesis?
Excess dopamine release in subcortical areas due to reduced frontal inhibition.
39
What are examples of negative symptoms linked to low frontal dopamine?
Apathy, low motivation, flat affect.
40
What are examples of positive symptoms linked to excess subcortical dopamine?
Hallucinations and delusions
41
What does antipsychotic medication do at dopamine synapses?
Blocks D2 receptors to reduce dopamine activity.
42
Suicide demographic risk factors
Males more liekly to die rates are 2-3x higher in LGBTQ
43
Suicide clinical risk factors
any mental disorder history of self harm or suicide attempt
44
Sucidie life stress risk factors
relationship conflict or legal problems in the last month social isolation
45
suicide social determinants
Unemployment in midlife foster care experience divorce firearm accessibility justice system involvement release from incarceration
46
Which psychological disorders carry the highest suicide risk?
Major Depression Borderline Personality Disorder Bipolar Disorder Schizophrenia Alcohol/Substance Use Disorder
47
Specififc phobia
A marked fear of anxiety about a particular object or situation
48
how does a phobia imoact a person
May have a significant impact on a person when they develop elaborate strategies to avoid the phobic object
49
Anxiety
a feeling of intense worry, nervousness or unease
50
social anxiety disorder
charatcertized by extreme fear of being watched, evaluated and judged by others
51
when does social anxiety typically emerge
in childhood or adolescence
52
Panic disorder
An anxiety disorder characterized by the occurrence of unexpected panic attacks
53
Panic attack
A sudden episode of uncontrollable anxiety, accompanied by laboured breathing, choking, dizziness, tingling hands and feet, sweating, trembling, heart palpitations or chest pain
54
Agoraphobia
A fear of being in situations in which help might not be avaible or escape might be difficult or embarresing
55
What is the main definition of Generalized Anxiety Disorder?
Excessive, pervasive, difficult-to-control anxiety occurring more days than not for 6 months or more.
56
What type of symptoms does GAD include?
Cognitive and bodily symptoms.
57
What are cognitive symptoms of GAD?
Feelings of inadequacy or fear, difficulty concentrating, difficulty making decisions.
58
What are bodily symptoms of GAD?
Muscle tension, fatigue, jumpiness, elevated heart rate, sweating, weakness, insomnia.
59
Who is GAD more common in?
Women
60
What are some common risk factors for anexity disorders
low self esteem family history childhood abuse trama
61
Obsession
a recurrent unwanted or disturbing thought
62
Compulsion
A ritualistic action performed to control an obsession
63
OCD disgnosis recuirments
both obsession and compulsion must be present
64
Trama and stressor-related disorders
Triggered by an event that involves actual or threatned death, serious injury, or sexual assault
65
Trama and stress related disorders symptoms
dissociation intrusive thoughts arousal symptoms aviodance symptoms negatibe alterations in cognition anf mood
66
Acute stress disorder
a trama related disorder, with the symptoms of PTSD that differs in duration
67
PTSD
a trama related disorder that lasts a month or longer
68
What are the two main symptom categories of ADHD?
Inattention & Hyperactivity/Impulsivity.
69
Examples of inattention symptoms
Disorganized, loses things, distractible, misses deadlines, fails to follow instructions, daydreams, avoids sustained mental effort.
70
Examples of hyperactivity/impulsivity symptoms
Fidgeting, leaving seat, “driven by a motor,” excessive talking, interrupting, trouble waiting turns, intruding on others.
71