600 MIDTERM pt 3

What are 2 other DSM-5 psychotic symptoms? Give an example of a positive and negative symptom.

Disorganized thinking or speech, grossly disorganized or abnormal behavior (including catatonia), and negative symptoms. Positive symptoms are additions to consciousness (hallucinations, delusions, disorganized behavior/speech). Negative symptoms are decr

Number and duration of symptoms for delusional disorder? What are 2 types of delusional disorders? How does delusional disorder differ from schizophrenia?

It requires the presence of 1 or more delusions with a duration of 1 month or longer. 2 types of delusional disorder include jealous type (the central theme of the delusion is that of an unfaithful partner, arrived without due cause and is based on incorr

How many symptoms are required for brief psychotic disorder? Duration? How is the duration different from that of schizophrenia or schizophreniform?

Brief psychotic disorder requires the presence of 1 or more of the following:
disorganized speech
grossly disorganized/catatonic behavior
catatonic behavior.
The duration of an episode should be at least 1 day but less than 1 mont

Number of symptoms for schizophreniform? Duration? How does it differ from schizophrenia?

disorganized speech
grossly disorganized/catatonic behavior
Negative symptoms
Schizophreniform's duration is at least 1 month of active symptoms within a 1-6 month period. It is distinguished from schizophrenia by its difference i

Besides the active phase, what are the other 2 phases of schizophrenia? How many symptoms over a 1-month period are needed to qualify for Criterion A (active phase) of schizophrenia? How long do continuous signs of schizophrenia need to persist?

The other 2 phases of schizophrenia are Prodromal and residual. Symptoms must occur /persist over a continuous period of 6 months, with at least one month in the active phase.

What is the primary feature of schizoaffective disorder? What distinguishes it from schizophrenia?

The primary feature of schizoaffective disorder is that of an uninterrupted period of illness during which there is a major mood episode concurrent with Criteria A (delusions, hallucinations, disorganized speech, grossly disorganized behavior, negative sy

Can substances, medications, or medical conditions cause psychotic-like symptoms?

Yes, enough to merit their own disorder, Substance/medication-induced psychotic disorder. It is typically severely disabling and consequently is observed most frequently in emergency rooms, as individuals are often brought to the acute-care setting when i

What are some suggestions for therapists working with clients with delusions?

Increasing client's motivation for treatment by initially focusing on distressing secondary symptoms such as insomnia or career issues rather than delusions or their consequence. Therapists should discuss the delusions enough to understand the nature of t

When do the symptoms of schizophrenia tend to emerge? For men? Women?

Delusions, hallucinations, and other psychotic symptoms tend to emerge in early adulthood... with the first full-blown psychotic episode occurring in the early to mind-20s for males sand the late 20s for females.

Genetic risk factors contribute to schizophrenia. 2 other factors? (Give specific environmental factors listed in the text - environment is not an acceptable answer) Which drugs?

Being born in the winter months, living in an urban setting, low socioeconomic status, complications of birth, and advanced paternal age. Cannabis use and chronic abuse of psycho-stimulants can cause dopamine dysregulation that may lead to the development

After creating a positive alliance, what is suggested when working with a client's delusions and hallucinations? What is cautioned against?

After creating a positive alliance, gentle reality testing will help clients begin to address delusional beliefs, helping clients become aware of when they are guilty of confirmation bias will lead to improvements in cognitive processing, and showing them

What are 4 psychosocial interventions (therapies) that have strong research support for the treatment of schizophrenia? (Pgs. 84 - 86) In addition to the book, also see those with "strong support" at:

Cognitive therapy, social skills training, family-focused group interventions, and CBT for positive symptoms can all effectively deal with treatment options.

Under the heading of Long Term Management, what are 2 factors that contribute to a better prognosis for schizophrenia?

People with schizophrenia will do better over the long-term if they have some level of peer support and employment, are actively involved in therapy to manage depression and stress, participate in interesting activities, and have a degree of family suppor

Why are education and counseling important treatment component for families?

Psychoeducation, improved communication patterns, reduced expressed emotion, and coping oriented approaches to family approaches are effective ways of preventing relapse. Family counseling, social skills training, and community based programs that provide

When are 2 situations where the combination of medication and psychotherapy is recommended for depression?

When psychosis or suicidal thoughts/actions are present, the combination of medication and psychotherapy is almost always recommended.

Although there is little research available on the treatment of DMDD, what is the first line of treatment for children with mood disorders? Are psychotropic medications recommended?

In general, the first line of treatment for children with mood disorders should be psychotherapy and parent psychoeducation, unless symptoms are so severe to warrant the risk of side-effects inherent in the use of psychotropic medications.

. What are psychotic delusions? List 2 examples of psychotic delusions (e.g., persecutory, grandiose).

They are fixed beliefs that are not amenable to change in light of conflicting evidence and can include a variety of themes: they include
grandiose delusions (when an individual believes at he has exceptional abilities, wealth, or fame),
erotomanic delusi

What is the difference between bizarre and nonbizarre delusions?

Non-bizarre delusions may be of situations and circumstances that are plausible such as: being stalked, a partner cheating, an illness inflicted on them, conspired against, spied on, and subversively attacked.
Bizarre delusions are when implausible events

What is a psychotic hallucination? Give 2 examples of psychotic hallucinations.

They are perception-like experiences that occur without an external stimulus (being vivid, clear, and with full force and impact of normal perceptions). Visual, sensory, auditory, and olfactory are all examples.