What are cognitive symptoms of psychotic disorders
-disordered thinking
-inability to make decisions
-poor problem solving ability
-difficult
... [Show More] concentrating to perform tasks
-Memory deficits
Misconstrues trivial events and attaches personal significance to them, such as believing that others, who are discussing the next meal, are talking about them
ideas of reference
Feels singled out for harm by others (being hunted down by FBI)
Persecution
Believes that she is all powerful and important like a god
grandeur
believes that his body is changing in an unusual way, scubas growing a third arm
somatic delusions
May feel that her spouse is sexually involved with another individual
Jealousy
Believes that a force outside his body is controlling him
being controlled
believes that her thoughts are heard by others
thought broacasting
believes that others thoughts are being inserted into his mind
thought insertion
Believe that her thoughts have been removed form her mind by an outside agency
thought withdrawal
is obsessed with religious beliefs
religiosity
The client may say sentence after sentence but each sentence may relate to another topic and the listeniner is bale to follow the clients thoughts
flight of ideas
Made up words that have meaning only to the client such as i tranged and flitted.
neologisms
What are the standardized screen tools for psychotic disorders
-Global assessment of functioning scale
-scale for assessment of negative symptoms
-Brief psychiatric rating scale
-abnormal involuntary movement scale (AIMS)
What antidepressants are prescribed for psychotic disorders
Paxil
-monitor for SI
-Notify for deepened depression
-Do not stop abruptly
What are the anxiolytics/ bento's used for psychotic disorders?
-Ativan
-Klonopin
-sedative effects
-need to get blood tests for ANC
-use caution in older adults
What are the personality disorders in cluster A
(Odd and eccentric traits)
-Paranoid
-Schizoid
-Schizotypal
Characterized by odd beliefs leading to interpersonal difficulties, an eccentric appearance, and magical thinking or perceptual distortions that are not clear delusions or hallucinations
schizotypal
Dealing with anxiety by reaching out to others.
Ex: a nurse who lost a family member in a fire is a volunteer firefighter
Altruism
Dealing with unacceptable feelings or impulses by unconsciously substitute acceptable forms of expression.
Ex: a person who has feelings of anger and hostility toward his work supervisor sublimates those feelings by working out vigorously a the gym during his lunch period
Sublimation
Voluntarily denying unpleasant thoughts and feelings.
Ex: A person who has lost his job states he will worry about paying his bills next week
Suppression
Putting unacceptable ideas, thoughts, and emotions out of conscious awareness.
Ex: a person who has a fear of the dentist's drill continually "forgets" his dental appointments.
Repression
What are healthy defense mechanisms?
alturism and sublimation
what are intermediate defenses
repression
reaction formation
displacement
rationalization
undoing
What are immature defenses
projection
dissociation
splitting
denial
Shifting feelings related to an object, person, or situation to another less threatening object, person, or situation
Ex: A person who is angry about losing his job destroys his child's favorite toy
displacement
Overcompensating or demonstrating the opposite behavior of what is felt.
Ex: a person who dislikes her sisters daughter offers to babysit so that her sister can go out of town
reaction formation [Show Less]