DISORDER TYPES
The client has psychotic manifestations that last 1 day to 1 month in duration.
Brief Psychotic Disorder
Lack of motivation in activities and hygiene. For example, the client completes an assigned task, such as making their bed, but is unable to start the next common chore without prompting.
Avolition
Believes their actions or thoughts are able to control a situation or affect others, such as wearing a certain hat makes them invisible to others
Magical Thinking
Meaningless rhyming of words, often forceful, such as, “Oh fox, box, and lox.”
Clang Associations
Used to treat mainly positive psychotic symptoms
● Haloperidol
● Loxapine
● Chlorpromazine
● Fluphenazine
The client has impairments of personality (self and interpersonal) functioning. However, impairment is not as severe as with schizophrenia.
Schizotypal Personality Disorder
Usually blunted (narrow range of expression) or flat (facial expression never changes).
Affect
Believes that their thoughts are heard by others
Thought Broadcasting
Made-up words that have meaning only to the client (“I tranged and flittled.”).
Neologisms
When taking second-generation/ atypical antipsychotics blood tests are needed to monitor for
agranulocytosis
The client’s disorder meets the criteria for both schizophrenia and depressive or bipolar disorder.
Schizoaffective Disorder
A type of Symptom. Absence of things that are normally present. These manifestations are more difficult to treat successfully than positive symptoms.
Negative
Believes that they are all powerful and important, like a god
Grandeur
Unconscious inability to concentrate on a single thought. Can progress to flight of ideas in which the client’s speech moves so rapidly from one thought to another that it is incoherent.
Associative Looseness
Current medications of choice for psychotic disorders, and they generally treat both positive and negative symptoms.
● Risperidone
● Olanzapine
● Quetiapine
● Ziprasidone
● Clozapine
The client experiences delusional thinking for at least 1 month. Self or interpersonal functioning is not markedly impaired.
Delusional Disorder
Poverty of thought or speech. The client might sit with a visitor but only mumble or respond vaguely to questions.
Alogia
Believes that their partner is sexually involved with another individual even though there is not any factual basis for this belief
Jealousy
Words jumbled together with little meaning or significance to the listener (“Hip hooray, the flip is cast and wide-sprinting in the forest.”).
Word Salad
Paroxetine is used to treat the depression seen in many clients who have a psychotic disorder. What would you teach your patient regarding abrupt cessation of this med?
Avoid to prevent withdrawal effect.
The client has psychotic thinking or behavior present for at least 6 months. Areas of functioning, including school or work, self-care, and interpersonal relationships, are significantly impaired
schizophrenia
Lack of pleasure or joy. The client is indifferent to things that often make others happy, such as looking at beautiful scenery.
Anhedonia
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
Including multiple and unneeded details during a conversation, such as describing in great detail the weather and clothes they are wearing when asked what their plans are for the day
Circumstantiality
Monitor first-generation antipsychotics for extrapyramidal effects (EPS), including
dystonia, akathisia, pseudo parkinsonism, and tardive dyskinesia.