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SYMPTOMS OF PSYCHIATRIC DISORDERS
1-Disturbances of consciousness &orientation a-Disorientation :loss of awareness of position of the self in relation to space , time &persons b-clouding of consciousness : patient react incompletely to stimuli. c-Stupor : patient is mute and immobile . d-coma : patient does not respond even to strong stimuli.
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Disorders of attention
1- Distractibility : inability to focus attention Seen in mania &anxiety. 2-Hypervigilance:excessive attention and focus on all external &internal stimuli Seen in hypomania &obsessive persons. 3- Inattention : blocking out only those things that generate anxiety.
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DISTURBANCES MEMORY Types of memory: Sensory M. Short term memory
Long term memory:(explicit & implicit) Disorders of memory: 1-Amnesia(localized-anterograde-retrograde) 2-Paramnesia(falsification-confabulation-de ja vu-jamais vu phenomenons)
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Disorders of affect and mood
Affect disorders: Appropriate affect inappropriate affect Blunted affect flat affect Labile affect Mood disorders: Depression irritable mood Labile mood elevated mood Euphoria anhedonia Others: Anxiety fear-phobia- panic Ambivalence
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DISTURBANCES OF THINKING
Disorders in the form: Loss of association{ vagueness, incoherence} Derailment irrelevance Flight of ideas clang association Word salad verbigeration Blocking circumstantiality Preservation echolalia Neologism stereotypy Concrete thinking
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DISTURBANCES OF THINKING
Disorders in the contents: Poverty of content :little information or obscure phrases. Preoccupation of thought :centering on particular idea. Overvalued ideas: unreasonable &sustained false belief neither delusional or obsessional in nature. Delusions: false fixed belief ,not consistent with patient culture, personality & education. Obsessional &compulsive symptoms:
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DISTURBANCES OF THINKING
According to fixity: Complete partial According to the onset: Primary secondary Other delusional experiences: Delusional mood -delusional memory Delusional perception According to systematization: Bizarre delusion systematized delusion According to relation with mood: Mood congruent mood incongruent According to other features: Shared delusion encapsulated Crystallized delusion
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DISTURBANCES OF THINKING
According to theme of delusion: Persecutory delusion Delusion of reference Delusion of grandeur Delusion of control Delusion of guilt Delusion of poverty Nihilistic delusion Delusion of infidelity Hypochondriacal (somatic )delusion
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Obsessional and compulsive symptoms
These are recurrent thought, impulses or images that enter the mind despite the patient resist it. Forms of obsessions: Obsessional thoughts ruminations Obsessional doubts impulses Obsessional phobia Compulsions(rituals): Checking cleaning Counting dressing
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Disturbances of Speech
Pressure of speech poverty of speech Dysartheria stuttering Aphasia(motor , sensory & nominal ) Disturbances of motor behavior: Tics mannerisms stereotype Negativism Echopraxia resistance Catatonia(catalepsy , catatonic stupor ,rigidity, posturing & waxy flexibility)
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Disturbances of perception
Hallucination Illusion Depersonalization Derealization Types of hallucination: A-according to complexity Elementary & complex B-according to sensory modality: Visual ,auditory ,tactile, olfactory, gustatory , hallucination of deep sensation , autoscopic H& reflex H.
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Illusion Misperception of real external stimulus.
More common in organic mental disorders. Depersonalization : subjective of being strange. Derealization : subjective sense the environment is strange & unreal. These phenomena occur in: Tiered healthy patients sleep ,sensory deprivation -depressive disorder-temporal lobe epilepsy-schizophrenia-anxiety disorder.
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Disturbances of intelligence
1-Mental retardation 2-dementia Disturbances of insight: The ability of the patient to understand the true cause and meaning of a situation.
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Etiology of psychiatric illness
Classification of causes: 1- predisposing factors 2-percipitating factors 3-perpetuating factors Approaches to etiology : Biological psychodynamic Sociocultural behavioral biopsychosocial
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Other factors related to psychiatric etiology
1-social factors genetic 3- life events biochemical 5-endocrionolgy physiology 7-Neuropathology 8-experimental &clinical psychology
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