Monday, September 16, 2013

Substance-related, Schizophrenia and Psychosis, and Mood/Affective Disorders

       I.            Introduction
a.       Describe main points.
                                                              i.      Define major DSM IV-TR categories of substance-related, schizophrenia and psychosis, and mood/affective disorders.
                                                            ii.      Classifications of substance-related, schizophrenia and psychosis, and mood/affective disorders.
                                                          iii.      Biological, emotional, cognitive, and behavioral components of substance-related, schizophrenia and psychosis, and mood/affective disorders.
b.      Thesis statement.
    II.            Substance-related disorders
a.       Define
                                                              i.      Toxin, medication, or drug of abuse
                                                            ii.      11 classes: alcohol, hallucinogens, hypnotics, amphetamine, inhalants, caffeine, nicotine, cannabis, opioids, cocaine, phencyclidine (PSP), anxiolytics, or sedatives.
                                                          iii.      Polysubstance dependence
1.      Three different substances (not including caffeine or nicotine) (Meyers, Chapman, & Weaver, 2009).
                                                          iv.      Dependence
1.      Negative consequences
2.      Physical signs of addiction.
3.      Compulsive.
                                                            v.      Tolerance
1.      Increased needed amount of substance in order to achieve desire effect, or lessening effect with the same amount of the substance (Hansell & Damour, 2008).
b.      Classifications – Cognitive disorder
                                                              i.      Substance intoxication delirium
1.      Intoxication disturbs awareness, which inhibits a person to focus, shift attention, and sustain as normal.
2.      Disturbs cognition such as speech, memory, and causes disorientation.
3.      Disturbance builds over a short period of time, during the course of a day.
4.      Evidence from lab, physical exam, or history.
                                                            ii.      Substance withdrawal delirium is the same as intoxication delirium. 
c.       Components of substance-related disorders.
                                                              i.      Biological.
1.      Genetic factors influence addictive personalities.
2.      Twin and adoption studies.
                                                            ii.      Emotional
1.      Hardship can cause addictions to begin or continue.
2.      Emotions are influenced by substances.
                                                          iii.      Cognitive
1.      Self-medicating for other disorders.
2.      Substances distort cognition.
                                                          iv.      Behavioral
1.      Peer pressure
2.      Act of consumption. (i.e. holding a cigarette to the mouth).
3.      Substances influence behavior (i.e. alcohol gives a freeing feeling to act as you normally wouldn’t).
 III.            Schizophrenic Disorders
a.       Schizophrenia
                                                              i.      Define.
                                                            ii.      Diagnostic criteria.
                                                          iii.      Subtypes
1.      Paranoid type.
2.      Disorganized type.
3.      Catatonic type.
4.      Undifferentiated type.
5.      Residual type.
                                                          iv.      Specifiers
1.      Episodic With Interepisode Residual Symptoms
2.      With Prominent Negative Symptoms
3.      Episodic With No Interepisode Residual Symptoms
4.      Continuous
5.      With Prominent Negative Symptoms
6.      Single Episode In Partial Remission
7.      With Prominent Negative Symptoms
8.      Single Episode In Full Remission
9.      Other or Unspecified Pattern
                                                            v.      Recording procedures.
                                                          vi.      Associated features and disorders.
                                                        vii.      Specific culture, age, and gender features.
                                                      viii.      Prevalence.
                                                          ix.      Course.
                                                            x.      Familial patterns.
                                                          xi.      Differential diagnosis.
                                                        xii.      Schizophrenia subtypes
1.      Paranoid type.
2.      Disorganized type.
3.      Catatonic type.
4.      Undifferentiated type.
5.      Residual type.
b.      Schizophreniform
                                                              i.      Define.
                                                            ii.      295.4 Diagnostic criteria.
                                                          iii.      Diagnostic features
                                                          iv.      Specifiers.
1.      With good prognosis features
2.      Without good prognosis features.
                                                            v.      Associated features and disorders.
                                                          vi.      Specific culture, age, and gender features.
                                                        vii.      Prevalence.
                                                      viii.      Course.
                                                          ix.      Familial patterns.
                                                            x.      Differential diagnosis.
c.       Schizoaffective Disorder
                                                              i.      Define.
                                                            ii.      295.70 Diagnostic criteria.
                                                          iii.      Subtypes.
1.      Bipolar type.
2.      Depressive type.
                                                          iv.      Associated features and disorders.
                                                            v.      Specific culture, age, and gender features.
                                                          vi.      Prevalence.
                                                        vii.      Course.
                                                      viii.      Familial patterns.
                                                          ix.      Differential diagnosis.
 IV.            Psychosis
a.       Delusional Disorder
                                                              i.      297.1 Diagnostic criteria
                                                            ii.      Diagnostic features
                                                          iii.      Subtypes
1.      Erotomanic type
2.      Grandiose type.
3.      Jealous type.
4.      Persecutory type.
5.      Somatic type.
6.      Mixed type.
7.      Unspecified type.
                                                          iv.      Associated features and disorders.
                                                            v.      Specific culture and gender features.
                                                          vi.      Prevalence.
                                                        vii.      Course.
                                                      viii.      Familial patterns.
                                                          ix.      Differential diagnosis.
b.      Brief Psychosis Disorder
                                                              i.      298.8 Diagnostic criteria
                                                            ii.      Diagnostic features
                                                          iii.      Specifiers
1.      With marked stressors.
2.      Without marked stressors.
3.      With onset of postpartum.
                                                          iv.      Associated features and disorders.
                                                            v.      Specific culture features.
                                                          vi.      Prevalence.
                                                        vii.      Course.
                                                      viii.      Familial patterns.
                                                          ix.      Differential diagnosis.
c.       Shared Psychoic Disorder (Folie à Deux)
                                                              i.      297.3 Diagnostic Criteria
                                                            ii.      Diagnostic features.
                                                          iii.      Associated features and diagnosis.
                                                          iv.      Prevalence
                                                            v.      Course
                                                          vi.      Differential diagnosis.
d.      Psychotic due to general medical condition.
                                                              i.      293.xx Diagnostic Criteria.
                                                            ii.      Diagnostic features.
                                                          iii.      Subtypes
1.      293.81 with delusions.
2.      293.82 with hallucinations.
                                                          iv.      Recording procedure.
                                                            v.      Associated general medical conditions
                                                          vi.      Prevalence
                                                        vii.      Course
                                                      viii.      Differential diagnosis.
e.       Substance induced psychotic disorder.
                                                              i.      Diagnostic Criteria.
                                                            ii.      Diagnostic features.
                                                          iii.      Subtypes
1.      With delusions.
2.      With hallucinations.
                                                          iv.      Specifiers
1.      With onset during intoxication.
2.      With onset during withdrawal.
                                                            v.      Recording procedure.
                                                          vi.      Differential diagnosis.
f.       Psychotic disorder not otherwise specified (298.9).
    V.            Mood/Affective Disorders
a.       Define
                                                              i.      Mood Disorders
                                                            ii.      Affective Disorders
                                                          iii.      Major depressive, dysthymic, depressive, bipolar I, bipolar II, cyclothymic, and substance-induced mood disorder. 
                                                          iv.      Bipolar disorder not otherwise specified.
                                                            v.      Mood disorder not otherwise specified. 
                                                          vi.      Mood disorder due to a general medical condition.
b.      Mood Episodes
                                                              i.      Major depressive episodes.
1.      Diagnostic criteria.
2.      Features.
3.      Associated features and disorders.
4.      Culture, age, and gender features.
5.      Course.
6.      Differential diagnosis.
                                                            ii.      Manic episodes.
1.      Diagnostic criteria.
2.      Diagnostic features.
3.      Associated features and disorders.
4.      Culture, age, and gender features.
5.      Course.
6.      Differential diagnosis.
                                                          iii.      Mixed episodes.
1.      Diagnostic criteria.
2.      Diagnostic features.
3.      Associated features and disorders.
4.      Culture, age, and gender features.
5.      Course.
6.      Differential diagnosis.
                                                          iv.      Hypomanic episodes.
1.      Diagnostic Criteria.
2.      Diagnostic features.
3.      Associated features and disorders.
4.      Specific culture and age features.
5.      Course.
6.      Differential diagnosis.
c.       Depressive disorders.
                                                              i.      Major Depression (296.xx).
1.      Diagnostic criteria for single episode.
2.      Diagnostic criteria for recurrent episode.
3.      Diagnostic features.
4.      Recording procedures.
5.      Associated features and disorders.
6.      Culture, age, and gender features.
7.      Prevalence.
8.      Course.
9.      Familial Features.
10.  Diagnostic features.
11.  Specifiers.
12.  Differential diagnosis.
                                                            ii.      Dysthymic disorder (300.4).
1.      Diagnostic criteria
2.      Diagnostic features.
3.      Specifiers.
4.      Associated features and disorders.
5.      Specific age and gender features.
6.      Prevalence.
7.      Course.
8.      Familial features.
9.      Differential diagnosis.
                                                          iii.      Depression not otherwise specified (311). 
d.      Bipolar Disorders
                                                              i.      Bipolar I (296.xx)
1.      Diagnostic criteria for single manic episode.
2.      Diagnostic criteria for most recent hypomanic episode.
3.      Diagnostic criteria for most recent manic episode.
4.      Diagnostic criteria for most recent mixed episode.
5.      Diagnostic criteria for most recent depressed episode.
6.      Diagnostic criteria for most recent unspecified episode.
7.      Diagnostic features.
8.      Specifiers.
9.      Recording procedures.
10.  Associated features and disorders.
11.  Culture, age, and gender features.
12.  Prevalence.
13.  Course.
14.  Familial Features.
15.  Differential diagnosis.
                                                            ii.      Bipolar II (296.89).
1.      Diagnostic criteria
2.      Diagnostic features.
3.      Specifiers.
4.      Recording procedures.
5.      Associated features and disorders.
6.      Specific gender features.
7.      Prevalence.
8.      Course.
9.      Familial Features.
10.  Differential diagnosis.
                                                          iii.      Cyclothymic disorder (301.13).
1.      Diagnostic criteria
2.      Diagnostic features.
3.      Specifiers.
4.      Recording procedures.
5.      Associated features and disorders.
6.      Specific age and gender features.
7.      Prevalence.
8.      Course.
9.      Familial Features.
10.  Differential diagnosis.
                                                          iv.      Bipolar not otherwise specified (296.80).
e.       Other mood disorders
                                                              i.      Mood disorder due to general medical condition (293.83).
1.      Diagnostic criteria
2.      Diagnostic features.
3.      Specifiers.
4.      Subtypes
5.      Recording procedures.
6.      Specific substances
7.      Differential diagnosis.
                                                            ii.      Substance-induced mood disorder (29.xx).
1.      Diagnostic criteria
2.      Diagnostic features.
3.      Subtypes and Specifiers.
4.      Sub-types
5.      Recording procedures.
6.      Associated general medical conditions
7.      Prevalence.
8.      Differential diagnosis.
                                                          iii.      Mood disorder not otherwise specified (296.90).
f.       Specifiers describing…
                                                              i.      Clinical status of current episode
                                                            ii.      Features of current episode.
                                                          iii.      Course of recurrent episodes.
 VI.            Conclusion
a.       Thesis statement.
b.      Summarize:
                                                              i.      Substance-related
                                                            ii.      Schizophrenia
                                                          iii.      Psychosis
                                                          iv.      Mood/Affective disorders


References
American Psychiatric Association. (2002). DSM-IV-TR. Retrieved from American Psychiatric Association, PSY410 - Abnormal Psychology website.
Hansell, J., & Damour, L. (2008). Abnormal psychology (2nd ed.). Hoboken, NJ: Wiley.
Meyer, R., Chapman, L. K., & Weaver, C. M. (2009). Case studies in abnormal behavior. (8th ed.). Boston, MA: Pearson/Allyn & Bacon.

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