Podcast
Questions and Answers
A client experiences hallucinations and disorganized speech for 5 days, then recovers. Which diagnosis is most likely?
A client experiences hallucinations and disorganized speech for 5 days, then recovers. Which diagnosis is most likely?
- Brief Psychotic Disorder (correct)
- Schizophreniform Disorder
- Delusional Disorder
- Schizoaffective Disorder
A woman avoids intimacy and lacks sexual interest, causing distress. This aligns with:
A woman avoids intimacy and lacks sexual interest, causing distress. This aligns with:
- Female Sexual Interest/Arousal Disorder (correct)
- Sexual Desire Discrepancy
- Genito-Pelvic Pain Disorder
- Female Sexual Arousal Disorder
Which symptom is a positive symptom of schizophrenia?
Which symptom is a positive symptom of schizophrenia?
- Avolition
- Flat affect
- Alogia
- Delusions of reference (correct)
A person is aroused by rubbing against strangers. This meets criteria for:
A person is aroused by rubbing against strangers. This meets criteria for:
A man believes he is being poisoned, but functions well. No hallucinations. Best diagnosis?
A man believes he is being poisoned, but functions well. No hallucinations. Best diagnosis?
Flattened emotion, limited speech, and reduced motivation are examples of:
Flattened emotion, limited speech, and reduced motivation are examples of:
Which disorder is most likely to include command hallucinations?
Which disorder is most likely to include command hallucinations?
A man ejaculates within 40 seconds of penetration in 80% of encounters and is distressed. This is:
A man ejaculates within 40 seconds of penetration in 80% of encounters and is distressed. This is:
A person repeats everything you say word-for-word. This behavior is called:
A person repeats everything you say word-for-word. This behavior is called:
Which of the following best illustrates tardive dyskinesia?
Which of the following best illustrates tardive dyskinesia?
Which diagnosis requires BOTH psychotic and mood symptoms?
Which diagnosis requires BOTH psychotic and mood symptoms?
A person cannot recall their sentence mid-speech. This example describes:
A person cannot recall their sentence mid-speech. This example describes:
A person is sexually aroused by humiliation and being tied up. Behavior causes relationship issues. Diagnosis?
A person is sexually aroused by humiliation and being tied up. Behavior causes relationship issues. Diagnosis?
Which symptom is not required for a diagnosis of schizophrenia?
Which symptom is not required for a diagnosis of schizophrenia?
What is a major concern with long-term use of antipsychotic medications?
What is a major concern with long-term use of antipsychotic medications?
A woman experiences arousal from non-consenting people seeing her genitals. What diagnosis fits this?
A woman experiences arousal from non-consenting people seeing her genitals. What diagnosis fits this?
Which neurotransmitter is most linked to the positive symptoms of schizophrenia?
Which neurotransmitter is most linked to the positive symptoms of schizophrenia?
Which term describes a symptom where a person mimics the movements of others?
Which term describes a symptom where a person mimics the movements of others?
A man believes his thoughts are being stolen out of his head. This is a delusion of:
A man believes his thoughts are being stolen out of his head. This is a delusion of:
A child insists for 6+ months that they are the other gender and becomes distressed when misgendered. Best fit?
A child insists for 6+ months that they are the other gender and becomes distressed when misgendered. Best fit?
A patient holds an unusual pose for hours; their arm stays in position if moved. This is called:
A patient holds an unusual pose for hours; their arm stays in position if moved. This is called:
A man believes that the radio is sending him secret codes. This is an example of:
A man believes that the radio is sending him secret codes. This is an example of:
Which disorder is defined by rubbing or touching non-consenting individuals in crowded spaces?
Which disorder is defined by rubbing or touching non-consenting individuals in crowded spaces?
Which of the following most clearly reflects a negative symptom?
Which of the following most clearly reflects a negative symptom?
A person creates new words that only they understand, such as “zorkling” or “fletzon.” This symptom is:
A person creates new words that only they understand, such as “zorkling” or “fletzon.” This symptom is:
Holding an unusual posture for extended periods, like hours, is called:
Holding an unusual posture for extended periods, like hours, is called:
Believing a common source, like a radio, is sending personal messages specifically to you is an example of:
Believing a common source, like a radio, is sending personal messages specifically to you is an example of:
Which disorder involves touching or rubbing against a non-consenting person?
Which disorder involves touching or rubbing against a non-consenting person?
Which of the following is an example of a negative symptom in schizophrenia?
Which of the following is an example of a negative symptom in schizophrenia?
Creating and using new words that have meaning only to the individual is:
Creating and using new words that have meaning only to the individual is:
Recurrent sexual urges directed toward nonhuman objects or body parts that do not cause distress is:
Recurrent sexual urges directed toward nonhuman objects or body parts that do not cause distress is:
What happens during the prodromal phase of schizophrenia?
What happens during the prodromal phase of schizophrenia?
Which therapy involves non-demanding touch exercises to help with intimacy?
Which therapy involves non-demanding touch exercises to help with intimacy?
A man is sexually aroused by wearing women's clothing, which is the primary way he experiences arousal. This is:
A man is sexually aroused by wearing women's clothing, which is the primary way he experiences arousal. This is:
Which condition involves involuntary vaginal muscle contractions, making intercourse painful or impossible?
Which condition involves involuntary vaginal muscle contractions, making intercourse painful or impossible?
Speaking in rhyming words that do not make sense or connect logically is:
Speaking in rhyming words that do not make sense or connect logically is:
Which disorder is characterized by sexual arousal from inflicting pain or suffering on others?
Which disorder is characterized by sexual arousal from inflicting pain or suffering on others?
The main difference between schizophreniform disorder and schizophrenia is:
The main difference between schizophreniform disorder and schizophrenia is:
Which sexual dysfunction is associated with low estrogen levels, relationship issues, or insufficient stimulation?
Which sexual dysfunction is associated with low estrogen levels, relationship issues, or insufficient stimulation?
Which of these statements is true about delusional disorder?
Which of these statements is true about delusional disorder?
A person is shouting and making random movements that seem wild and without purpose. This describes:
A person is shouting and making random movements that seem wild and without purpose. This describes:
For a paraphilic disorder diagnosis, the person must act on urges and experience:
For a paraphilic disorder diagnosis, the person must act on urges and experience:
Showing little to no emotion and avoiding eye contact describes which symptom?
Showing little to no emotion and avoiding eye contact describes which symptom?
During which phase of the sexual response cycle does muscle tension and blood flow increase?
During which phase of the sexual response cycle does muscle tension and blood flow increase?
The dopamine hypothesis states that schizophrenia is linked to:
The dopamine hypothesis states that schizophrenia is linked to:
A man has urges to expose himself to strangers, feels guilty, but continues the behavior, causing him distress and police warning. What diagnosis best fits?
A man has urges to expose himself to strangers, feels guilty, but continues the behavior, causing him distress and police warning. What diagnosis best fits?
A college student avoids classes, isolates, shows flattened emotions, speaks in fragmented sentences, and claims a chip was implanted in his brain. This is likely:
A college student avoids classes, isolates, shows flattened emotions, speaks in fragmented sentences, and claims a chip was implanted in his brain. This is likely:
A woman experiences intense sexual arousal observing strangers undress without their knowledge and acts on these urges using hidden cameras. Most likely diagnosis?
A woman experiences intense sexual arousal observing strangers undress without their knowledge and acts on these urges using hidden cameras. Most likely diagnosis?
A man with schizophrenia shows no interest in hygiene, doesn’t speak unless spoken to, and rarely reacts emotionally. These symptoms reflect:
A man with schizophrenia shows no interest in hygiene, doesn’t speak unless spoken to, and rarely reacts emotionally. These symptoms reflect:
After a breakup, a woman experiences hallucinations and paranoid delusions for 4 days. No prior psychiatric history, and symptoms disappear on their own. Best diagnosis?
After a breakup, a woman experiences hallucinations and paranoid delusions for 4 days. No prior psychiatric history, and symptoms disappear on their own. Best diagnosis?
A man reports sexual excitement from being insulted and restrained during intercourse. These preferences interfere with his relationship and cause distress. Best represents:
A man reports sexual excitement from being insulted and restrained during intercourse. These preferences interfere with his relationship and cause distress. Best represents:
A teenager suddenly begins mumbling in rhyme, makes up nonsense words, and laughs inappropriately when no one else is talking. Which symptom category does this reflect?
A teenager suddenly begins mumbling in rhyme, makes up nonsense words, and laughs inappropriately when no one else is talking. Which symptom category does this reflect?
A man diagnosed with schizophrenia exhibits sudden agitation, fever, muscle rigidity, and confusion after a medication change. This reaction is most consistent with:
A man diagnosed with schizophrenia exhibits sudden agitation, fever, muscle rigidity, and confusion after a medication change. This reaction is most consistent with:
A patient repeatedly claims that government drones are recording her through her microwave. No other symptoms are present. She works and socializes normally. The best diagnosis is:
A patient repeatedly claims that government drones are recording her through her microwave. No other symptoms are present. She works and socializes normally. The best diagnosis is:
A woman complains of pain during penetration, involuntary vaginal tightening, and fear of intercourse. Her partner is supportive, but she avoids sexual activity. This best fits:
A woman complains of pain during penetration, involuntary vaginal tightening, and fear of intercourse. Her partner is supportive, but she avoids sexual activity. This best fits:
A man reports arousal from thinking of himself as a woman. He feels shame and distress after these fantasies, but continues to cross-dress in secret. Best diagnosis?
A man reports arousal from thinking of himself as a woman. He feels shame and distress after these fantasies, but continues to cross-dress in secret. Best diagnosis?
A client frequently uses made-up words that only make sense to him, such as “smorking” and “greetum.” This is an example of:
A client frequently uses made-up words that only make sense to him, such as “smorking” and “greetum.” This is an example of:
A 26-year-old woman who once loved painting now feels no pleasure from it. She also avoids socializing and has no desire to engage in hobbies. These are best described as:
A 26-year-old woman who once loved painting now feels no pleasure from it. She also avoids socializing and has no desire to engage in hobbies. These are best described as:
A person shows repetitive lip smacking, tongue rolling, and blinking after years on antipsychotic medication. This motor issue is:
A person shows repetitive lip smacking, tongue rolling, and blinking after years on antipsychotic medication. This motor issue is:
A man believes aliens are controlling his actions through invisible wires implanted in his brain. This is most clearly:
A man believes aliens are controlling his actions through invisible wires implanted in his brain. This is most clearly:
Which symptom is most specific to catatonia?
Which symptom is most specific to catatonia?
A woman has vivid dreams that the police are following her. She begins avoiding certain streets and reports hearing them whisper her name. What symptom is most concerning?
A woman has vivid dreams that the police are following her. She begins avoiding certain streets and reports hearing them whisper her name. What symptom is most concerning?
A man insists his wife is cheating despite clear evidence she is not. He tracks her, reads her messages, and misinterprets facial expressions. He’s socially functional but distressed. This is:
A man insists his wife is cheating despite clear evidence she is not. He tracks her, reads her messages, and misinterprets facial expressions. He’s socially functional but distressed. This is:
A person laughs and says, “I’m the king of purple stardust… clocks jump sideways when I talk too loud.” Which term fits best?
A person laughs and says, “I’m the king of purple stardust… clocks jump sideways when I talk too loud.” Which term fits best?
A teen begins socially withdrawing, showing flat affect, and dressing inappropriately for the weather for a few months. These are likely signs of:
A teen begins socially withdrawing, showing flat affect, and dressing inappropriately for the weather for a few months. These are likely signs of:
Flashcards
Brief Psychotic Disorder
Brief Psychotic Disorder
Psychotic symptoms (hallucinations, disorganized speech) lasting less than one month with full return to prior level of functioning.
Female Sexual Interest/Arousal Disorder
Female Sexual Interest/Arousal Disorder
Persistent or recurrent lack of sexual interest or arousal, causing distress.
Delusions of reference
Delusions of reference
False beliefs that others are referring to you specifically.
Frotteuristic Disorder
Frotteuristic Disorder
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Delusional Disorder
Delusional Disorder
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Avolition
Avolition
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Negative Symptoms
Negative Symptoms
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Command hallucinations
Command hallucinations
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Premature Ejaculation
Premature Ejaculation
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Echolalia
Echolalia
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Tardive dyskinesia
Tardive dyskinesia
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Schizoaffective Disorder
Schizoaffective Disorder
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Blocking
Blocking
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Sexual Masochism Disorder
Sexual Masochism Disorder
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Anhedonia
Anhedonia
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Exhibitionistic Disorder
Exhibitionistic Disorder
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Dopamine
Dopamine
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Echopraxia
Echopraxia
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Delusion of withdrawal
Delusion of withdrawal
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Gender Dysphoria in Children
Gender Dysphoria in Children
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Waxy Flexibility
Waxy Flexibility
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Delusion of reference
Delusion of reference
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Frotteuristic Disorder
Frotteuristic Disorder
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Flat affect
Flat affect
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Neologism
Neologism
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Sexual Sadism Disorder
Sexual Sadism Disorder
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Clang Association
Clang Association
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Prodromal Phase
Prodromal Phase
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Catatonic Excitement
Catatonic Excitement
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Female Orgasmic Disorder
Female Orgasmic Disorder
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Fetishistic Interest
Fetishistic Interest
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Word Salad
Word Salad
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Transvestic Disorder
Transvestic Disorder
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Vaginismus
Vaginismus
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Sensate Focus
Sensate Focus
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Schizophreniform Disorder
Schizophreniform Disorder
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Dyspareunia
Dyspareunia
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Dopamine Hypothesis
Dopamine Hypothesis
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Paraphilic Disorder
Paraphilic Disorder
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Voyeuristic Disorder
Voyeuristic Disorder
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Catatonia
Catatonia
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Delusion of Control
Delusion of Control
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Neuroleptic Malignant Syndrome
Neuroleptic Malignant Syndrome
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Loose Associations
Loose Associations
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Mood Congruent Psychosis
Mood Congruent Psychosis
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Study Notes
- Sudden onset hallucinations and disorganized speech lasting 5 days, then resolving, aligns with Brief Psychotic Disorder.
- Lack of sexual interest/fantasies and avoidance of intimacy for over 6 months, causing distress, indicates Female Sexual Interest/Arousal Disorder.
- Delusions of reference are a positive symptom of schizophrenia.
- Intense arousal from rubbing against strangers on a crowded train meets criteria for Frotteuristic Disorder.
- Fixed belief of being poisoned by the government, without hallucinations or speech issues, and maintained functioning suggests Delusional Disorder.
- Flattened emotional expression, limited speech, and reduced motivation are examples of negative symptoms.
- Schizophrenia is most likely to include command hallucinations.
- Ejaculation within 40 seconds of penetration in 80% of encounters for 7 months with reported distress is suggestive of Premature Ejaculation.
- Repeating everything someone says word-for-word is called echolalia.
- Eye blinking and lip smacking due to antipsychotic use illustrates tardive dyskinesia.
- Schizoaffective Disorder requires both psychotic and mood symptoms.
- Being unable to recall what was being said mid-sentence is an example of blocking.
- Sexual arousal from humiliation and being tied up, causing relationship issues, indicates Sexual Masochism Disorder.
- Anhedonia is not required for diagnosing schizophrenia.
- A major concern with long-term use of antipsychotic medications is tardive dyskinesia.
- Sexual arousal from non-consenting people seeing one's genitals is called Exhibitionistic Disorder.
- Dopamine is the neurotransmitter most linked to the positive symptoms of schizophrenia.
- Mimicking the movements of others is defined as echopraxia.
- The belief that thoughts are being stolen out of one's head is a delusion of withdrawal.
- Insisting for 6+ months on being the other gender and distress when misgendered in a child indicates Gender Dysphoria in Children.
- Holding an unusual pose for hours, with limbs staying in position when moved, is called waxy flexibility.
- The belief that the radio is sending secret codes is an example of a delusion of reference.
- Frotteuristic disorder is defined as rubbing or touching non-consenting individuals in crowded spaces.
- Flat affect most clearly reflects a negative symptom.
- Creating new words that only the individual understands is a neologism.
- Recurrent sexual urges toward objects or body parts that cause no distress is a fetishistic interest.
- Gradual withdrawal and emotional flattening best describes the prodromal phase of schizophrenia.
- Sensate focus is a technique that involves non-demand touching to reduce anxiety around intimacy.
- Sexual arousal from cross-dressing being the only way one can feel sexual is transvestic disorder.
- Avoiding sex due to extreme pain and involuntary muscle contractions in the vagina is most likely vaginismus.
- Rapid speech using rhyming words that make no sense together is clang association.
- Sexual arousal from inflicting pain or suffering is sexual sadism disorder.
- The duration of symptoms distinguishes schizophreniform disorder from schizophrenia.
- The sexual dysfunction most associated with low estrogen, trauma, or ineffective stimulation is Female Sexual Interest/Arousal Disorder.
- Delusions are persistent, but other symptoms are absent in delusional disorder.
- Wild, purposeless movements and incoherent shouting for hours describes catatonic excitement.
- Paraphilic disorder requires distress or dysfunction and acting on non-consenting urges for diagnosis.
- Minimal emotion, lack of conversation initiation, and avoidance of eye contact best fits flat affect.
- The plateau phase of the sexual response cycle involves increased muscle tension and blood flow.
- The dopamine hypothesis suggests schizophrenia symptoms arise from overactivity of dopamine pathways.
- Intense urges to expose oneself to strangers in public, guilt, distress, and police warning fits Exhibitionistic Disorder.
- Avoiding classes, isolating, flattened emotions for two months, fragmented speech, and claiming a brain implant indicates Schizophreniform Disorder.
- Intense arousal from observing strangers undress, acting on urges with hidden cameras, characterizes Voyeuristic Disorder.
- No interest in hygiene, not speaking unless spoken to, rarely reacting emotionally, are examples of negative symptoms in schizophrenia.
- Hallucinations and paranoid delusions for 4 days after a breakup, with no prior history, that resolve on their own, is Brief Psychotic Disorder.
- Sexual excitement from being insulted and restrained during intercourse, causing relationship issues and distress, is Sexual Masochism Disorder.
- Mumbling in rhyme, making up nonsense words, and inappropriate laughter are positive symptoms.
- Sudden agitation, fever, muscle rigidity, and confusion after a medication change in a schizophrenia patient suggests Neuroleptic Malignant Syndrome.
- Claiming government drones are recording her through her microwave, with no other symptoms, while functioning normally, is Delusional Disorder.
- Pain during penetration, involuntary vaginal tightening, and fear of intercourse points to Vaginismus.
- Arousal from thinking of oneself as a woman, with shame and distress after fantasies, and secret cross-dressing, fits Transvestic Disorder with autogynephilia.
- Frequently using made-up words that only make sense to oneself is a neologism.
- No pleasure from painting (anhedonia), avoiding socializing, and no desire to engage in hobbies signifies anhedonia.
- Repetitive lip smacking, tongue rolling, and blinking after years on antipsychotics points to Tardive Dyskinesia.
- Believing aliens are controlling actions through invisible wires implanted in the brain is a delusion of control.
- Wax-like posture maintenance is specific to catatonia.
- Vivid dreams of being followed and reporting hearing whispers is an auditory hallucination.
- Insisting a wife is cheating without evidence, tracking her, reading messages, and misinterpreting expressions, with social functionality, is Delusional Disorder – Jealous Type.
- Laughing and saying, “I’m the king of purple stardust… clocks jump sideways when I talk too loud” describes Word Salad
- Socially withdrawing, showing flat affect, and dressing inappropriately for the weather are likely signs of the prodromal phase.
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