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Abstract thinking
- the ability to conceptualize ideas
- e.g. proverbs
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Abstinence Syndrome
Physical signs and symptoms that occur when the addictive substance is reduced or withheld; also referred to as withdrawal
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Abuse
excessive use of a substance that differs from societal norms and causes clinically significant impairment
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Affect
the external manifestation of feeling or emotion which is assessed by facial expressions, tone of voice and body language
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Akathisia
regular rhythmic movements, usually of lower limbs, or constant pacing (often a side effect of antipsychotic meds)
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Ambivalence
the holding, at the same time, of two opposing emotions, attitudes, ideas or wishes toward the same person, situation, or object
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Anergia
absence of energy caused by changes in brain chemistry, anatomy or both
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Anhedonia
the inability to experience pleasure; a symptom noted in depression and schizophrenia
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Anticholinergic side effects
- symptoms include dry mouth, constipation, urinary retention, blurred vision and dry mucus memebranes
- (side effects of TCA's and neuroleptics)
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Apathy
lack of feeling, interest, or emotion; indefference in that is occasionally a mechanism for avoiding intense emotion
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Associative looseness
a disturbance in thinking in which the ideas shift from one subject to another in an unrelated maner
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Attention-deficit Hyperactivity Disorder (ADHD)
relatively common disorder of childhood onset characterized by inattention, impulsiveness and overactivity
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Autism
preoccupation with self without concern for external reality; a self-made private world of the individual with schizophrenia
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Avolition
lack of motivation
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Blackout
period in which the drinker functions socially but for which the drinker has no memory
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Blocking
unconscious interruption in train of thought
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Borderline personality disorder
a disorder characterized by distorted images of self, impulsive, and unpredictable behavior, marked shifts in mood, and instability in relationships with others
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Boundaries
those functions that maintain a clear distinction among individuals within a family or group. May be clear, diffuse, rigid or inconsistent
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Catatonia
immobility as a result of psychological causes
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Child Abuse
harmful, physical, emotional, sexual and/or verbal behavior inflicted on a child
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Circumstantial speech
indiertness (such as "I am so loving this)and delay before the person gets to the point or answers a question, countless details or explanations
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Codependency
stress-related preoccupation with an addicted persons life, leading to extreme dependence on that person
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Cognition
the act, process, or result of knowing, learning, or understanding
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Concrete thinking
thinking grounded in the immediate experience rather than abstraction
use of literal meaning without ability to consider abstract meaning (eg "don't cry over spilled milk" might be interpreted as meaning "OK, I'll cry over the sink")
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Confabulation
unconscious filling of gaps in memory with imagined or untrue experiences that the person believes but have no basis in reality
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Conversion
unconscious defense mechanism in which anxiety is displayed as a physical symptom that has no organic cause
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Countertransference
the tendency of the health professional to displace onto the client feelings that are a response to people in the health profession's past. May be positive or negative
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Delusion
a fixed or false belief not consistent with the persons intelligence and culture; unamenable to reason
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Dependence
state in which a drug user must take a usual or an increasing dose of a drug to prevent the onset of abstinence syndrome, withdrawal or both
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Dual Diagnosis
the term dual diagnosis refers to the presence of at least one psychiatric disorder in addition to a substance abuse or dependency problem. the psychiatric disorder might be a mental illness or a personality disorder. an example of a patient with a dual diagnosis is an individual with chronic schizophrenia and alcohol abuse
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Dyskinesia
involuntary muscular activity, such as a tic, spasm or myoclonus (jerk)
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Dystonia
abnormal muscle tonicity resulting in impaired voluntary movement
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Echolalia
psychopathologic repeating of words of one person by another; noted in types of schizophhrenia
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Echopraxia
imitation of the body position of another
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Euthymia
normal mood state
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Extrapyramidal Side Effects
reversible: ACUTE DYSTONIA, AKATHSIA, AND PSEUDOPARKINSONISM
irrversible (late) tardive dyskinesia
caused by phenothiazines or other psychotropic drugs
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Flight of Ideas
speech pattern demonstrated by a rapid transition from topic to topic, frequently without completing any of the preceding ideas; prominent in manic states
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Grandiosity
exaggerated belief in or claims about one's importance or identity
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Hallucination
a sense perception for which no external stimulus exsists
false sensory perceptions not associated with real external stimuli; might involve any of the 5 senses: auditory, visual, olfactory, gustatory, or tactile
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Hypomania
an elevated mood with symptoms less severe than mania. No impairment in reality testing and symptoms do not markedly impair persons functioning
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Ideas of reference
the false impression that outside events have special meaning for oneself
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Illusion
an error in the perception of a sensory stimulus
misinterpretation of a sensory input; observed in alcoholic withdrawal and delirious states
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Insight
understanding and awareness of the reasons for and meaning behind one's motives or behavior
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Judgement
the ability to make logical, rational decisions
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Labile
characterized by rapid shifts in mood, unstable
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Metabolic Tolerance
process that occurs when the body is more efficient at metabolizing a substance
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Negativism
motiveless resistane to all instruction
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Neologism
a word that a person makes up and uses
new word created by the patient for psychological reasons; noted in some types for schizophrenia
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Neuroleptic Malignant Syndrome
muscle rigidity, fever, elevated white count, rare sometimes fatal side effect of neuroleptic drugs
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Obsession
an idea, impulse or emotion that a person cannot put out of his or her consciousness, can be mild to severe
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Paronoia
extreme suspiciousness of others and their actions
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Pharmacologic Tolerance
tolerance seen when higher blood levels are required to produce a given effect
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Phobia
irrational fear, person is aware that it is irrational
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Perseveration
involuntary repetition of the same thought, phase or motor response
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Primary gain
anxiety relief resulting from the use of defense mechanisms
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Psychosis
pronounced distortion or diorganization of affective response, reality testing impaired, hallucinations or delusions
inability to recognize reality, complicated by severe thought disorders and the inability to relate to others
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Reframing
changes the viewpoint of a situation and replacing it with another viewpoint that alters the meaning
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Religosity
preoccupation with religious ideas or content
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Resiliency
capability to withstand stressors without permanent dysfunction or developmental delay
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Reuptake
the return of neurotransmitters to the presynaptic cell after comunication with receptors on the postsynaptic cell
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Schizophrenia
severe dixturbance of thought and associative looseness, impaired reality testing and limited socialization
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Secondary gain
those advantages a person realizes from whatever symptoms or behaviors he or she employs. May include increased attention from others, avoidance of responsibilities, financial gain
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Self Mutilation
the act of self-induces pain or injury without the intent to kill oneself
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Splitting
all good or all bad, inability to integrate the positives and negative of onself or others
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Tangentiality
a disturbance in associative thinking in which the speaker goes off topic
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Tardive Dyskinesia
involuntary tonic muscle spasms typically involving the tongue, fingers, toes, neck, trunk or pelvis
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Transference
experiencing thoughts and feelings toward a person (often a therapist that were originally held toward a signigicant person in one's past)
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withdraw
act or process of turning inward to avoid a perceived enviromental threat; physiologic response to cessation of a adictive substance
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Word Salad
a mixture of words meaningless to the listener and to the speaker as well
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