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Psychosis Exam
Aka: Psychosis Exam, Examination Findings Suggestive of Psychosis, Schizophrenia Exam
- See Also
- Psychosis
- Psychosis Symptoms
- Psychosis Exam
- Psychosis Types
- Psychosis Differential Diagnosis
- Drug Induced Psychosis
- Psychosis Diagnostic Testing
- Schizophrenia
- Schizophrenia Diagnosis
- Delirium
- Precautions
- Interpret in the context of the patient's social history (e.g. cultural beliefs)
- Findings: Appearance
- Unkempt clothing
- Poor grooming
- Bizarre dress
- Findings: Behavior and Psychomotor Disorder
- Bizarre and inappropriate behavior
- Agitation,
- Social isolation or withdrawal
- Deterioration in functioning
- Lack of initiative and motivation
- Identity disturbances
- Catatonic stupor
- Lack or reduction in spontaneous movement
- Stereotyped behavior (repetition)
- Negativism (uncooperative)
- Impulsive unpredictable behavior
- Anhedonia
- Somatic complaints
- Emotional withdrawal
- Poor rapport
- Passive, apathetic or avolitional
- Anergia (lack of persistence at work or school)
- Findings: Speech
- Word Salads
- Echolalia
- Perseveration
- Mutism
- Neologisms
- Lack of spontaneity and conversation flow
- Alogia (marked poverty of speech or content of speech)
- Findings: Mood
- Anxiety
- Anger
- Fearfulness
- Depression
- Dysphoria
- Findings: Affect
- Blunted
- Flat
- Inappropriate
- Findings: Perception
- Auditory or command Hallucinations
- Depersonalization
- Derealization
- Findings: Thought Process
- Disorganized
- Illogical
- Blocking
- Loosening of associations
- Circumstantiality
- Tangentiality
- Flight of ideas
- Verbigeration
- Stereotyped thinking
- Findings: Thought Content
- Delusions of being controlled by an outside force
- Thought insertion
- Thought withdrawal
- Thought broadcasting
- Delusions of grandeur or persecution
- Religious, nihilistic and somatic Delusions
- Ideas of reference
- Findings: Impaired judgment
- Acts on Delusions
- Obey command Hallucinations
- Findings: Cognition
- Impaired
- Attentional Impairment
- Difficulty in abstract thinking
- Findings: Premorbid
- Withdrawn
- Eccentric
- Passive
- Impulsive
- Schizotypal
- Schizoid
- References
- (2000) DSM IV, APA, p. 297-343
- Freedman (2003) N Engl J Med 349:1738-49 [PubMed]
- Schultz (2007) Am Fam Physician 75:1821-9 [PubMed]