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Psychosis Exam

Aka: Psychosis Exam, Examination findings suggestive of psychosis
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  1. Appearance
    1. Unkempt clothing
    2. Poor grooming
    3. Bizarre dress
  2. Behavior and Psychomotor Disorder
    1. Bizarre and inappropriate behavior
    2. Agitation,
    3. Social isolation or withdrawal
    4. Deterioration in functioning
    5. Lack of initiative and motivation
    6. Identity disturbances
    7. Catatonic stupor
      1. Lack or reduction in spontaneous movement
    8. Stereotyped behavior (repetition)
    9. Negativism (uncooperative)
    10. Impulsive unpredictable behavior
    11. Anhedonia
    12. Somatic complaints
    13. Emotional withdrawal
    14. Poor rapport
    15. Passive, apathetic or avolitional
    16. Anergia (lack of persistence at work or school)
  3. Speech
    1. Word Salads
    2. Echolalia
    3. Perseveration
    4. Mutism
    5. Neologisms
    6. Lack of spontaneity and conversation flow
    7. Alogia (marked poverty of speech or content of speech)
  4. Mood
    1. Anxiety
    2. Anger
    3. Fearfulness
    4. Depression
    5. Dysphoria
  5. Affect
    1. Blunted
    2. Flat
    3. Inappropriate
  6. Perception
    1. Auditory or command hallucinations
    2. Depersonalization
    3. Derealization
  7. Thought process
    1. Disorganized
    2. Illogical
    3. Blocking
    4. Loosening of associations
    5. Circumstantiality
    6. Tangentiality
    7. Flight of ideas
    8. Verbigeration
    9. Stereotyped thinking
  8. Thought Content
    1. Delusions of being controlled by an outside force
    2. Thought insertion
    3. Thought withdrawal
    4. Thought broadcasting
    5. Delusions of grandeur or persecution
    6. Religious, nihilistic and somatic Delusions
    7. Ideas of reference
  9. Impaired judgment
    1. Acts on Delusions
    2. Obey command hallucinations
  10. Cognition
    1. Impaired
    2. Attentional Impairment
    3. Difficulty in abstract thinking
  11. Premorbid
    1. Withdrawn
    2. Eccentric
    3. Passive
    4. Impulsive
    5. Schizotypal
    6. Schizoid
  12. References
    1. (2000) DSM IV, APA, p. 297-343
    2. Freedman (2003) N Engl J Med 349:1738-49
    3. Schultz (2007) Am Fam Physician 75:1821-9

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