LCSW Study Guide
Postive Symptoms - ansRefers to hallucinations and/or delusions.
Delusions - ansStrong beliefs held against strong contrary evidence.
Hallucinations - ansInaccurate perceptions where inaccurate auditory stimuli is the most
common.
Negative Symptoms - ansRefers to lack of momement (avolition) or speech (alogia)
Types of treatment:
Anti-psychotic medication
Medications used with the Psychotic Disorders - ansAntipsychotic Drugs AKA Neuroleptic
Drugs:
THORIZINE (Chlorpromazine)
Mellaril (Thioridazine)
Stelazine (Trifluoperazine)
HALDOL (Haloperidol)
Prolixin (Phenazine)
Side Effects with Antipsychotic Medications: DROWSINESS or SLEEPINESS
Parkinsonian or Extra-Pyramidal (EPS) Side Effects - ansDystonia -- Acute contractions of
the tongue (stiff or thick tongue)
Akathisia - Most common form of EPS (Inner Restlessness)
Anti-Parkinsonian Medications Used to Decrease Side Effects - ansCogentin/benzotrpine
Artane/Trihexyphenidyl
Benadryl/Diphenhydramine
Mood Disorder: MANIC Episode - ansMood is persistantly elevated
Postive symptoms
Decreased need for sleep
Flight of Ideas
Episodes last ONE week
Mood Disorder: HYPOMANIC Episode - ansSimilar to manic but symptoms not severe
enough to interfere with functioning.
Episodes last FOUR Days
Mood Disorder: MAJOR DEPRESSIVE EPISODE - ansDepressed mood lasting TWO
weeks plus
changes in sleeping/eating, delusions are possible
, Mood Disorder: MIXED EPISODE - ansAlternating moods lasting approximatly ONE week.
Must meet criteria for BOTH manic and depressive.
Haldol / Thorizine - ansMedications used for psychotic disorders
Ritalin - ansMedication used for ADHD
Methylphenidate - ansMedication used for ADHD
Borderline MR - ansIQ of 71-84
Mild MR - ans55-70
Able to perform at a 6th grade level.
Educable
Moderate MR - ans35-55
Able to perform at a 2nd grade level.
Trainable
Severe MR - ans20-35
Institutionalized.
Little to no communicative speech
Profound MR - ansBelow 20
Total care
Mental Retardation's onset is: - ansPrior to age 18
Rett's Disorder - ansOnly in females
Deceleration of head growth
Symptoms begin 5-24 months of age
Severe to profound MR
Autistic Disorder - ansAge of onset in DSM is age 3
3 times more common in males
Treatment is Behavioral
Childhood Disintegrative Disorder - ansNormal for 2 years.
Autistic like symptoms
Aspergers Disorder - ansAutistic symptoms
WITHOUT language impairment
1 Year - ansSubstance Abuse Remission is considered after
Schizophrenic: Disorganized Type - ansMarked incoherence, lack of systemztized delusions,
silly affect
Schizophrenic: Catatonic Type - ansStupor, rigidity, bizarre posturing
Postive Symptoms - ansRefers to hallucinations and/or delusions.
Delusions - ansStrong beliefs held against strong contrary evidence.
Hallucinations - ansInaccurate perceptions where inaccurate auditory stimuli is the most
common.
Negative Symptoms - ansRefers to lack of momement (avolition) or speech (alogia)
Types of treatment:
Anti-psychotic medication
Medications used with the Psychotic Disorders - ansAntipsychotic Drugs AKA Neuroleptic
Drugs:
THORIZINE (Chlorpromazine)
Mellaril (Thioridazine)
Stelazine (Trifluoperazine)
HALDOL (Haloperidol)
Prolixin (Phenazine)
Side Effects with Antipsychotic Medications: DROWSINESS or SLEEPINESS
Parkinsonian or Extra-Pyramidal (EPS) Side Effects - ansDystonia -- Acute contractions of
the tongue (stiff or thick tongue)
Akathisia - Most common form of EPS (Inner Restlessness)
Anti-Parkinsonian Medications Used to Decrease Side Effects - ansCogentin/benzotrpine
Artane/Trihexyphenidyl
Benadryl/Diphenhydramine
Mood Disorder: MANIC Episode - ansMood is persistantly elevated
Postive symptoms
Decreased need for sleep
Flight of Ideas
Episodes last ONE week
Mood Disorder: HYPOMANIC Episode - ansSimilar to manic but symptoms not severe
enough to interfere with functioning.
Episodes last FOUR Days
Mood Disorder: MAJOR DEPRESSIVE EPISODE - ansDepressed mood lasting TWO
weeks plus
changes in sleeping/eating, delusions are possible
, Mood Disorder: MIXED EPISODE - ansAlternating moods lasting approximatly ONE week.
Must meet criteria for BOTH manic and depressive.
Haldol / Thorizine - ansMedications used for psychotic disorders
Ritalin - ansMedication used for ADHD
Methylphenidate - ansMedication used for ADHD
Borderline MR - ansIQ of 71-84
Mild MR - ans55-70
Able to perform at a 6th grade level.
Educable
Moderate MR - ans35-55
Able to perform at a 2nd grade level.
Trainable
Severe MR - ans20-35
Institutionalized.
Little to no communicative speech
Profound MR - ansBelow 20
Total care
Mental Retardation's onset is: - ansPrior to age 18
Rett's Disorder - ansOnly in females
Deceleration of head growth
Symptoms begin 5-24 months of age
Severe to profound MR
Autistic Disorder - ansAge of onset in DSM is age 3
3 times more common in males
Treatment is Behavioral
Childhood Disintegrative Disorder - ansNormal for 2 years.
Autistic like symptoms
Aspergers Disorder - ansAutistic symptoms
WITHOUT language impairment
1 Year - ansSubstance Abuse Remission is considered after
Schizophrenic: Disorganized Type - ansMarked incoherence, lack of systemztized delusions,
silly affect
Schizophrenic: Catatonic Type - ansStupor, rigidity, bizarre posturing
