By Nathan R. Strahl
"The scientific learn consultant for the Oral forums in Psychiatry has been a depended on and crucial source for a decade and this new, 4th variation maintains the culture of foreign money, relevancy, and rigor. To go the oral forums in psychiatry, a candidate needs to own scientific wisdom that's either extensive and deep, whatever that's tricky to achieve for a clinician who's uncovered, in day-by-day perform, to a restricted variety of sufferers with a constrained variety of problems. in spite of the fact that, the oral forums are a try out of scientific, no longer theoretical, wisdom, and so the candidate trying to organize completely is confronted with the severe problem of studying the sufferer interview, contextualizing the findings, and supplying a differential prognosis for issues which she or he would possibly not have encountered professionally. "
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Additional info for Clinical Study Guide for the Oral Boards in Psychiatry
Anhedonia (poverty of joy)—inability to experience pleasure (as opposed to hedonism [the pursuit of pleasure]). ➤ Additionally can include: ✔ Abulia (poverty of motivation)—restriction of will or motivation, often characterized by an inability to make decisions or set goals. Schizophrenia and Other Psychotic Disorders 11 ✔ Asociality (poverty of socialization)—restriction of social interactions, with little interest in developing relationships, friendships, or intimacy (including sexual). ➤ Are responsible for much of the long-term morbidity of schizophrenia.
Prognosis worsens with subsequent relapses. Characteristic Findings in Schizophrenia ➤ Individuals with schizophrenia: ✔ Most often present with the paranoid or undifferentiated type of schizophrenia. The disorganized and catatonic type are less frequently seen in industrialized nations. ✔ Have been described over the years with what is now archaic terminology: ➤ ■ Latent schizophrenia—less ill patients, more consistent with schizoid or schizotypal personality disorder than with schizophrenia. ■ Oneiroid schizophrenia—dreamlike state, coupled with a strong hallucinatory component.
Develops in 25%–50% of individuals with schizophrenia and can be associated with suicidal thinking and behaviors. ➤ Significantly contributes to the long-term morbidity of schizophrenia. ➤ Can easily be mistaken for a negative symptom. , loss of a job). Schizophrenia Subtypes ➤ DSM-IV-TR defines a hierarchical structuring for assigning the type of schizophrenia: ✔ Catatonic type is assigned whenever prominent catatonic symptoms are present, regardless of the presence of other symptoms. Schizophrenia and Other Psychotic Disorders 13 ✔ Disorganized type is assigned whenever disorganization or flat or inappropriate affect is prominent, unless the catatonic type is also present.
Clinical Study Guide for the Oral Boards in Psychiatry by Nathan R. Strahl