PSYCHIATRIC NURSING Definition of Terms: I.

Basic Concepts of Mental Health and Psychiatric Nursing Personality - is the sum total of all INHERITED and ACQUIRED physical, mental and emotional traits of a person as this interact with the environment in a unique and distinctive way. Psychiatric Nursing A specialized area of nursing practice employing theories of human behavior as its science and purposely use of self as its art . (ANA, 2000) Includes the continuous and comprehensive services necessary for the promotion of optimal mental health, prevention of mental illness, health maintenance, management and referral of mental and physical health problems, the diagnosis and treatment of mental disorders and their sequela, and rehabilitation the diagnosis and treatment of human response to actual or potential mental health problems . a specialized area of nursing practice that uses the theories of human behavior as its scientific framework and requires the purposeful use of self as it s art of expression. (Isaac and Shives, 2002). an interpersonal process that strives to promote and MAINTAIN BEHAVIORS which contributes to integrate functioning. It employs THEORIESOF HUMAN BEHAVIOR as its SCIENCE and PURPOSEFUL USE OF SELF as its ART. .. it is directed toward both PREVENTIVE and CORRECTIVE impacts on mental disorders and their sequelae and is concerned with the PROMOTION OF OPTIMUM MENTAL HEALTH for society, individual who live within it . (Gail Stuart). Basic Principles of Psychiatric Nursing 1. Accept and respect people as individuals regardless of their behavior. 2. Limit or reject the individual s inappropriate behavior without rejecting the individual. 3. Recognize that all behavior has meaning and is meeting the needs of the performer regardless of how distorted or meaningless it appears to others (masturbation) 4. Accept the dependency needs of individuals while supporting and encouraging moves towards independence. 5. Help individuals set appropriate limits for themselves or set limits for them when they are unable to do so. 6. Encourage individuals to express their feelings in an atmosphere free of reappraisal or judgment. 7. Recognize how feelings affect behaviors and influence relationship. 8. Recognize that individuals need to use their defenses until other defenses can be substituted (COPING MECHANISM). COPING MECHANISM a. Problem Solving Process - Confrontation- Ask the client b. Cognitively Focused Coping Mechanism- it has something to do with the conditioning of the mind. Technique on how to do CFCM (1) Appraise Factor- to from or give an opinion of somebody s merit s or quality (2) Devalue Factor c. Emotion Focused Coping Mechanism




3 LEVELS OF PSYCHIATRIC NURSING (Levels of Health) I. Secondary : Screening. Herbal Medicines C. Post partum depression (7days/2-4 weeks) D. Spiritual Focused Coping Mechanism 9.ant blow breathing 3.CONDOM Oral . Recognize that all individuals have potential for movement toward higher levels of emotional health (every individual is unique and has the desire to GROW and to BECOME). hopeless. dextroamphetamine (Dexedrine) 3.o. peers.chest breathing A ctive A .o. Alcoholics.DEFENSE MECHANISM (you are just trying to protect your ego) d. Oral Contraceptive. Recognize that individuals frequently respond to the behavioral expectations of others. authority and etc 10. powerless Prone: Male Age bracket prone for suicide #1. Middle age men (40 y. despair.bdominal breathing T ransitional P . Psychosocial Support family/friends/peers Needs most support (ASA): Addicts. Natural) Barrier ..) 2.not for M A M (Malnourished. Screening > Denver Development Screening Test (DDST) #1 test for PDD/ MMDST Pervasive Development Disorder (PPD) 1. Diagnosis & Immediate Treatment A.o. perineal laceration (also can be prevented by Kegel s exercise) Stage I of labor (LAT-CAP) L atent C .Teaching adolescent in preventing contracting STDs CHLAMYDIA: #1 STD in the Philippines #1 Sign: Greenish & purulent urethral discharge PID (Pelvic Inflammatory disease) #1 cause of sterility in #1 Drug of choice Erythromycin 2nd drug of choice Cephalosporin women 2. fetal distress. Suicide Prevention / Intervention Impending signs of Suicide 1. Sudden elevation of mood/sudden mood swings . Conduct disorder: Age of onset (6 y. Suicide = Major depression. Autism: Age of onset (3 y. Giving Vaccines II. ADHD: Age of onset (6 y.) Diet: Finger Food (high caloric. Anemics & Menses irregular) 4. Conducting rape prevention classes is an example of primary level of prevention. Teaching pregnant women relaxation techniques Objective: to prevent complication in labor.) B. Teaching couples on contraceptives BON (Barrier. high CHO) Rx: Ritalin (Methylphenidate).Artificial Natural . B. Primary Objective: PROMOTION & PREVENTION A. Elderly (ego-despair) 3. Suicidal. family.o. above) 4. Client and Family Teaching (Health Teaching) 1. Adolescent (identity crisis) 2.

Adolescence (identity crisis) . One-on-one supervision and monitoring 2.Usually use behavior modification for PDD (Pervasive Developmental Disorders). Duration: (4-6 wks) Disorganization is a phase in the crisis state which is characterized by the feelings of great anxiety and inability to perform activities of daily living A patient in crisis is passive and submissive. Psychologist: The clinical psychologist has a doctorate (Ph. Occupational Therapy . belts. rape and fire 3. .Patient is required to verbalize suicidal ideas 3. and completion of an examination. Delusion of Omnipotence (divine powers) Used by SS (Suicidal. Developmental Maturation Crisis . disaster ex.2. Tertiary Objective: Rehabilitation.Pregnancy . which requires 3-year residency. Emergency drugs and antidotes III. Adventitious calamity. murder. 5.Also use fine motor rehabilitation for Post M.Parenthood 2. tsunami In a DISASTER 1st assess/survey the scene E. & Post CVA B. When the patient verbalizes that the 2nd Gen TCA is working. Aftercare Support follow-up. which start upon admission A. less than 2-4 wks (telling a lie) Suicide Interventions: 1. Situational / Accidental crisis . Psychologists may also participate in the design of therapy programs for groups of individuals. anorexia & depression . curtains 4.) in clinical psychology and is prepared to practice therapy.D. Non metallic/plastic/sharp objects: ex. Crisis Intervention Objective: To return the client to its normal functioning or pre crisis level. 2-years of clinicaln practice. epidemic. . World War I & II. Avoid dark places C. The primary function of the psychiatrist is diagnosis of. abortion .I. Schizophrenia) 4. so the nurse needs to be active and should direct the patient to activities that facilitate coping. conduct research. mental disorders and prescription of medical treatments. and interpret psychological tests. Types of Crisis: 1.Most common: Death of a loved one NSG DX: Ineffective Individual Coping/ Denial . Needed by: addicts & residual schizophrenia due to remission & exacerbation INTERDISCIPLINARY TEAM PRIMARY ROLES Psychiatrist: The psychiatrist is a physician certified in psychiatry by the American Board of Psychiatry and Neurology. Case Finding (Epidemics)/Contact Tracing (STDs) D. Vocational Skills (Entrepreneur skills) C.Mid-life crisis. Giving away of prized possessions 3.ex. No suicide contract 24 hrs monitoring .

behaviors are well modulated . particularly medications. Clients are also assisted in job-seeking and job-retention skills. Balance. 5. The state where a person feels physically well.Psychiatric nurse: The registered nurse gains experience in working with clients with psychiatric disorders after graduation from an accredited program of nursing and completion of the licensure examination. illness prevention. balance between dependence and independence. organized. his feelings. Mental Health . Perception is realistic. Integrative capacity (thoughts are organized). The recreation therapist helps the client to achieve a balance of work and play in his or her life and provides activities that promote constructive use of leisure or unstructured time.emotions .Ability to integrate negative and positive experiences to his or her personality. but in some instances persons with experience fulfill these roles.Joy and pain are balance 8. Insights/Full of insights 7. Advanced practice nurses are certified to prescribe drugs in many states. development and self actualization 6. Social workers may practice therapy and often have the primary responsibility for working with families. Occupational therapist: Occupational therapist may have an associate degree (certified occupational therapy assistant) or a baccalaureate degree (certified occupational therapist). He feels part of a group and is able to perform his role within it. his thoughts are organized. Environmental mastery.Involves self. as well as pursuit of further education if that is needed and desired. Self-acceptance. Towards growth.Ability to test assumptions about the world by empirical thought. Registered nurses who obtain a master s degree in mental health may be certified as clinical specialist or licensed as advanced practitioners. Vocational rehabilitation specialists can be prepared at the baccalaureate or master s level and may have different levels of autonomy and program supervision based on their education. The nurse has a solid foundation in health promotion. emotions are well modulated.He feels part of the group and is able to perform his role and duties within it 3. community support.determination. The nurse is also an essential team member in evaluating the effectiveness of medical treatment.guaged frustration tolerance . and his behaviors are well coordinated and appropriate. and referral. and acceptance of the consequences of one s action . and rehabilitation in all areas. Autonomy . Psychiatric social worker: Most psychiatric social workers are prepared at the master s level. depending on individual state nurse practice acts. includes social sensitivity (empathy) 2.He/she feels part of the group/family class 4. feelings.Psychological resilience . Recreation therapist: Many recreation therapists complete a baccalaureate degree. self.responsible for decisions.The state in the interrelationship of INIDVIDUAL and his ENVIRONMENT in which the PERSONALITY STRUCTURE is relatively stable. CHARACTERISTICS OF A MENTALLY HEALTHY INDIVIDUAL 1. coordinated and appropriate . and they are licensed in some states. and the ENVIRONMENTAL STRESSES are within its absorptive capacity. Vocational rehabilitation specialist: Vocational rehabilitation includes determining clients interests and abilities and matching them with vocational choices. Occupational therapy focuses on the functional abilities of the client and ways to improve client functioning such as working with arts and crafts and focusing on psychomotor skills. allowing him or her to view the client holistically.

socially. Impulse Control Disorder Characteristics: I. overjoyed) : Fluctuating feelings : Mild to extreme periods of extreme happiness to extreme sadness Disorders: D-depression B. Anxiety Disorders Characteristics: E.Obsessive personality Disorder H.Mental Illness is any disease or condition affecting the brain that influence the way a person thinks. behaves and/or relates to others and to his surroundings resulting in an impairment in the ability to function psychologically.Emotions towards food and weight A. apprehended) N.Paranoid personality Disorders O.Mental Retardation A. delusions. Cognitive Disorder.Behaviors towards food and weight E. disability or an important loss of freedom . feels.Bipolar disorders S.Nervousness to certain situations Disorder: G.Hallucinations. CLASSIFICATION OF MENTAL DISORDER . occupationally or interpersonally .Uncontrolled fear D. frightened.Pyromania or starting fire K.Antisocial Personality Disorder B. understanding of the individuals is affected Disorder: Alzheimer s Disease 8.Generalized Anxiety Disorder P.Seasonal Affective Disorder 2.Dread (feeling of being terrorized.panic disorder P. Mental Disorder a clinically significant behavioral or psychological syndrome or pattern that occurs in an individual and that is associated with present distress or disability or with significantly increased risk of suffering death.Post Traumatic Stress Disorder S.Borderline Personality Disorder 5.Compulsive Gambling P.excessive fear U.Attention deficit Disorder .Inability to resist urges/urges or impulses that are potentially harmful to self and others Disorders: C.According to symptoms and clinical features 1.Anorexia Nervosa B. Developmental Disorder M.Abnormal attitudes towards food and weight Disorder: A. Thought disorder Characteristics: Distortion: Thinking : Sensory Perception.Social Anxiety disorder O.specific phobias 4.Kleptomania 7. Eating Disorder Characteristics: B.Histrionic Personality Disorder A. pain.comprehension. illusions Disorder: Schizophrenia 3.Obsessive Compulsive Disorder S. Mood Disorders.Affective Disorder Characteristics: Extreme sadness : Elation (euphoria. Personality disorder Characteristics: extreme rigid and inflexible personality traits : Maladaptive patterns of behavior and thinking Disorder: P.Bulimia Nervosa 6.

Dissociative Disorder Characteristics: D.Changes in consciousness. Hypochondriasis 12.Gender Identity Disorder P. .research shows that DEPRESSED client has Increased TSH TYPICAL SIGNS AND SYMPTOMS OF MENTAL ILLNESS I.disturbance of orientation as to time.Disturbance in memory C.Disorders: Alcohol Abuse . Sleep disturbance CAUSES OF MENTAL ILLNESS .depression (b) Decreased Serotonin---. Disturbances in Consciences: 1. PRENATAL. BRAIN DYSFUNCTION/BRAIN INJURY. Sexual and Gender Disorders Characteristics: abnormalities in sexual desire.Paraphilias 13.It can be caused by one or more genes that are responsible on how a person thinks or acts in the formation of a person s temperament. 1. HEREDITY. D Drug Abuse 10.amputation and Blindness f.Infections may trigger or cause a worsening of an already existing mental disorder c.Parkinsonism a.Some says mental illness is often multifactorial in origin MULTIFACTORIAL.certain infections have been linked with the development of mental illness or its symptoms.mental illness tend to run in families more often in persons with relatives who have mental illness .Cause/causes of mental illness is still unknown. biological. Consciousness.Sexual Dysfunction G.Alzheimer s (f) Decreased Dopamine--.Amnesia 11.the state of awareness of each individual Apperception. b.results to FAS due to maternal alcohol abuse (b) Hypothyroidism.Neurotransmitter are either be lacking or overflowing (a) Increased dopamine---.Depression---Mania (d) GABA--.the causation o M. INFECTION. CONSTITUTIONAL LIABILITIES/PHYSICAL DISABILITIES .causes MR d. psychological and environmental factor. . e. place or person . BIOLOGICAL . ENDOCRINE IMBLANCES.associated with mental disorder such as AMNESIA.Fugue A.example: Head Trauma. Other disorder.Tic disorders. Confusion.Dissociative Identity Disorder/Multiple Personality Disorder D depersonalization F. Substance Related Disorders. Factitious Disorder Characteristics: false physical and or emotional symptoms Disorder: Munchausen s syndrome Munchausen s syndrome by proxy 14.I.state of functioning of the special senses A.perception modified by one s own emotion Sensorium.impairment of normal brain development (a) Alcohol.9.depression (c) Decreased Norepinephrine/moradrebergic--. can be traced to a combination of genetic.Anxiety (e) Dcreased Ach--. performance and behavior Disorder: S. identity and general awareness Disorder: D. Somatoform disorder or Psychogenic Disorders Characteristics: Presence of physical symptoms without medical cause Disorder: Conversion.

Aggression.g.distortion of spatial relationship so that the environment becomes Unfamiliar. Euphoria. Echopraxia.inability to concentrate attention 2.feeling or unreality concerning one s self or one s environment 10. uneasiness and anxiety 5.a behavior aimed at destroying someone or something 11. Automatism.marked restlessness and psychomotor responses 4.conditions in which the muscles are waxy or semi-rigid. Echolalia. Anxiety.Bewildered.a misinterpreted sensory perception 3. Mood swings. tending to maintain the limbs in any position in they are placed 4. Free floating anxiety. Command automatism. Unpleasurable Affects: 1.artificially induced modification of consciousness II.pervasive fear not attached to any idea 7.blocking out of things that generate anxiety C. Pleasurable Affect: 1.coma I n which eyes remain open B.temporary loss of muscle tone and weakness precipitated by variety of emotional states . Agitation.disharmony of affect and ideation B.profound degree of unconsciousness 5.automatic following or suggestion 5. Folie a deux. Panic. Derealizatrion.automatic responses of an acts representative of unconscious symbolic activity 6. Tension. Elation. disoriented reaction with and hallucination 4.the capacity to initiate action or motor disturbances that concerns the basic striving of a person as expressed through his behavior.intense elation with feelings of grandeur 4.acute intense attack of anxiety associated with personality disorganization 6. Other Affects: 1. Motor Behavior (conation) . Disturbance in suggestibility: complaint and uncritical responses to an idea or influence 1.psychopathological repeating of words of one person by another 2. husband and wife both become psychotic with similar or complimentary syptomatology 2. Exaltation.heightened feeling of psychological well being inappropriate to apparent events 2. Affect. Grief or mourning.dulled emotional tone associated with detachment or indifference .condition arising out of the mobilization of the psychological resources to meet a threat.anxiety due to consciously recognized and realistic danger 3. Waxy flexibility. Depression. 12.2.sadness appropriate to a real loss D.absence of emotion 8.psychological feelings of sadness 2. Illusion. Distractibility.feeling of apprehension due to unconsciousness conflicts 2. Delirium.forceful directed action that may be verbal or physical . Catalepsy. Disturbance in Conation: 1.oscillation between periods of euphoria and depression or anxiety III.repetition of another person s action or gestures 3. Depersonalization. confused. Disturbance in Affect: Inappropriate affect.feeling of intense rapture of emotions C.air confidence and enjoyment associated with increased motor activity 3. Clouding of consciousness.communicated emotional illness between 2 to 3 persons e. Selective Inattention.emotional feeling or tone A. Ecstasy.psychologically is characterized by feelings of of 2 impulses towards the same thing in the same person at the same time 9. Ambivalence. Apathy. Fear. Disturbance in attention: amount of effort exerted in focusing in certain portions of an experience: 1. physically involves an increase in muscle tone and other emergency changes . Coma Vigil.incomplete clear mindedness with disturbance in perception and attitudes 3. restless. Hypnosis. Coma.

destructive activity b.7.meaningless repetition of words 12. Blocking.fusion of various concepts into one 7. Nominal Aphasia. Motor Aphasia. patients never gets from starting point to desired goal 4.compulsion to drink alcohol (b) Egomania.restless. Incoherence. Perseveration.stereotype voluntary movements 11. A. including sudden stoppage of speech.automatic activity compulsive in nature.goal directed flow of ideas. Thinking. gestures or acts 9.obtaining sexual pleasure from using filthy language b. Disturbance in Content of Thought . emotional in origin 13.loss of ability to comprehend the meaning of words or use objects 3.rapid verbalizations so that there is a shifting from one idea to another 2.involuntary inhibition of recall. coherent. Fetishism.difficulty in finding the right name for an object 4. Others: a.compulsion to steal (e) Megalomania. Volubility-(logorrhea) copious. symbols and association initiated by a problem or task and leading towards reality-oriented conclusions. Mannerisms.excessive need for coitus in female (h) Satyriasis. repetitive motor movements c. slowing of psychological and physical functioning 14. Negativism.psychological repetition of the same word or idea in response to different questions 6.pre-occupation with a single object (g) Nymphomania.decreased activity or retardation as in psychomotor retardation. Tangentially. Dereism. Disturbance in Form of Thinking 1.incoherent mixture of words and phrases 3.answer which is not in harmony with questions asked C.mental activity not concordant with logic or experience 2. Verbigeration. etc .pathological sense of power (f) Monomania. Overactivity: a. glove. Disturbances in type of associations 1. Exhibitionism. Sensory Aphasia. Copralalia.excessive need for coitus in male (i) Trichotilomania. panty. Sleepwalking (somnambulism) .a display of the body of its parts for the purpose of attracting attention 8.inability to arrange words in logical sequence E. words created by the patients for psychological reasons 2.pathological preoccupation with sex (d) Kleptomania. Condensation.disturbance of speech due to organic brain disorder in which understanding remains but ability. Word salad. Flight of ideas. Tic.running together of thoughts with no logical connection. 2. Autistic Thinking. Stereotype. Irrelevant answer. ideation or communication.pathological self pre-occupation (c) Erotomania.spasmodic.inability to have goal directed association of thoughts.uncontrollable impulse to perform an act or activity (a) Dipsomania. IV. Syntactical Aphasia.frequent opposition to suggestion 10. aggressive. unconscious in origin 3.motor activity during sleep d. Clang association. Hypoactivity.voluble speech difficult to interrupt 5. when a logical sequence occurs. Disturbance in Structure of Association 1. thinking is normal. Neologism.persistent and inappropriate repetition of phrases.thinking that gratifies unfulfilled desires but has no regard for reality B. Pressure of Speech.nervous habit involving the pulling of hair (j) Ritual. logical speech D.words similar in sounds words similar in sound but mot in meaning call up new thoughts 4. Hyperactivity (hyperkinesis) . resulting in disorganization 5. Disturbance in Speed of Association: 1.adoring or loving something which serves as a substitute for the original love object such as hanky.

auditory.dread or pain (d) Claustrophobia. mistreated or interfered with one s enemies. Trend or Preoccupation of thought. 1. Hypochondriasis. Macropsia. Somatic delusions. Nihilistic ideas.false perception of smell 5.false visual perception 4.false sensory perception occurring midway between falling asleep and being awake .excessive or irrational suspiciousness and distrustfulness of others. Visual hallucination.recollection of a true memory to which the patient adds false details c. Hysterical anesthesia. False reconnaissance. Disturbance associated with organic brain disease such as agnosia: e. Disturbance associated with Hysteresia. Retrospective falsification. often found in schizophrenic c.dread of high places (b) Agoraphobia. Magical thinking. Thought Broadcasting. Confabulation.beliefs that one s body or parts of one s body are diseased or distorted i. Phobias. Auditory hallucination. Delusion of control.falsification of memory by distortion of recall a. Gustatory hallucination. Olfactory hallucination.exaggerated conception of one importance b. Obsession.delusion about thought are aired to the outside world j. Tactile hallucination. Disturbance in memory 1. Thought insertion. and the development of physical symptoms involving the voluntary muscles or special sense organs. Kinesthetic hallucination. the use the defense mechanism conversion.state where objects appear larger than they are 3.false belief derived from pathological jealousy that one s lover is unfaithful g. Agnosia.function by which information stored in the brain is later recalled to consciousness A. Hallucinations.firm belief opposed to reality but maintained in spite of strong evidence to the contrary a.beliefs that thinking equates with doing.false beliefs that the behavior of others refers to oneself.false perception of movements or sensation. olfactory and gustatory 2.1. Delusions.pathological persistence of irresistible thought feelings or impukses that cannot be eliminated from consciousness by logical effort 7. as from the amputated limb (phantom pain) VI. associated with strong affective tone 3. Delusion of persecution. regret or repentance may be visual.dread of strangers (f) Zoophobia.exaggerated and invariably pathological dread of some specific type of stimulus or situation (a) Acrophobia.false recognition b.inability to recognize and interpret the significance of sensory impression B. Hypnagogic hallucination. Delusions of Infidelity. Amnesia.partial or total inability to recall past experiences 2.false belief that one is being persecuted.Unconscious filling of gaps in memory by imagined or true experiences that patients believed that have no basis in fact .loss of sensory modalities resulting from emotional conflicts 2.false perception of touch 7.thought of non-existence and hopelessness. Paranoid Delusions.false feeling of remorse.dread of animals V.false sensory perception not associated with real external stimuli 1.delusions that thought are placed into the mind by outside people or influence 2. severe depression 6. derived from ideas of being talked about by others d. Perception.false belief of that one is being controlled by others f.centering of thought contents around a particular idea. Micropsia.dread of closed space (e) Xenophobia.false perception of taste 6.illnesses characterized by emotional conflict. characterized by systemized delusions that others are out to get them or spying on them h.state in which object appear smaller than they are C.false sensory perception 3. Delusion of self-accusations.dread of open spaces (c) Algophobia. Paramnesia. Delusion of grandeur.exaggerated concerns about one s health that is not based on real organic pathology 4. characterized by lack of realistic relationship between cause and effect 5. Memory.awareness of objects and relations that follows stimulation of peripheral sense organs A. Delusion of interference.g.

stupor 2.illusion of auditory recognition f.IQ of below 20 B. dejection f. jaw and facial movement. Anaclitic Depression. De javu. Perversion. Behaviors are specific to the abused substance . Pica. anorexia c.organically caused of lack of intelligence to such degree that there is interference with social and vocational performance Classifications: Obsolescent terms: Mild. Jamais yu.a chronic mental illness usually associated with the use of alcoholism characterized by polyneuritis.involuntary passage of urine 4. mobilizes.illusion of visual recognition which a new situation is incorrectly regarded as a repetition of a previous memory e. The reaction is characterized by: a.mental age of eight or more Profound. Intelligence. Dementia. withdrawal j. athetoid and choreiform movement of the extremities and tonic contractions of the back and neck muscles Withdrawal syndrome. Other psychiatric terms: Extrapyramidal Effect. and integrates constructively previous learning in meeting with social and vocational performance A.d. Other possible signs of psychotic problems: 1.constellation of behaviors that occur when use of an abused substance terminated. Encoporesis. crying i.a maladjustment in which the sexual object or method of deriving sexual gratification deviates from the accepted social pattern 5. Mental retardation.false feeling in unfamiliarity with real situation one has experienced VII. Apprehension g.mental age less than 3 Moderate. psychological slowing e.IQ of 50-70 Idiot. insomia b.a serious side effects of antipsychotic medications characterized by buccolinguomasticatory triad of head. Deja Entendu.IQ 20-34 Moron.IQ of 35-49 Imbecile. gross retardation and growth and development d.a remission of symptoms in mental illness when the patients reasoning and judgment appear to be normal for a brief period Tardive Dyskinesia.the habitual ingestion of substances that have no nutritional value IX.mental age of 3-7 years Severe.the ability to understand.the involuntary passage of feces 3. and the marked use of confabulation to compensate for memory loss Lucid Interval. Enuresis.Organic loss of mental Functioning VIII.a deprivational reaction in infants separated from their mothers in the second half of the first years of life. reduced intellectual capacities. recall.side effects of an antipsychotic medication with results that resemble the symptoms of Parkinson s disease Korsakoff s Psychosis.

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