Common psych histories - psychosis Flashcards
What would you want to ask about hallucinations to determine if someone was psychotic?
- Voice details, always the same/different
- Inside/outside
- 2nd/3rd persion
- What they say
What would you want to ask about delusions to determine if someone was psychotic?
- Explore
- Challenge the delusions
- Assess risk to self/others
When asking about other psychiatric symptoms in someone with psychosis, what would you ask about?
- Schizophrenia 1st rank
- Depression
- Insight
- Risk
What features of schizophrenia would you ask about in someone displaying features of psychosis?
- 3rd person hallucinations
- Running commentary auditory hallucinations
- Delusions of thought
- Delusions of control
- Delusional perception
What features assocaited with psychosis would suggest schizophrenia?
- First rank sypmtoms
- Positive symptoms - odd behaviour, bizzare delsuions, somatic hallucinations
- Negative symptoms - aparthy, anhedonia, asociality, lack of motivation
What features associated with psychosis would suggest delusional disorder?
- Non-bizarre delusions
- Absence of other psychiatric conditions
What features assocaitd with psychosis would suggest bipolar disorder?
Normal mood interspersed with depression and manic episodes
What are features of mania?
- Irritable
- Elevated mood
- Fast speech
- Flight of ideas
- Grandiosity
- Excessive spending
- Auditory hallucinations
- Delusions of wealth/power/religion
What features assocaiated with psychosis suggest shizoaffective disorder?
Features of bipolar disorder and shizophrenia in the same episode
What features associated with psychosis suggest psychotic depression?
Delusions or hallucinations associated wiith depressive symptoms
What features associated with psychosis suggest puerperal psychosis?
Severe mental ilness weeks/months after giving birth
What features associated with psychosis would suggest delerium?
- Elderly patient with current/recent infection
- Reduced level of consciousness
- Fluctuating
- Inversion of day/night
What features associated with psychosis would suggest dementia?
- Long history of progressive memory loss
- Related cognitive deficits - comprehension, orientation, inhibition
What are psychiatric causes of psychosis?
- Schizophrenia
- Schizoaffective disorder
- Delusional disorder
- Puerperal psychosis
- Psychotic depression
- Delerium
- Dementia
- Bipolar Disorders
What are organic causes of psychosis?
- Drugs
- Alcohol/drug withdrawal
- Extreme fatigue
- Temporal lobe epilepsy
- SOL
- Hypoxia
- Huntington’s
- SLE
- Neurosyphilis
- Autoimmune/paraneoplastic
- HIV
