Delusions

Question 1

Nihilistic delusions

Answer 1

Patients may believe that they are dead or that the world has ended
Usually similar to the pts mood

Question 2

Delusions of grandeur/grandiose delusions

Answer 2

Patients believe they possess extraordinary traits or powers. Common in manic phases of bipolar disorder.

Question 3

Delusions of control

Answer 3

The individual experiences a sensation that an external entity is controlling their thoughts or actions. Frequently observed in psychotic conditions.

Question 4

Persecutory delusions

Answer 4

The patient believes they are being persecuted or conspired against. Common in conditions like paranoid schizophrenia.

Question 5

Somatic delusions

Answer 5

Patients are convinced they have a physical, medical, or biological problem despite no medical evidence supporting their claim. These delusions can manifest as a wide range of physical symptoms.

Question 6

Delusional perceptions

Answer 6

delusions arising from a real perception (e.g. bunch of flowers -> martians are about to land,) and can be self-referential.

Question 7

Delusions of reference

Answer 7

Things that are mundane (words in a newspaper) actually mean a special message to the patient. NB: Some delusional perceptions may be delusions of reference, but not always - it depends if they are self-referential or not.

Question 8

Capgras delusion

Answer 8

delusion that either oneself or another person has been replaced by an exact clone

Question 9

Ekbom’s syndrome

Answer 9

delusional belief where a patient feels that they are infested with parasites. They often complain of feeling “crawling” in the skin.

It can appear as part of a psychotic illness or a secondary organic disease such as B12 deficiency, hypothyroidism and neurological disorders.

Question 10

Cotard delusion

Answer 10

Belief that a patient is dead, non-existent or ‘rotting’

Question 11

Othello syndrome

Answer 11

a strong delusional belief that their spouse or partner is unfaithful with little or any proof to back up their claim.

It is associated with alcohol abuse, psychosis and right frontal lobe damage.

Question 12

Freigoli syndrome

Answer 12

when a patient is having persecutory beliefs and believes strangers are their persecutors in disguise

Question 13

FOLIE A DEUX

Answer 13

Delusions shared by two or more people. One may have a psychotic illness, and the other is submissive

Question 14

DE CLEREMBAULT’S SYNDROME

Answer 14

This is a delusion of being the object of love. Also referred to as ‘erotomania’.

When the pt thinks the Dr is in love with them

Question 15

What is Flight of ideas

Answer 15

Refers to a rapid, often uncontrolled stream of thoughts that leap from one topic to another without a clear focus or direction

Question 16

What is word salad

Answer 16

This is a severe form of formal thought disorder where the patient uses words in nonsensical or incoherent ways (e.g., ‘Purple monkey dishwasher? Thursday!’).

Question 17

What is neologisms

Answer 17

Creating new words or phrases that only make sense to the pt

Question 18

What is pressure of speech

Answer 18

Speaking louder and faster than before

Question 19

Logoclonia

Answer 19

When the pt says the last syllable of a word or phrase continuously

Question 20

What is monomania

Answer 20

Pathological preoccupation with a single subject or idea

Question 21

What is echopraxia

Answer 21

When the pt copies exaclty what another persons movements are

Question 22

What is tangential thinking

Answer 22

When the pt just goes off topic when talking and often loosely connected thoughts

Question 23

What is Knights move thinking

Answer 23

Ideas are connected in weird ways that dont really make any sense

Question 24

Clang associations

Answer 24

Using words that just sound similar or rhyme

Question 25

What is derailment

Answer 25

Conversation moves randomly from one topic to another

Question 26

Poverty of speech

Answer 26

When the pt just stops speaking

Question 27

What is perseveration

Answer 27

Repetition of words or ideas when another person attempts to change the topic

Question 28

What is thought blocking

Answer 28

patient suddenly halts in their thought process and cannot continue