Differential Diagnosis of Psychosis Flashcards
What is psychosis?
different from normal experience with inability to distinguish subjective experience and reality
Insight is preserved in psychosis - T/F?
false - loss is characteristic
What experiences are involved in a psychotic episode?
hallucinations delusions passivity formal thought disorder emotional disturbane physical symptoms
What are the categories of Scheniders first rank symptoms?
auditory hallucinations
delusions of thought interference
delusions of control
delusions of perception
What is the difference between tangential thinking and circumstantiality?
in circumstantiality, the person will wander from the question but will eventually return and give the required answer
What are some differentials of psychotic symptoms?
schizophrenia psychoactive substance use mania depression schizoaffective disorder delirium dementia
How can you challenge a persons psychotic beliefs without ruining rapport?
think of creative ways - what would you say to someone who said they aren’t true
can you explain to me how this is possible?
What is seen in schizophrenic patients?
scheniders first rank symptoms
negatie symptoms may be prominent
depressive/manic symptoms are minimal/absent
What are self-referential experiences?
belief that external events are related to oneself
What happens in drug induced psychosis if the psychoactive substance is removed?
symptoms are short lived
What can cause drug induced psychosis?
alcohol opioids cannabinoids sedatives/hypnotics cocaine stimulants hallucinogens
What happens in depressive psychosis?
psychosis is a marker of severe depression and is typified by mood congruent content of psychotic symptoms
worthlessness/guilt, poverty
hallucinations of accusation, insulting, threatening
What is the definition of depressive psychosis?
depression with the presence of hallucinations, delusions or psychomotor retardation. May be a danger to life through suicide.
What is seen in mania with psychosis?
typified by mood congruent content of psychotic symptoms
delusions of grandeur/special ability/ persecution
auditory hallucinations - god
flight of ideas
What is schizoaffective disorder?
Episodes of which there is presence of both symptoms of typical schizophrenia and affective disorder.
schizo-manic
schizo-depressed
