Disorders Of Thought

Question 1

Thought disorder

Answer 1

Any disturbance of thinking that affects language, communication or thought content.

Question 2

Delusion

Answer 2

False belief

Incorrect interference about external reality. No matter what one say (even with prove), they wont believe.

Question 3

Primary delusion

Answer 3

Arising directly from the pathology of the mental illness

Question 4

Secondary delusion

Answer 4

Arises from another disordered mental state. EX: patient with severe depression developing secondary decision

Question 5

Types of primary delusion.

Answer 5

Delusional idea (autochthonus)
Delusional perception
Delusional memory
Delusional mood

Question 6

Explain autochthonous delusion.

Answer 6

Very out of the blue, arise fully formed in patient’s mind wo explanation.

Question 7

Explain delusional memory

Answer 7

Occur on recalling a memory from the part → add stuff in a way?

Question 8

Delusional perception

Answer 8

On seeing a normal percept.Note the percept is a real external object not a hallucinatory experience.

Question 9

Delusional mood

Answer 9

Patient feels uncomfortable, apprehensive

arising following a period when there is an abnormal mood (anxious) something about to happen.

Question 10

Delusion of persecution.

Answer 10

False belief of being persecuted

most common delusion.

Question 11

Delusion of grandeur (grandiosity)f

Answer 11

Exaggerated conception of one’s importance power and identify

Question 12

Religious delusion

Answer 12

It is common may be Grandiose in nature.

Question 13

Erotomania

Answer 13

Delusional belief, that someone is deeply in love with them

More common in women than in men

Question 14

De Clerambault

Answer 14

A form of delusion of love

Patient, usually female, believes that another high status individual is in love with them

Question 15

delusion of infidelity

Answer 15

False belief that one’s lover is unfaithful Othello syndrome: as a monosymptomatic delusional disorder. Most often affects male.

Question 16

Delusions of poverty

Answer 16

Common in depression

False belief that one is bereft of all material possessions.

Question 17

Nihilistic delusion

Answer 17

Depressive delusion that the world & everything related to it have ceased to exist.

Question 18

Cotard’s syndrome

Answer 18

Psychotic depression in elderly

• nihilistic delusions
• depressed mood with agitation/ retardation
• completely negative attitude.

Question 19

Delusion of self accusation (guilt)

Answer 19

False feeling of remorse and guilt
They believe that they are bad or evil who have ruined their family
Normally seen in depression with psychotic features

Question 20

Somatic delusion

Answer 20

Delusion that the person have some physical defect or general medical condition

Question 21

Capgras syndrome

Answer 21

Illusion of doubles

Familiar person have been replaced by doubles

Question 22

Fregoli

Answer 22

False identification of familiar people occurs in strangers

Ex : different people who changes their appearance but in fact is a single person

Question 23

Delusion of control

Answer 23

False belief that a person’s will, thoughts or feelings are being controller by external forces

Question 24

Explain passivity experiences

Answer 24

Thought broadcasting : feeling that ones thought are being broadcast
Thought withdrawal : delusion that ones thoughts are being removed from ones mind by other people or forces
Thought insertion : delusions that thoughts are being implanted by others or forces

Question 25

Passivity experience of impulse

Answer 25

Patient experiences s drive that he feels is alien to carry out some motor activity

Question 26

Somatic passivity

Answer 26

Body influenced from outside

Question 27

Delusion of reference

Answer 27

False belief that the behavior of others refers to oneself

Question 28

Delusion of infestation

Answer 28

A false belief that ones skin is infested with multiple tiny mite like animals
Known as ekbom syndrome

Question 29

Name all 4 paranoid delusions

Answer 29

Persecutory delusion
Delusion of reference
Delusion of control
Delusions of grandeur

Question 30

Bizarre delusion

Answer 30

False belief that is obviously absurd or fantastic

Common in schizophrenia

Question 31

Shared psychotic disorder (folie a duex)

Answer 31

Situation where two people with a close relationship a delusional belief

Question 32

Idea of reference

Answer 32

Misinterpretation of events in the outside world as having direct personal reference to oneself

Question 33

Overvalued idea

Answer 33

False / unreasonable belief that is sustained beyond the bounds of reasons

Question 34

Preoccupation

Answer 34

Centering of thought content on a particular idea

Suicidal preoccupation