First Aid Psychiatry: Psychotic Disorders Flashcards
(87 cards)
Delusion
fixed, false beliefs that remain despite evidence to the contrary
bizarre vs. nonbizarre delusion
bizarre: impossible
nonbizarrie: possible
Delusions of persecution/paranoid delusions
Irrational belief that one is being persecuted
Ideas of reference
Belief that cues in the external environment are uniquely related to the individual
Delusions of control: 2 types
- thought broadcasting
2. thought insertion
thought broadcasting
belief that one’s thoughts can be heard by others
thought insertion
belief that others’ thoughts are being placed in one’s head
Delusions of grandeur
Belief that one has special powers beyond those of a normal person
Delusions of guilt
belief that one is guilty or responsible for something
Somatic delusions
belief that one is infected with a disease or has a certain illness
” I am responsible for all world’s war”
Delusion of guilt
“The TV characters are speaking directly to me”
Ideas of reference
“The CIA is after me and tapped my phone”
Delusions of persecution/paranoid delusions
command hallucinations
auditory hallucinations that directly tell the patient to perform certain acts
auditory hallucinations are seen in
schizophrenic patients
visual hallucinations are seen in
drug intoxication, drug and alcohol withdrawal or delirium
olfactory hallucination seen in
epilepsy
tactile hallucination seen in
drug use or alcohol withdrawal
difference between illusion and hallucination
illusion: existing sensory stimulus
hallucination: no external stimulus
DSM- 5 criteria for psychotic disorder due to another medical condition
- prominent hallucinations or delusions
- symptoms do not occur only during an episode of delirium
medical causes of psychosis
- CNS disease
- Endocrinopathies ( cushing, addison)
- Nutritional/Vitamin deficiency (B12/folate)
Elderly, medically ill patients who present with psychotic symptoms such as hallucinations, confusion, or paranoia should be carefully evaluated for what
delirium
what are the three categories for schizophrenia symptoms
Positive
negative
cognitive
three phases of schizophrenia
- Prodromal
- Psychotic
- Residual