L8 (Other psychotic disorder) Flashcards
What are the diagnostic criteria for schizophreniform disorder?
Symptoms similar to schizophrenia but last at least 1 month and less than 6 months. Requires at least 2 of 5 core symptoms: delusions, hallucinations, disorganized speech, disorganized behavior, and negative symptoms.
How does schizophreniform disorder differ from schizophrenia?
Schizophreniform disorder lasts 1-6 months, has a more acute onset, and does not necessarily result in long-term impairment.
What is the epidemiology of schizophreniform disorder?
More common in adolescents and young adults, lifetime prevalence of 0.2%. Relatives may have mood or psychotic mood disorders.
What is the treatment for schizophreniform disorder?
Hospitalization for severe cases, antipsychotic drugs for 3-6 months, mood stabilizers for recurrent episodes, psychotherapy, and ECT if catatonia or severe depressive features present.
What is brief psychotic disorder?
An acute psychotic condition with sudden onset that lasts from 1 day to less than 1 month, followed by full remission.
What are the common symptoms of brief psychotic disorder?
Delusions, hallucinations, disorganized speech, disorganized or catatonic behavior.
What is the treatment for brief psychotic disorder?
Hospitalization if needed, short-term antipsychotics (haloperidol or ziprasidone), benzodiazepines for agitation, and psychotherapy.
What is schizoaffective disorder?
A combination of schizophrenia and mood disorder, with psychotic symptoms persisting for at least 2 weeks without mood disturbance.
What are the two subtypes of schizoaffective disorder?
Depressive type and bipolar type.
What medications are used for schizoaffective disorder?
Antipsychotics (paliperidone, clozapine, risperidone), mood stabilizers (lithium, valproate), and antidepressants (fluoxetine, citalopram).
What is delusional disorder?
A disorder characterized by non-bizarre delusions without other mood or psychotic symptoms.
What are the subtypes of delusional disorder?
Persecutory, erotomanic, grandiose, jealous, and somatic.
What is the treatment for delusional disorder?
Antipsychotics (pimozide, risperidone), SSRIs for depressive symptoms, psychotherapy, and hospitalization if suicidal/homicidal risk present.
What is shared psychotic disorder (Folie à deux)?
A condition where a person develops the same delusional beliefs as someone they are closely associated with.
How is shared psychotic disorder treated?
Separation from the primary individual, psychotherapy, and antipsychotic medications if symptoms persist.
What is postpartum psychosis?
A severe psychiatric emergency occurring within 8 weeks postpartum, often related to mood disorders.
What are the symptoms of postpartum psychosis?
Insomnia, restlessness, confusion, delusions, thoughts of harming self or baby.
What is the treatment for postpartum psychosis?
Antipsychotics, lithium, antidepressants, psychotherapy, and environmental modifications.
