Late Onset Schizo Flashcards
What is psychosis?
Delusions
Hallucinations
Thought Disorder
Delusion is?
Fixed falsely derived unshakeable belief
Not explained by social/cultural beliefs
Hallucination definition
True perception in the external environment without stimulus
That has a quality of a true percept
What is thought disorder? In old age psych?
Illogical thinking process, flow.
Hard to find in elder if there is overlay of cognitive impairment eg/ language
Causes of psychosis in late life?
Dementia
Delirium
Substance
Meds
Who gets late onset schizophrenia?
Females 3-4:1
3 peaks of schizophrenia?
Teens/20s
40
Late onset schizophrenia typical presentation?
Persecutory (76%)
Hypochondriacal (11%)
Partition delusions (ppl getting into ppl’s house)
What is partition delusion?
ppl getting into ppl’s house, so they are locks everywhere
How to distinguish delusional disorder vs. schizophrenia?
Usu. delusional is no hallucinations or thought disorder
How to tell very late-onset schizophrenia psychosis And chronic psychosis?
late-onset has no Thought disorder
No insight
How tell difference between late-onset schizophrenia vs. dementia?
Time.
Dementia there is decline in 6-12/12
Ethical issues related to assessing and treating? 4:
Confidentiality
Competence
Duty of care
Involuntary treatment
When to break confidentiality
Harm to self or others
Great financial risk
How to decide if they have capacity to make decision In psychosis?
It is QUESTION specific, needs to be assessed on case-by-case
If psychosis is driving the decision then no capacity
given information
Process
Discuss the consequences, pros and cons
