Paranoid Disorder Flashcards
1
Q
Risk factors for delusional disorder
A
Female Livening alone Never married Sensory impairment Paranoid personality Schizoid personality Socially isolated
2
Q
Assessment of delusional disorder
A
At home Non threatening Are the delusions true? MSE MMSE/MOCHA informant Risk assessment Exclude, delirium, dementia, psychotic depression/mania
3
Q
Treatment of delusional disorder
A
Establish a therapeutic relationship Treat sensory deprivation Treat physical problems Consider risks Medication, compliance? Day centre CPN OT community matron Change environment
4
Q
Antipsychotics in delusional disorder
A
Informed consent Consider falls, EPSE's, cardiac risks, sedation Avoid poly pharmacy Monitor Risperidone most well used Low dose depot if not compliant CVA risk in Demi's
5
Q
Delusional disorder
A
Persecutory delusions Ideas of theft, ill treatment, poisoning Well circumscribed Speech normal No prior illness No FH No dementia
