Psych Flashcards
First thing to evaluate:
Psychotic or non-psychotic
Non- psychotic
-Has insight
-Reality based
-> Use Good therapeutic communication (reflection, clarification, amplification, restatement etc)
Psychotic
-No insight
-Not reality based
-Have delusions, hallucinations, illusions
Delusion
false belief or idea (no sensory component) all in the head
3 types:
paranoia- someone out to harm you
grandiose- belief you are superior (world revolves around you)
somatic- false beliefs about body parts
Hallucinations
(There is nothing there)
false SENSORY beliefs (5 senses)
-Auditory (most common): voice telling you to harm self
-Visual (2nd most common): see things that arent there
-Tactile (3rd most common): feel things that arent there
-Gustatory: taste
-Olfactory: small
Illusion
(something there)
Misinterpretation of reality (sensory)
referent in reality: pt and dr can both refer to it
It’s really there pt is just misinterpreting what it actually is
Types of Psychosis
- functional
- psychosis of dementia
- psychosis of delirium
Functional psychosis
They can function in every day life
-chemical imbalance in the brain
(skeezo/skeezo/major/maics)
-schizophrenia
-schizoaffective
-Major depression
-Mania (bipolar pts psychotic in acute mania)
Psychosis of Dementia
Brain damage from Alzheimer, stroke, organic brain syndrome
(if it says SENILE/DEMENTIA)
Psychotic Delirium
Temp, sudden, dramatic episode secondary to something else that causes loss of reality
Functional Treatment
-acknowledge feelings
-present reality
-set limits
-enforce limits
Demented Treatment
-Acknowledge feelings
-Redirect/Reality orientation (person,place,time)
NEVER PRESENT REALITY their brain damage wont allow them to process it
Delirious Treatment
-acknowledge feelings
-Reassure safety & temporariness of this state
Approach to answer Psych Questions
- psychotic vs non- psychotic
-No? use therapeutic communication
-yes? determine which kind - functional, demented or delirious
-functional: acknowledge feeling, present reality, set limits & enforce them
-demented: acknowledge feeling, redirect
-delirious: acknowledge feeling, reassure safety & temporary state
Psychotic symptoms (loose associations)
Thoughts are all over the place
flight of idea
word salad
neologisms
narrowed self concept
idea of reference
flight of idea
rapid flow through
-each phrase is coherent but the phrases together dont make sense
word salad
just throwing words together not coherent at all (sicker than flight of idea)
neologisms
Making up words
Narrowed self concept
Defines themself with where they are and what theyre wearing w/o it they dont know who they are
-functional psychosis
-leave them alone & dont force them to do something they dont want
