Psych - Psychotic Disorders Flashcards
delusion is?
fixed-false belief, ego syntonic
hallucination definition?
perceptual experience without external stimuli
schizophrenia definition?
>2 symptoms of: delusions hallucinations disorganised speech disorganised/catatonic behaviour negative symptoms ALSO: social/occupational dysfunction lasts 6/12 at least non-organix
risk factors for schizophrenia?
genetics indirect evidence of cannabis born in winter prenatal viral geography
mx of schizophrenia biological?
antipsychotics +/-
mood stabilisers
anxiolytic
ECT
mx of schizophrenia psychosocial?
CBT for psychosis ACT teams housing employment programs social skills training family support psychoeducation
side effects of antipsychotics?
decreased SLUD - anticholinergic orthostatic hypotension extrapyramidal sedation agranulocytosis (clozapine) liver dysfunction metabolic syndrome QT prolongation
Personality Disorders diagnostic?
enduring pattern of inner experience and behaviour that deviates from expectations of the individual’s culture
needs >2:
cognition, affect, interpersonal functioning, impulse control
Personality Disorders when established?
adolescence/early adulthood
Personality Disorders predispositions?
genetic
Cluster A?
Mad:
Paranoid
Schizoid - prefers being alone
schizotypal: eccentric behaviours, peculiar thoughts
Cluster B?
Bad Borderline Antisocial Narcissistic histrionic: attention-seeking, over emotional, sexually inappropriate
Cluster C?
Sad
- Avoidant-fear of criticism/self-inadequacy, awkward, timid, withdrawn
- dependent
- OCD
criteria for substance use disorders?
PEC WITH MCAT
Physical/psych probs, still use
external roles failures
Craving
withdrawal
internpersonal issues
tolerance
hazardous situations usage
More substance used
Cut down unsuccessful
Activities given up
Time spend on using/finding substance excessive
alcohol screen questions?
CAGE cut down annoyed guilty eye opener
