Psychiatry - Schizophrenia + Personality Disorders Flashcards
what types of schizophrenia exist?
paranoid
catatonic
hebephrenic (affect changes)
what types of thought disorder can occur in schizophrenia?
echo
neologisms
knight’s move
what are thought delusion examples?
insertion
broadcasting
withdrawal
what types of delusion exist?
persecutory
grandiose
nihilistic
religious
what types of hallucinations exist?
auditory
visual
gustatory
negative symptoms of schizophrenia?
blunted affect loss of interest social withdrawal incongruence of emotions paucity of speech
Tx for schizophrenia?
atypical antipsychotic
if no response to 2, try clozapine
CBT
what should be monitored on clozapine? why?
ECG FBC BMI BM Lipids PRL
FBC weekly, then taper down
due to risk of agranulocytosis
what is schizoaffective disorder?
patient has episodes which can be manic, depressive or schizophrenic
what is munchausen’s disorder?
factitious symptom production for gain
what is somatisation disorder?
recurrent changing physical symptoms
belief still held after Ix, want Tx
what is hypochondriasis?
asking for investigations to find a disease that has disabling consequences
what is conversion disorder?
not for gain
FND which is medically unexplained
features of personality disorders?
functional impact and cause distress across all domains
present from late adolescence
stable and chronic
what are the types of personality disorders?
A = MAD B = BAD C = SAD
what are the mad types of personality disorders?
paranoid
schizoid
schizotypal
what are the bad types of personality disorders?
antisocial
EUPD
histrionic
narcissistic
what are the sad types of personality disorders?
avoidant/anxious
obsessive/anacastic
dependent
describe a typical paranoid personality disorder?
conspiracy theorist
NO DELUSIONS
mistrusts authority
describe a typical schizoid personality disorder?
WoW player
detached
vivid imagination
describe a typical schizotypal personality disorder?
almost delusional
abnormal sensory experiences
describe a typical narcissistic personality disorder?
god complex
expects recognition/respect
describe a typical avoidant/anxious personality disorder?
worries
puts off goals/wishes
describe a typical obsessive/anacastic personality disorder?
perfectionist egosyntic thoughts (don't realise these are odd)
describe a typical dependent personality disorder?
indecisive
seeks reassurance
long term relationships
difference between impulsive and borderline EUPD?
impulsive - risky behaviour, drugs, sex
borderline - anxious, psychosis
Tx for EUPD?
DBT
