Psychopathology Flashcards

1
Q

What are delusions?

A

Beliefs held unshakably, regardless of counter-argument, that are unexpected and out of keeping with the patient’s cultural background.

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2
Q

What are primary delusions?

A

If the delusions appear out of nowhere with no preceding events or experiences to account for them.

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3
Q

What are primary delusions indicative of?

A

Schizophrenia

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4
Q

What are secondary delusions?

A

When delusions are based off of the patient’s environment around them (both physical and emotional)

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5
Q

What are primary delusions also known as?

A

Delusional intuition

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6
Q

What are secondary delusions also known as?

A

Delusional perception

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7
Q

What is a nihilistic delusion?

A

When the patient believes they are dead or dying (rotting away from the inside)

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8
Q

What is a characteristic of delusions seen in schizophrenia?

A

They are often unrelated to mood or emotions, with horrific events being described without apt distress from the patient

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9
Q

What is Ekbom syndrome?

A

Delusional parasitosis - a delusion where the patient believes their skin is infested with parasites

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10
Q

What is Capgras syndrome?

A

Where a person believes that the people around them have been replaced by exact replicas

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11
Q

What is Fregoli syndrome?

A

The delusion where a patient believes that a single person is impersonating multiple familiar people in their lives

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12
Q

What is Othello syndrome?

A

Jealousy - belief of a sexual partner being unfaithful without proof

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13
Q

What is de Clérambault’s syndrome?

A

The belief that someone (usually a celebrity) is in love with them and is sending them secret messages or signs

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14
Q

What is folie à deux?

A

Where an already psychotic person transmits their delusions to another person (close relative usually) who now shares them

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15
Q

Visual hallucinations are much more common in ___ _________ and _______ than psychosis.

A

Eye pathology

Epilepsy

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16
Q

What is a psuedohallucination?

A

A hallucination that the patient experiences but they are aware that it is not real

17
Q

What are extracampine hallucinations?

A

Hallucinations that occur out of the sensory field (i.e. ‘right behind me’. These are non-specific feelings that can be associated with epilepsy, psychosis and anxiety.

18
Q

What is pareidolia?

A

Where an ill-defined, random stimulus is given meaning without conscious effort (e.g. seeing a shape in clouds)

19
Q

What is thought derailment?

A

A break in the linked association of sequential thoughts or change in track of thoughts. Neither the patient or the observer understands the connection.

20
Q

What is thought omission?

A

All or part of a thought is absent without a reason

21
Q

What is thought substitution?

A

An inappropriate or illogical thought replaces another as though slotted into a space

22
Q

What is circumstantiality?

A

Where a person gives excessive, irrelevant detail without losing track of the question or topic

23
Q

What is overinclusion?

A

The inability to maintain the boundaries of a topic or restrict thoughts to the limits of a topic.

24
Q

What is verbigeration also known as?

A
  • Word salad

- Schizophasia

25
What is verbigeration?
Where speech is reduced to a senseless repetition of sound and phrases
26
What is an obsession?
A thought which endures and dominates thinking even though the person knows that it is unhelpful and irrelevant. They cannot be dismissed or controlled leading to anxiety and distress.
27
What is thought alienation/interference?
The subjective experience of one's own thoughts being under the control of an outside agency.
28
What are the different types of thought alienation/interferance?
1) Thought insertion 2) Thought withdrawal 3) Thought broadcast
29
What blood results do you see in patients with anorexia?
Hypercholesterolaemia
30
What are neologisms?
New words created and only understood by the patient
31
What is adjustment disorder?
Abnormally excessive reactions to life stressors, usually interfering with social functioning and performance, which would not have arisen without the stressor
32
What is the time scale to be diagnosed with adjustment disorder?
Between a few days to one month after the triggering event
33
When is the diagnosis of delusional disorder made?
When a person has one or more non-bizarre (situations that are not real but also not impossible) delusional thoughts for one month or more that cannot be explained by any other condition.
34
What is the correct management of a newly diagnosed patient with depression starting antidepressants?
Follow-up within 1-2 weeks then monthly for the next 12 months
35
How long should you continue antidepressants after successfully treating depression?
9-12 months