Psychosis - 1 Flashcards by Arteen Ahmed

schizo in short?

impairment in reality testing
&
Alteration in behaviours

How well did you know this?

Not at all

Perfectly

Mnemonic for schizophrenia in ICD 11?

S. P. L. I. T.

How well did you know this?

Not at all

Perfectly

Essential features of Schizophrenia in ICD 11?

S. P. L. I. T.

S. Symptoms (positives & negatives)
P-Peception, passivity and purposelss behaviorus (psychomotor disturbances)
L- Loss of reality
I- Identity disturbance
T- Thought Disorder

How well did you know this?

Not at all

Perfectly

4 main symptoms in schizo 1 of which has to be present to meet the ICD criteria?

Persistant delusion
Persistant Hallucination
Passivity
Disorganized thought

How well did you know this?

Not at all

Perfectly

Negative symptoms in schizophrenai?

Affective flattening
Anhedonia
Avolition
Apathy
Asociality
Flat mood
paucity of speech (or alogia)

How well did you know this?

Not at all

Perfectly

how long ICD 11 especifies Schizo symptoms to be present

1 months or more

How well did you know this?

Not at all

Perfectly

psychomotor disturbances in schizophrenia?

catatnonic

How well did you know this?

Not at all

Perfectly

what are catatonic psychomotor disturbances in schizophrenia?

reslessness
agitation
negativism
mutism
posturing
waxy flexibility
stupor

How well did you know this?

Not at all

Perfectly

what if full catatonic syndrom was present in patient dx with schizophrenia?

dx will change to catatonia associated with another mental disordered

How well did you know this?

Not at all

Perfectly

most common features in schizophrenia?

LAIDS

Lack of insgiht 97%
Auditory hallucination 74%
Idea of reference 70%
Delusion of reference 67%
Suspiciousness 66%

How well did you know this?

Not at all

Perfectly

prevalence of flatness of affect in schizophrenia?

66%

How well did you know this?

Not at all

Perfectly

most common + symptom in schizo?

lack of insight 97%

How well did you know this?

Not at all

Perfectly

how schizoaffective disorder is diagnosed in ICD 11?

all schizo criteria met
in addition to…
All criteria for moderate to severe major depression, mania or mixed mania

for at least 1 months

How well did you know this?

Not at all

Perfectly

what is said in ICD 11 about depressive symtpms in schizoaffective disorder?

depressive symptoms must include depressed mood not just reduced interest

How well did you know this?

Not at all

Perfectly

can mood and psychotic symptoms happen simultaneously in schizoaffective disorder, acc. ICD 11?

yes

How well did you know this?

Not at all

Perfectly

how shchizotypal disorder is diagnosed in ICD 11 in simple terms?

same schizophrenia symptoms but not enought to med diagnostic criteria for schizophrenia, schizoaffective or delusional disorder

How well did you know this?

Not at all

Perfectly

mnemonic for schizotypal disorder?

COP

C- Constricted affect (Cold)
O-Odd behaviours, speech(Vague), thoughts (disorganized)
P- Poor rapport, Parania

How well did you know this?

Not at all

Perfectly

How long ICD 11 required schizotypal to be present?

at least 2 years

Essential features for acute and transient psychotic disorder IN ICD 11?

psychotic symptoms w/out a prodrome
Within 2 weeks (rapid onset)
Change in intensity rapidly
No negative symptoms
Not exceeding 3 months
Last few days to 1 month

Another condition very similar to acute psychosis

bouffee delirante

Diagnostic features for delusional disorder in ICD 11 ?

Delusion or set of related delusions
for at least 3 months
absence of depressive, manic or mixed episode.
-no hallucinations or clear ones
-no affect, attitude or speach symptoms

usual delusion themes in delusional disorder?

remarkable stability

evolve over time maybe

Persecutory, somatic, grandiose, jealous and erotomania

What is psychotic depression?

presence of delusion and or hallucination in addition to depressive symptoms

what are depressive symptoms in pschotic depression?

Anhedonia
Loss of interest
Psychomotor retardation

what hallucination and delusions themes in psychotic depression?

- Worthlessness -Guilt -Disease -Impending Disaster

of all depression cases, how many are psychotic depression?

14-18%

True or false? Psychotic depression is more prevalence in elderly?

True (1-3%)

True or False Psychotic depression is more commonly associated with suicidalityy?

True

Difference between ICD 11 and DSM 5 to dx psychotic depression?

ICD 11 requires depressive symptoms to be moderate to severe...DSM 5 accepts all severities

1st line treatment in psychotic depression? Mausdley

TCAs (like amitriptyline) )with antipsychotic augmentation

2nd line of Rx in Psychotic depression Mausdley

SSRI/SNRIw

what antipsychotics can you use in augmentation with TCAs?Mausdley

olan or quetiapine

where would one consider ECT in Rx for pscyhotic depression?Mausdley

IF rapid response is needed other Rx fail

So, what is recommended medication in psychotic depression?

TCA + Antipsychotic (olan or que)

Puerperal psychosis should be thought of as a type of......?

bipolar in dsm 5

what is the incidence of puerperal psychosis?

1-2/ 1000 pregnancies

onset of puerporal psychosis?

day 2- 14 usually almost all in first 8 weeks

Risk of puerperal psychosis

-Parity (highest in 1st child) -Hx of Psych disorder -Family Hx (1st or 2nd cousin) of affective psychosis

Rx of puerperal psychosis

antipsychotic

Risk for postpartum psychosis (puerperal psychosis)

family history of mood disorders

Responsiveness of Puerperal psychosis

very responsive recurrence is common

impact of hormones in postpartum depression and psychosis?

fluctuation of aestrogen and progesterone may cause them

Indication for life-long treatment in schizophrenia?

History of aggressive behaviour Serious suicide attempts Those with residual psychotic symptoms