Psychosis

Question 1

What is psychosis?

Answer 1

Mental disorder in which the thoughts, affective response or ability to recognize reality, and the ability to communicate and relate to others, are sufficiently impaired to interfere grossly with the capacity to deal with reality

Question 2

Classic characteristics of psychosis?

Answer 2

Hallucinations, delusions, and disorder of the form of thought

Question 3

Dementia praecox aka

Answer 3

Chizophrenia and other paranoid illnesses

Question 4

Psychosis categories

Answer 4

Manic (/depressive/psychosis)

Dementia praecox

Question 5

What overlaps manic/depressive and dementia praecox

Answer 5

Schizoaffective disorder

Question 6

What forms of psychosis are more likely genetic?

Answer 6

Bipolar, schizoaffective, schizophrenia and other paranodi

Question 7

What is a hallucination?

Answer 7

Perception which occurs in the absence of an external stimulus

Question 8

What modality do hallucinations occur in?

Answer 8

All (visual, auditory, gustatory, tactile, haptic)

Question 9

Haptic

Answer 9

Deep sensation (in organs)

Question 10

What are ideas of reference?

Answer 10

Innocuous or coincidental events will be ascribed significant meaning by the person
i.e. thinking a news report is really commenting about their life or talking directly to them

Question 11

What are ideas of reference related to in terms of the brain?

Answer 11

Dopamine “spike”

Question 12

What is a delusion?

Answer 12

A fixed, falsely held belief

Question 13

Primary vs secondary delusions

Answer 13

Primary - fully formed in the consciousness without need for explanation
Secondary - attempts to explain other psychotic experiences (hallucinations, passivity phenomena, thought insertion, etc)

Question 14

Does psychosis impair your intellectual abilities?

Answer 14

No

Question 15

What happens in a thought disorder?

Answer 15

Thoughts cannot be directly observed, must be inferred from patterns of speech

Question 16

Thought insertion

Answer 16

Thought gets put in your head by something and someone else

Question 17

Loss of insight

Answer 17

Reality testing is just another constructed process, driven by our brains
Involves filtering the information we glean from our senses about the world around us and interpreting their meaning, signficance, relevance
If filters are not functioning properly, you cannot tell

Question 18

3rd person auditory hallucinations suggest

Answer 18

Schizophrenia

Question 19

What is delirium?

Answer 19

Acute, transient disturbance from the person’s normal cognitive function
Insult to brain leads to neuropsychiatric symptoms

Question 20

What are some symptoms of delirium?

Answer 20

Clouding of consciousness (fluctuating severity, worse at night, disoriented)
Impaired concentration/memory
Visual hallucinations

Question 21

Depressive psychosis AKA _______ syndrome

Answer 21

Cottard’s

Question 22

Hallucinations in depressive psychosis

Answer 22

Hallucinations of accusing/insulting/threatening voices - typically 2nd person

Question 23

Mania with psychosis hallucinations

Answer 23

Tend to be 2nd person and auditory (hearing God’s voice telling you that you are great)
High in mood

Question 24

4 core psychotic symptoms of schizophrenia

Answer 24

Delusions
Auditory hallucinations
Thought interference
Passivity phenomena

Question 25

Hebephrenic schizophrenia

Answer 25

Affective changes are prominent, delusions, and hallucination fleeting and fragmentary, behaviour irresponsible and unpredictable, thought is disorganized and speech is incoherent
Mood is shallow and inappropriate
Social isolation

Question 26

Catatonic schizophrenia

Answer 26

Movement disorder predominates, alternating between stupor and hyperkinesis
Automatic obedience, posturing and waxy flexibility may be seen

Question 27

Persistent delusional disorder

Answer 27

Systematized, fixed delusions the major or only feature

Question 28

Schizotypal disorder is

Answer 28

A disorder characterized by eccentric behaviours of thinking and affect which resemble those in schizophrenia, though no definite and characteristic schizophrenic anomalies occur at any stage

Question 29

Acute and transient psychotic disorders last for how long?

Answer 29

<1 month

Question 30

Schizoaffective disorder

Answer 30

Episodic disorders in which both affective and schizophrenic symptoms are prominent but which do not justify a diagnosis of either schizophrenia or depressive or manic episodes