Psychosis

Question 1

What is psychosis?

Answer 1

Mental disorder i which thoughts, affective response or ability to recognise reality and ability to communicate and relate to others are sufficiently impaired to interfere with capacity to deal with reality

Question 2

Psychotic symptoms are?

Answer 2

Hallucinations 
Ideas of reference 
Delusions 
Thought disorder
Thought interference 
Passivity phenomena 
Loss of insight

Question 3

Thought insertion?

Answer 3

Someone else putting thoughts in their head

Question 4

Thought withdrawal?

Answer 4

Someone stealing their thoughts

Question 5

Thought broadcasting?

Answer 5

Everyone can hear their thoughts

Question 6

Thought blocking?

Answer 6

Half way through a thought and then just stop, nothing in their head

Question 7

Passivity of volition?

Answer 7

Someone moved my legs

Question 8

Passivity affect?

Answer 8

Someone is controlling my emotions

Question 9

Passivity of urges?

Answer 9

Someone made my jump into traffic

Question 10

Causes of psychosis?

Answer 10

Organic: Delirium, strokes, brain injury
Manic depressive psychosis: unipolar depression, bipolar disorder

Schizophrenia and other paranoid diseases

Substance use

Question 11

3rd person auditory hallucination suggests?

Answer 11

Schizophrenia

Question 12

Short lasting psychosis is?

Answer 12

Normally drug caused

Question 13

Criteria for psychotic episode?

Answer 13

One of the following

• Thought echo, thought insertion or withdrawal, or thought broadcasting.
• Delusions of control, influence or passivity, clearly referred to body or limb movements or specific thoughts, actions, or sensations; delusional perception.
• Hallucinatory voices giving a running commentary on the patient’s behaviour, or discussing him between themselves, or other types of hallucinatory voices coming from some part of the body.
• Persistent delusions of other kinds that are culturally inappropriate and completely impossible (e.g. being able to control the weather, or being in communication with aliens from another world).

Plus 2 of:

• Persistent hallucinations in any modality, when occurring every day for at least one month, when accompanied by delusions (which may be fleeting or half-formed) without clear affective content, or when accompanied by persistent over-valued ideas.
• Neologisms, breaks or interpolations in the train of thought, resulting in incoherence or irrelevant speech.
• Catatonic behaviour, such as excitement, posturing or waxy flexibility, negativism, mutism and stupor.
• “Negative” symptoms such as marked apathy, paucity of speech, and blunting or incongruity of emotional responses (it must be clear that these are not due to depression or to neuroleptic medication).