psychosis

Question 1

psychotic disorders

Answer 1

• persons experience of delusions, hallucinations, speech and behavioural disorganisation

Question 2

delusions
paranoid
persecutory 
grandiose
somatic (think they have an illness)
religious 
erotomania (famous person in love) 
thought broadcasting
guilt 
ideas of reference (insignificant events have personal significance

Answer 2

• fixed false belief that cannot be altered

Question 3

schizophrenia

diagnostic

Answer 3

• 2 or more symptoms in 1 mth period

delusions, hallucinations, disorganised speech, negative symptoms

Question 4

phases of schizophrenia

Answer 4

Prodromal:
- decline in functioning

Psychotic:
- perceptual disturbances, delusions, through disorders

Residual:
- between episodes of psychosis marked by flat affect, social withdrawn

Question 5

positive and negative symptoms of schizophrenia

Answer 5

Positive: (gained)

• hallucinations
• delusions
• disordered thoughts
• bizarre behaviour

Negative: (take away, deficit)

• anhedonia (no longer interested in actives they used to enjoy)
• blunted emoptions
• cognitive defecits
• apathy

Question 6

typical vs atypical antipsychotics

Answer 6

Typical: 
- chlorpromazine, haloperidol
side effects: 
- decrease positive symptoms
- worsening negative
- extrapyramidal disorders (parkins)
- sexual dysfunction 

Atypical: 
- clozapine, risperidone, olanzeapine
Side effects: 
- decrease negative symptoms
- decrease extrapyramidal 
- improve cognition
- weight gain
- sedation

Question 7

neuroleptic malignant syndrome

Answer 7

• reaction to anti psychotics
• rigidity, fever, alteration in mental state
• tachycardia/pnoea, sweating