Psychosis Flashcards

1
Q

What is Broadly defined as a loss of contact with reality

A

Psychosis

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2
Q

S/s of psychosis

A
  • Delusions
  • Hallucinations
  • Thought disorganization
  • Agitation and aggression
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3
Q

What is a delusion

A

Strongly held false belief

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4
Q

How are delusions classified?

A
  • Bizarre vs non-bizarre
    Bizarre, i.e. belief that family members have been replaced by body-doubles
    Non bizarre, i.e. belief that spouse is cheating despite overwhelming evidence to the contrary
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5
Q

A belief that one is being followed or harassed by outside entity is an example of what delusion?

A

Persecutory delusions

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6
Q

Belief that one is a billionaire is an example of what delusion?

A

Grandiose delusions

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7
Q

Believing a famous person is in love with them is an example of what delusion?

A

Erotomanic delusions

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8
Q

Believing ones sinuses have been infested with worms is an example of what delusion?

A

Somatic delusions

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9
Q

believing a dialog on TV is directed towards you
Such as president talking on TV is talking directly to you is an example of what delusion

A

Delusions of reference

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10
Q

believing one’s thoughts and movements are being controlled by a powerful outside force
Such as planetary overlords or government is an example of what delusion

A

Delusions of control

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11
Q

What is a hallucination

A
  • Wakeful sensory experiences of content that is not actually present
  • NOT illusions
  • Illusions are misinterpretations of sensory experiences
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12
Q

What is the most common hallucination

A

Auditory
- sounds or voices

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13
Q

How is evidence of thought disorganization discovered?

A

During patient’s speech pattern during interview process

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14
Q

What is alogia

A
  • poverty of content
  • Very little information conveyed by speech
  • Often very sparse reply or lack of spontaneous speech
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15
Q

What is thought blocking?

A
  • Suddenly losing train of thought
  • Characterized by abrupt interruptions in speech
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16
Q

What is loosening association

A

Speech content that has ideas presented in a sequence that is not closely related or does not make sense

17
Q

What is Tangentiality

A

Answers to interview questions diverge from topic being asked about
Is the interview question ever answered?

18
Q

What is clanging or clang association

A

Using words in a sentence that are linked by rhyming or sounding similar
“I fell down the well sell bell”

19
Q

What is a word salad

A

Real words are linked together incoherently
Real words but basically nonsense

20
Q

What is Perseveration

A

Repeating words or ideas persistently

21
Q

Components of thought disorganization

A
  • Alogia
  • Thought blocking
  • Loosening of association
  • Tangentiality
  • Clanging or clang association
  • Word salad
  • Perseveration
22
Q

What must you do prior to dx psychosis

A

Rule out other causes

23
Q

What medication is used for acute agitation associated with psychosis?

A

Haloperidol

24
Q

What medications are used to treat acute and chronic psychosis

A

“First” Generation antipsychotics: Haloperidol
“Second” (or atypical) Antipsychotics: Aripiprazole, risperidone, quetiapine, olanzapine

25
Q

What are side effetcs of antipsychotics?

A
  • Akathisia
  • Parkinsonian Syndrome
  • Dystonia
  • Tardive Dyskinesia