Psychosis Flashcards

1
Q

Are visual hallucinations common in psychiatric disorders?

A

no, auditory are

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2
Q

What is the nature of visual hallucinations?

A

organic cause

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3
Q

Olfactory hallucinations are associated with which condition?

A

temporal lobe epilepsy

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4
Q

Tactile hallucinations?

A

substance use/withdrawal

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5
Q

Define delusion

A

fixed, false belief outwith cultural, societal, and religious norms

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6
Q

Three examples of delusions

A

parnoid
grandiose
nihilistic
pathological jealousy
control

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7
Q

Is schizophrenia more common in men or women?

A

equal!

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8
Q

List two negative symptoms of schizophrenia

A

apathy
social withdrawal
blunted
poverty of speech

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9
Q

List two positive symptoms of schizophrenia

A

delusions
hallucinations

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10
Q

List two symptoms of Schneider’s first rank

A

thought echo
third person hallucinations
running commentary
thought broadcast/insertion/withdrawal
delusional perception
feelings of external control

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11
Q

Examples of thought form disorders

A

tangentiality
circumstantiality
knight’s move
flight of ideas

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12
Q

What are the extrapyramidal side effects of antipscyhotics

A

parkinsonism
akathisia
dystonia

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13
Q

Differentials for psychosis

A

schizophrenia
mania
severe depression
organic causes
not quite psychosis: anorexia, emotionally unstable personality disorder, OCD, ASD

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14
Q

List three organic causes of psychosis

A

drug induced
infections- HIV, syphilis, encephalitis
MS
delirium
parkinson’s
brain tumours

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15
Q

State three features to suggest organic rather than non-organic causes of psychosis

A

substance use
new medications
acute onset
fluctuations
abnormal bloods etc
visual hallucinations
impaired cognition orientation and attention

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16
Q

Two types of delusions?

A

primary- from nowhere. e.g. delirium and dementia (they must be watching me because i woke up in different clothes)
secondary- as a result of something else

17
Q

Two features to suggest non-organic aetiology

A

slow or insidious symptoms
mostly orientated
auditory hallucinations

18
Q

How to ask about mood

A

how has you mood been over the past two weeks? scale of 1-10?

19
Q

How to ask about thought form?

A

do you feel like you are thinking clearly? do you feel overwhelmed with thoughts?

20
Q

What are the types of delusions?

A

thought insertion, withdrawal, broadcast (external agents of power- CIA, MI5)
misidentification
delusional memory

21
Q

What is capras delusion?

A

replaced with imposter

22
Q

Fregoli delusion?

A

same person in disguise

23
Q

Intermetamorphosis?

A

swapping inner identity but swapped exterior appearance

24
Q

How to explore delusions?

A

anything troubling you?
anything that is making you feel afraid?
anyone wanting to harm you?
do you think your thoughts are being controlled?

25
Q

How to tell someone they are delusional?

A

I’m afraid I did share these thoughts, I wonder if your thoughts are a reflection of you being unwell.

26
Q

Tactile hallucinations?

A

delirium tremens
cocaine

27
Q

Visual hallucinations?

A

lewy body dementia
delirium

28
Q

Auditory hallucinations?

A

schizophrenia
psychotic depression

29
Q

Example of tactile hallucinations?

A

delusional parasitosis

30
Q

Risks in psychosis?

A

violence to others
harm to self and others: driving, accidental fire setting
risk FROM others- violence, vulnerability (financial and welfare exploitation)