Psychosis

Question 1

Are visual hallucinations common in psychiatric disorders?

Answer 1

no, auditory are

Question 2

What is the nature of visual hallucinations?

Answer 2

organic cause

Question 3

Olfactory hallucinations are associated with which condition?

Answer 3

temporal lobe epilepsy

Question 4

Tactile hallucinations?

Answer 4

substance use/withdrawal

Question 5

Define delusion

Answer 5

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

Question 6

Three examples of delusions

Answer 6

parnoid
grandiose
nihilistic
pathological jealousy
control

Question 7

Is schizophrenia more common in men or women?

Answer 7

equal!

Question 8

List two negative symptoms of schizophrenia

Answer 8

apathy
social withdrawal
blunted
poverty of speech

Question 9

List two positive symptoms of schizophrenia

Answer 9

delusions
hallucinations

Question 10

List two symptoms of Schneider’s first rank

Answer 10

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

Question 11

Examples of thought form disorders

Answer 11

tangentiality
circumstantiality
knight’s move
flight of ideas

Question 12

What are the extrapyramidal side effects of antipscyhotics

Answer 12

parkinsonism
akathisia
dystonia

Question 13

Differentials for psychosis

Answer 13

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

Question 14

List three organic causes of psychosis

Answer 14

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

Question 15

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

Answer 15

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

Question 16

Two types of delusions?

Answer 16

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

Question 17

Two features to suggest non-organic aetiology

Answer 17

slow or insidious symptoms
mostly orientated
auditory hallucinations

Question 18

How to ask about mood

Answer 18

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

Question 19

How to ask about thought form?

Answer 19

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

Question 20

What are the types of delusions?

Answer 20

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

Question 21

What is capras delusion?

Answer 21

replaced with imposter

Question 22

Fregoli delusion?

Answer 22

same person in disguise

Question 23

Intermetamorphosis?

Answer 23

swapping inner identity but swapped exterior appearance

Question 24

How to explore delusions?

Answer 24

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

Question 25

How to tell someone they are delusional?

Answer 25

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

Question 26

Tactile hallucinations?

Answer 26

delirium tremens
cocaine

Question 27

Visual hallucinations?

Answer 27

lewy body dementia
delirium

Question 28

Auditory hallucinations?

Answer 28

schizophrenia
psychotic depression

Question 29

Example of tactile hallucinations?

Answer 29

delusional parasitosis

Question 30

Risks in psychosis?

Answer 30

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