Psychosis Flashcards
What is psychosis?
A severe mental condition that effects thoughts and emotions with a loss of contact with reality. Difficulty in recognising what is real and what is not.
What are symptoms of psychosis?
Suspicion, paranoid ideas, delusions, trouble thinking clearly + logically, withdrawing socially, spending more time alone, hallucinations, incoherent or nonsense speech and behaviour inappropriate for the situation, decline in self care/ personal hygiene, confusion, lack attention
What is the early intervention (EI) standards?
Timely access to effective care and treatment with early intervention and a focus on recovery. MDT, person centred, evidence based interventions, support to services users and their families/ caters.
What is assertive outreach?
A way of working with people to support them in their mental health recovery journey. For example in the persons own environment such as their home, or cafe, local park- wherever they choose that will help them the most.
How long can psychotic disorders last?
They can last a month or less and only occur once or could last 6 months or longer.
What are the main treatments of psychosis?
Medication, CBT, behavioural family therapy (BFT), peer support, MDT approach, relapse prevention, community links groups, education/ work
Positive symptoms of psychosis?
Change in thoughts and feelings “added on” to a persons experience- delusions (false beliefs), feelings of being watched/ monitored/plotted against, believe they have special powers, hidden messages through TV, believe they causes a negative event such as earthquakes, Hallucinations, disorganised speech or behaviour
What are negative symptoms of psychosis?
Things that are taken away or reduced in presentation-
Inexpressive facial expression, little display of emotion, monotone and 1 syllable or general reduction of speech, difficulty in thinking or initiate tasks, lack motivation, lack of interest in other people, inability to feel pleasure, lack of spontaneity.
Other conditions / symptoms that may occur alongside psychosis?
Depression, anxiety, suicidal thoughts or behaviours, alcohol or drug abuse, difficulty functioning, sleep disturbances (awake all night) cognitive problems - difficulty with memory, concentration, reasoning.
What is the stress vulnerability model?
Zubin and Spring 1977 Suggests a positive outcome of a psychiatric disorder is more likely if environmental stress is minimised or managed well, medication is taken as prescribed and alcohol and drugs are avoided. Taking into consideration biological vulnerability, stress and protective factors.
What are vocational pathways?
Skills and knowledge to progress in adult hood, giving focus and purpose.
Arran ward working with OT on life skills, cooking, healthy diet and exercise, hygiene, support groups in community ready for discharge.
Purpose of family therapy
Focuses on understanding how your symptoms affect you and your family and finding the best way of supporting you and family together which significantly reduces relapse.
What are the 3 stages of psychosis
Prodromal phase
Acute phase
Recovery phase
What is the 5p formulation?
Presenting Problem- current issue symptoms/ concerns
Predisposing factors (what makes them vulnerable to the problem) genetics, trauma, stress, poverty, work/ education, relationships, drug abuse ACE’s.
Precipitating Factors- specific event or trigger to the onset of current problem.
Perpetuating Factors- maintain the problem once it’s established. ( unhealthy relationships, conflicts, financial stress, occupational stress.
Protective Factors- strengths- reduce severity of problem and promote health and positive factors. Family, healthy relationships, community support
What is Esteem?
Esteem was created in 2002 and is an early intervention service for age 16-35 with first episode psychosis. Support with medication, practical support, family work and psychological therapy. Work with psychologist psychiatrist, support worker.
