Psychosis

Question 1

What is psychosis

Answer 1

A severe mental disorder where there is loss of contact with reality

lack of insight

Question 2

Psychosis symptoms

Answer 2

Delusions
Though disorder
Hallucinations
Inappropriate emotional reactions

Question 3

What are the following definitions:
- hallucinations
- pseudohallucinations
- illusions
- depersonalisation
- derealisation
- passivity phenoma

Answer 3

Hallucinatins - sensory perception in any of the modalities that occur without a real stimulus

Pseudohallucinations - same as hallucinations but pt knows its not real

Illusion - misinterpretations of actual stimulus

Depersonalisation - pt feels like they not their true self and are someone different

Derealisation - sense the world around them is not true reality

Passivity phenomena - perceiving that their thoughts, feelings, actions are being controlled by some outside agency/person

Question 4

Psychosis DDx

Answer 4

Organic cause e.g. NMDA encephalitis
Drug induced - recreational drug use
Schizophrenia
Bipolar affective disorder
Psychotic depression

Question 5

Epidemiology of schizophrenia

Answer 5

Males - late adolescence or mid twenties

Question 6

What is schizophrenia

Answer 6

Type of psychosis - Chronic illness with acute relpases

Question 7

Schizophrenia management

Answer 7

Antipsychotics

Typical / first gen - haloperidol, chlorpromazine

Atypical / second gen - olanzapine, risperidone

Question 8

RF for schizophrenia

Answer 8

Sex
Age
Hx of trauma
FH
Poor physical health
Financial situation
Relationship status
Social support