Psychosis

Question 1

premorbid stage

Answer 1

must have delays in milestones; recall feelings of loneliness and isolation, a fragile common sense

Question 2

prodromal stage

Answer 2

weak psychotic symptoms, cog/emot/functional impairment, social withdrawal, feel that something important is going to happen; boundary b/t one’s self and external world becomes unstable

Question 3

first episode stage of psychosis

Answer 3

abnormal experiences intensify, delusions provide clarity –> meaning, relief; everything is revolving around them, no boundaries, overwhelmed by inner chaos

Question 4

recovery/relapse

Answer 4

interventions include meds and therapy; up to 80% have relapses, but symptoms can be managed

Question 5

rates of psychotic experiences

Answer 5

10% of children and adolescents (Healy et al.)

15% children (9-12yrs); 8% adols (13-18yrs) (McClellan)

many do not go on to develop psychotic illness, but they are at increased risk for psyhotic illness, a mental health diagnosis, and SB

Question 6

features of psychotic-like experience but not true psychosis

Answer 6

symptoms that are situation-specific, very detailed, and occur in absence of other psychotic symptoms are NOT true psychosis