Psychosis 4- 12D

Question 1

What percentage of pts first diagnosed with brief psychotic disorder will go on to develop another psychotic disorder?

Answer 1

50% (most likely schizophrenia)

Question 2

Good prognostic factors for brief psychotic disorder

Answer 2

• good premorbid adjustment
• severe stressor (absence of first degree relative)
• sudden onset, with confusion
• affective symptoms

Question 3

Essential component of schizoaffective disorder diagnosis

Answer 3

-period of at least 2 weeks with delusions or hallucinations in the absence of mood symptoms

Question 4

For how long should symptoms be present to make diagnosis of delusional disorder

Answer 4

1 month

Question 5

Course of delusional disorder

Answer 5

• stable over time
• less than 25% go on to develop schizophrenia
• less than 10% go on to have a mood disorder

Question 6

Classical treatment of delusional disorder

Answer 6

PIMOZIDE

But really, just start with SGA like everyone else