Psychosis

Question 1

Define psychosis

Answer 1

Mental state in which reality is distorted

Question 2

Define delusions

Answer 2

fixed false belief which is firmly held despite evidence to the contrary + goes against the individual’s normal cultural + social belief system

Question 3

Bizzare delusion

Answer 3

out of the realm of possibility

Question 4

Non-bizarre delusions

Answer 4

beliefs of something occurring in a person’s life which isn’t out of the realm of possibility

Question 5

Hallucinations

Answer 5

a perception in the absence of an external stimulus

Question 6

Thought disorder

Answer 6

an impairment in the ability to form thoughts from logically connected ideas

Question 7

Causes of psychosis

Answer 7

Organic → drug induced, iatrogenic (meds: levodopa, methyldopa, antimalarials), complex partial epilepsy, delirium, dementia, HD, SLE, Syphilis, Cushing’s…etc

Non-organic → schizophrenia, schizotypal disorder, schizoaffective disorder, puerperal psychosis (birth), delusional disorder, mood disorders w/ psychosis, acute psychotic episode…etc

Question 8

ICD 10 psychosis

Answer 8

F20-29
o	Schizophrenia
o	Schizotypal disorder
o	Persistent delusional disorder
o	Acute + transient psychotic disorders
o	Induced delusional disorder
o	Schizoaffective disorder
o	Other non-organic psychotic disorders
o	Unspecified non-organic psychosis

Question 9

What are positive symptoms?

Answer 9

An excess or distortion in normal functioning

Question 10

Give examples of positive symptoms in schizophrenia

Answer 10

o	Delusions
o	Hallucinations 
o	Formal thought disorder 
o	Thought interference 
o	Passivity phenomena (actions, feelings, or emotions being controlled by an external force)

Question 11

What sort of delusions do those with schizophrenia tend to have

Answer 11

third person auditory

Question 12

what is a formal thought disorder

Answer 12

abnormality in the way thoughts are linked

Question 13

Give examples of thought interference

Answer 13

Thought echo [thoughts spoken out loud (auditory hallucination)]
Thought insertion
Thought withdrawal
Thought broadcast

Question 14

What’s passivity phenomena

Answer 14

actions, feelings, or emotions being controlled by an external force

Question 15

What are negative symptoms in schizophrenia

Answer 15

A decrease or loss of functioning

Question 16

Examples of negative symptoms

Answer 16

All begin with A

o Avolition (↓ motivation)
o Asocial behaviour (loss of drive for any social engagements)
o Anhedonia (lack of pleasure in activites previously enjoyed)
o Alogia (poverty of speech)
o Affect blunting (diminished capacity to express feelings)
o Attention deficits (cognitive) → problems w/ attention, memory, language, executive function