Psychosis Flashcards
what is psychosis
impaired relationship with reality - inability to distinguish between internally generated perceptions and external stimuli
does the psychotic patient have insight?
usually no, the psychosis are due to aberrant brain processing so are genuinely believable to patient
waht is the strongest risk factor for psychosis
family history
which sensory modalities do hallucinations occur in
can occur in any
what are tactile hallucinations seen in
rarely schizophrenia, more common in drug induced psychosis
what is hypnagogia
the transition state between wakefulness and sleep, mental phenomena occur
what is a functional hallucination
there is some stimulus, eg when listening to the radio hears another voice
what are 3rd person auditory hallucinations seen in
typically schizophrenia and substance misuse
what are 2nd person auditory hallucinations seen in
usually mood disorders, also delirium/dementia
what is an idea of reference
- Believing innocuous events and mere coincidences to have strong personal significance, e.g. messaged spelled out in newspapers, hidden meaning behind a particular object arrangement
- can vary in intensity
what is important about the definition of a delusion
- Fixed, falsely held belief that is impervious to logical argument or evidence to the contrary
- The belief itself may not be false, however the conclusion by which it was come to is false
- eg my wife is cheating because i saw a text on her phone
- eg my wife is cheating because a bird landed on the window
why are 2y delusions common in psychosis
formed as explanations to the anomalous experiences the pt is having
what is an erotomanic delusion
- the belief that someone is in love with you, despite evidence to the contrary
neologisms
making up words
what is typical about the symtoms of drug induced psychosis
- tend to be florid, but go away quickly once the substance is removed
- tactile hallucinations
- 2 and 3 person auditory and visual hallucinations
- everything else in table too
