Psychosis Flashcards
Positive symptoms of psychosis?
hallucinations
delusions
disorganization
Most common type of hallucinatin in schizophrenia?
auditory
4 categories of delusions?
persecutory
grandiose
nihilistic
erotomanic
5 negative symptoms of psychosis?
affect flattening alogia apathy anhedonia attention deficits
DDx for psychosis?
Schizoaffective disorder Mood disorder with psychotic features brief psychotic disorder (<1mo) schizophreniform disorder (1-6mo) delusional disorder
What is schizoaffective disorder?
delusions/hallucinations for 2+ wks
meets criteria for MDD or bipolar
What is delusional disorder?
delusions but no other symptoms of psychosis
Criteria for schizophrenia?
two psychotic symptoms for at least one month (active period)
continuous signs for at least 6 months
impaired ability to function
3 major symptoms of schizophrenia?
delusions
hallucinations
thought disorganization
Age range for schizophrenia?
M - 18-30
F - 25-30, 45-50
Schizophrenia structural brain abnormalities?
enlarged ventricles
reduced volume of temporal limbic structures
Schizophrenia functional brain abnormalities?
lower metabolic activity in frontal lobe
increased activity in temporal limbic structures
Chemical basis of schizophrenia?
dopamine impalance
Pharmacologic treatment for schizophrenia?
dopamine blockers (typical) dopamine and 5HT (atypical)