Psychosis Flashcards
Classic characteristics of psychosis?
Hallucinations Thought interference Passivity phenomena Loss of insight Ideas of reference Delusions Disorder of form of thought
What is a hallucination?
A perception which occurs in the absence of an external stimulus
Can be all 5 senses
What is a simple hallucination?
Formless sound
Murmuring
Bangs
What is a complex hallucination?
Voice
Music
Reality testing in psychosis
This is an internal perception = hallucination
This is my thought = thought insertion
I am moving my arm = passivity of action
This is significant = delusional perception
What is an idea of reference?
Innocuous or coincidental events will be ascribed significant meaning by the person for example;
Messages in the newspaper for them
Television news is commenting on their life
Seeing meaning in peoples gestures
What is a self referential experience?
External events are related to oneself
Can vary from a brief thought to frequent and intrusive thoughts to delusional intensity
What is a delusion?
A fixed, falsely held belief that is held with unshakeable conviction
Impervious to logical argument or evidence to the contrary
What is a primary delusion?
Arrives dully formed in the consciousness without the need for explanation
What is a secondary delusion?
Often attempts to explain anomalous experiences e.g. hallucinations, passivity experiences, depression
Types of delusion?
Paranoid Persecutory Grandiose Religious Misidentification Guilt Sin; almost always paedophilia Poverty Nihilistic Erotomaniac Of reference Jealousy; othello syndrome
Different types of thought disorder?
Neologisms; creation of a new vocabulary Circumstantiality/ tangentiality Clanging and punning Loosening of associations Knight's move thinking Verbigeration/ word salad
Different types of thought interference?
Thought insertion
Thought withdrawal
Thought broadcasting
Thought blocking
Different types of passivity phenomena?
Volition; made action
Affect; made feelings
Impulse; mde urges
Somatic; influence on the body
What does 3rd person auditory hallucinations suggest?
Schizophrenia
Describe drug induced psychosis?
May be florid symptoms or chronic
Tend to be short lasting if access to psychoactive substance removed
Beware comorbid of substance misuse and schizophrenia/ bipolar
Hallucination and delusion types in depressive psychosis
Mood congruent content of psychotic symptoms
Delusions of worthlessness/ guilt/ hypochondriasis/ poverty/ sin/ nihilistic
Hallucination of accusing/ insulting/ threatening = 2nd person
Hallucinations, thought form and delusions present in mania with psychosis?
Mood congruent
Delusions of grandeur/ speciality ability/ persecution/ religiosity
Hallucinations; 2nd person and auditory
Flight of ideas
Describe delirium
Clouding of consciousness Disorientation in TPP Fluctuation with worseness at night Impaired concentration/ memory Visual hallucinations/ illusions +/- threatening auditory hallucinations Persecutory delusions Psychomotor disturbance; agitation OR retardation Irritability Insomnia
Describe the psychosis in schizophrenia
Formal thought disorder Self-referential delusions Grandiose delusions Persecutory delusions Passivity phenomena 3rd person auditory hallucinations Normal consciousness, no fluctuation
Describe the psychosis in substance misuse
Self-referential delusions Grandiose delusions Persecutory delusions Passivity phenomena 2nd and 3rd person auditory hallucinations Visual hallucinations Fluctuant and variable
Describe the psychosis in mania
Formal thought disorder Self-referential delusions Grandiose delusions PErsecutory delusions 2nd person auditory hallucinations No visual hallucinations No fluctuation No impaired conscious level
Describe the psychosis in depression
Poverty of thought
Persecutory delusions
2nd person auditory hallucinations
Describe the psychois in delirium/ dementia
Formal thought disorder Sometimes poverty of thought Self-referential, grandiose, persecutory delusions Passivity phenomenon 2nd and 3rd person auditory hallucinations Visual hallucinations Fluctuant and variable Impaired conscious level
