Psychosis Flashcards
What is psychosis?
Set of symptoms where contact with reality is lost
What is a key feature of psychosis?
Lack of insight
What are the the symptoms of psychosis?
Hallucinations Delusions Thought interference Passivity symptoms Formal thought disorder
WHat is a hallucination?
Perception of a object/sound in the absence of a stimulus
What are the types of hallucination?
Auditory Visual Olfactory Gustatory Somatic
What are the most common type of hallucination?
Auditory
What type of auditory hallucinations can you get?
2nd person = talk to you
3rd person = talk about you
What are command hallucination?
Hallucinations telling you to do something
What is a key question to ask if they have comman hallucinations?
Do they feel like they have to obey what the voices say
What is thought echo?
Hearing thoughts repeated outloud
What is a pseudohallucination?
See/hear soethign but do not think that it is real
What is a hypnopompic hallucination?
Vivid hallucination while waking up
What is a hypnogogic hallucination?
Vivid hallucination while falling asleep
What is a delusion?
Fixed flase belief that is maintained despite contradictory evidence and is not explained by culture/belief
What are the types of delusion?
Bizarre Non-bizarre Mood congruent Persecutory Grandiose Erotomanic Hypochondriacal Cotard's Capgras Fregoli
What is a bizarre delusion?
Delusion that could not be real
What is a non-bizarre delusion?
Delusion that could be real
What is a mood congruent delusion?
Consistent with manic/depressive state
What is a persecutory delusion?
Someone persecuting you
What is a grandiose delusion?
Feeling of having a special skill/being invincible
What is an erotomanic delsusion?
Someone is in love with you
What is a hypochondriacal delusion?
Belief that you have a disease
What is a Cotard’s delusion?
Belief that you/your body is dead/doesn’t exist
What is a Capgras delusion?
Someone you know has been replaced by an imposter
What is a Fregoli delusion?
Different people are the same person in disguise
What is an overvalued idea?
A belief that does not meet the threshold for a delusion but which a person pursues past the point of reason?
What is an obsession?
A belief that a person knows is irrational
What is a delusion of reference?
Something in the environment that ‘sends you a message’
What is a delusional perception?
A sudden delusional idea formed around a normal perception
What are the types of thought interference?
Insertion
Withdrawal
Broadcasting
*Blocking
What is thought insertion?
Thoughts put into brain
What is thought withdrawal?
Thoughts taken from the mind
What is thought broadcasting?
Thoughts are available to others
What is thought blocking?
A type of formal thought disorder where thoughts stop
What are the passivity symptoms?
Made action
Made affect
Made impulse
What is made action?
Actions controlled externally
What is made affect?
Emotions being controlled externally
What is made impulse?
Urges are being controlled externally
What is formal thought disorder?
Disorganised thoughts which manifest as speech which is hard to follow
What are the types of formal thought disorder?
Knights move thinking Circumstantiality Derailment Thought blocking Word salad Neologisms
What is knights move thinking?
Sequence of unrelated ideas
What is circumstantiality?
Delay in getting to point
What is derailment?
Sequence of unrelated ideas
What is word salad?
Random wards
What are neologisms?
New made up words
What are other symptoms of psychosis?
Delusional mood
Catatonic symptoms
What is delusional mood?
Feeling of something impending
What are catatonic symptoms?
Stupor Excitement Mutism Negativism Posturing Waxy flexibility Stereotyping Echolalia Verbigeration
What are organic causes of psychosis?
Drug intoxication Delirium Dementia Epilepsy Brain injury/tumour Huntington's disease Endocrine disturbances
What are functional causes of psychosis?
Schizophrenia Schizoaffective disorder Drug induces psychosis Acute psychotic episode Depression/mania + psychotic symptoms