Psychosis and Psychotic Disorder Flashcards
What is broadly defined as a loss of contact with reality?
Psychosis
what are some of the variety of signs and sx of psychosis
delusions
hallucinations
thought disorganization
agitation and aggression
what is a “thought disorder”
psychosis
what are delusions
strongly held false beliefs
what are the categorizations of delusions
bizarre or non bizarre
a common false belief among people with delusions where someone may believe that one is being followed or harassed by an outside entity
persecutory delusions
what is a grandiose delusion
e.g. belief that one is a billionaire
what is an erotomatic delusion
e.g. belief that a famous person is in love with them
what is a somatic delusions
e.g. believing that ones sinuses have been infested with worms
what is a delusion of reference
believing a dialog on TV is directed towards you
what is a delusion of control
believing someone is controlling ones thoughts and movements (a powerful outside force)
what is a wakeful sensory experience of content that is not actually present
hallucinations
which sensory modalities can a hallucination occur with
all five
How would you tell if someone has thought disorganization psychosis
speech patterns
-alogia/poverty of content
-thought blocking
-loosening of association
-tangentiality
-clanging or clang association (rhyming words)
-word salad
-perseveration (repeating words or ideas)
Treatment for psychosis
Rule out all other causes (psychiatric illness, substance abuse, medical conditions)
Haloperidol (Haldol) and refer
what are some “atypical antipsychotics” or 2nd gen
aripiprazole, risperidone, quetiapine, olanzapine
What are some of the side effects of antipsychotics?
extrapyramidal side effects:
Akathisia
Parkinsonian sx
Dystonia
Tardive Dyskinesia:
involuntary movement, sucking or smacking of lips, facial grimacing
