Psychosis and Psychotic Disorder Flashcards

1
Q

What is broadly defined as a loss of contact with reality?

A

Psychosis

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2
Q

what are some of the variety of signs and sx of psychosis

A

delusions
hallucinations
thought disorganization
agitation and aggression

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3
Q

what is a “thought disorder”

A

psychosis

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4
Q

what are delusions

A

strongly held false beliefs

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5
Q

what are the categorizations of delusions

A

bizarre or non bizarre

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6
Q

a common false belief among people with delusions where someone may believe that one is being followed or harassed by an outside entity

A

persecutory delusions

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7
Q

what is a grandiose delusion

A

e.g. belief that one is a billionaire

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8
Q

what is an erotomatic delusion

A

e.g. belief that a famous person is in love with them

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9
Q

what is a somatic delusions

A

e.g. believing that ones sinuses have been infested with worms

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10
Q

what is a delusion of reference

A

believing a dialog on TV is directed towards you

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11
Q

what is a delusion of control

A

believing someone is controlling ones thoughts and movements (a powerful outside force)

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12
Q

what is a wakeful sensory experience of content that is not actually present

A

hallucinations

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13
Q

which sensory modalities can a hallucination occur with

A

all five

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14
Q

How would you tell if someone has thought disorganization psychosis

A

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)

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15
Q

Treatment for psychosis

A

Rule out all other causes (psychiatric illness, substance abuse, medical conditions)

Haloperidol (Haldol) and refer

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16
Q

what are some “atypical antipsychotics” or 2nd gen

A

aripiprazole, risperidone, quetiapine, olanzapine

17
Q

What are some of the side effects of antipsychotics?

A

extrapyramidal side effects:
Akathisia
Parkinsonian sx
Dystonia

Tardive Dyskinesia:
involuntary movement, sucking or smacking of lips, facial grimacing