Psychotic Disorder Flashcards
Does psychosis describe symptoms or a diagnosis?
described symptoms
What symptoms occur in psychosis?
Hallucinations
Delusions
What is a hallucination in the context of psychiatry?
perception without a stimulus
can be any sensory modality
(visual hallucinations are usually organic - brain or eye issue)
When can hallucinations occur in patients not suffering from psychosis?
hypnogogic - going to sleep
hypnopompic - waking up
What is a delusion in the context of psychiatry?
abnormal belief, outside of the cultural norms
(need to consider the strong beliefs held by some cultures/religious groups)
Name 3 potential causes of organic psychosis
delerium caused by infection
delerium tremens
alcohol / drug intoxicartion
hypercalcaemia
post-ictal psychosis
List 3 (first rank) symptoms of schizophrenia
- auditory hallucinations
- passivity experiences
- thought withdrawl, broadcast or insertion
- deusional perceptions
- somatic hallucinations
What types of auditory hallucinations may be experienced by patients with schizophrenia?
Thought Echo
hearing thoughts aloud
Running Commentary
voice talking about them in the third person, providing a commentary of their every move
(e.g. he’s brushing his teeth, he’s sitting down)
What are ‘passivity experiences’ that may be reported by patients suffering form psychosis?
patients feeling that an action or feeling is due to an external force
(e.g. MI5 have been moving my leg)
Whare are the following symptoms that may be reported by patinets with schizophrenia:
Thought Withdrawl
Thought Broadcast
Thought Insertion
Thought Withdrawl
thougths are being taken out of thier mine
Thought Broadcast
thougths are being made known to others e.g. by radio
Thought Insertion
thoughts are being inserted into their mind by others
What is delusional perception in a patient with schizophrenia?
attribution of a new meaning to a normally percepved object
e.g. as the traffic lights are red, I knew aliens were going to be landing soon
What are somatic hallucination?
feelings from inside the body
e.g. feeling that they have a snake in their abdomen
What is the ICD10 criteria for diagnosis of schizophrenia?
At least one of the following
- Thought echo, insertion, withdrawal, broadcast
- Delusions of control, influence or passivity, clearly referred to body/limb movements or specific thoughts actions or sensations, delusional perception
- Hallucinatory voices giving a running commentary on the patient’sbehaviour, or discussing them between themselves, or other typesof hallucinatory voices coming from some part of the body
- Persistent delusions of other kinds that are culturally inappropriateand completely impossible
Do patients with schizophrenia have insight?
Normally LACK Insight
What is the role of the mesolimbic pathway in the brain and is it believed to be overactive or unactive in schizophrenia?
involved in motivation and reward
believed to be OVERACTIVE in schizophrenia