Psychotic Disorders Flashcards
what is the definition of psychosis?
gross impairments in ability to assess reality and behave coherently
in order to have a psychotic disorder, you need to have at least one of the following six symptoms…
1) hallucinations
2) delusions
3) disorganized speech
4) disorganized behavior
5) disorganized motor behavior
6) negative symptoms
what is the criteria for diagnosing schizophrenia?
2+ of these:
1) delusions
2) hallucinations
3) disorganized speech
4) grossly disorganized or catatonic behavior
5) negative symptoms
PLUS: postmorbid decline in occupation, social life, self-care
AT LEAST 6 MONTHS!
affective blunting and social withdrawal are examples of what?
negative symptoms
hallucinations and delusions are examples of what?
positive symptoms
is schizophrenia treatable? what about in non-compliant patients?
YES-the most treatable!
you can give a time-released IM injection every 3 month to non-compliant patients
your patient presents with hallucinations, flat affect, and increasingly incoherent speech over the past 3 months. what is the diagnosis?
schizophreniform disorder!
1 month to 6 months
your patient present with disorganized speech, delusions, and rigidity over the past two weeks. what is the DX?
brief psychotic disorder
1 day to 1 month
what is the baseline for schizoaffective disorder? how do we characterize this disorder?
baseline = psychosis!
you get inter-episodic mood symptoms (depression, mania, hypomania, mixed states)
need at least 2 week period with absence of mood symptoms and just pure psychotic symptoms
what are the two subtypes of schizoaffective disorder?
bipolar subtype
depressive subtype
your patient is convinced that he is being prosecuted by the federal government for financial reasoning, and begins to think that they are following him. what does he have?
delusional disorder
is functioning impaired with delusional disorder?
not really
these people are not overly bizarre and their thought process is generally organized
