Psychotic Disorders

Question 1

Psychosis (Definition)

Answer 1

A Break from reality involving:

• Delusions
• Perceptual Disturbances
• Disordered Thinking

Question 2

Examples of Psychosis Disorders

Answer 2

Schizophrenia and substance-induced psychosis

Question 3

Disordered thought (types)

Answer 3

Disorders of thought content and thought process

Question 4

Disorders of thought content

Answer 4

Reflect the patiet’s beliefs, ideas, and interpretations of his or her surroundings.

Question 5

Disorders of thought process

Answer 5

Reflect the manner in which the patient links ideas and words together

Question 6

Disorders of thought content, examples

Answer 6

PAranoid delusions, ideas of reference, and loss of ego boundaries

Question 7

Disorders of thought process, examples

Answer 7

Tangentiality, circumstantiality, loosening of associations, thought blocking, perseveration

Question 8

Delusions

Answer 8

Fixed, false beliefs that cannot be altered by rational arguments and cannot be accounted for by the cultural background of the individual.

Question 9

Paranoid delusion

Answer 9

Irrational belief that one is being persecuted

“The CIA is after me and taps my phone”

Question 10

Ideas of reference

Answer 10

Belief that some event is uniquely related to the individual.
“Jesus is speaking to me through TV characters”

Question 11

Thought broadcasting

Answer 11

Belief that one’s thoughts can be heard by others

Question 12

Delusions of grandeur

Answer 12

belief that one has special powers beyond those of a normal person.
“I am the all-powerful son of God and I shall bring down my wrath on you if I cannot have a smoke.”

Question 13

Delusions of guilt

Answer 13

False belief that one is guilty or responsible for something.
“I caused the flood in Mozambique”

Question 14

Hallucination

Answer 14

Sensory perception without an actual external stimulus

Question 15

Auditory hallucination

Answer 15

Most commonly exhibited by schizophrenic patients

Question 16

Visual halluciantion

Answer 16

Commonly seen with drug intoxication

Question 17

Olfactory hallucination

Answer 17

Usually an aura associated with epilepsy

Question 18

Tactile hallucination

Answer 18

Usually secondary to drug (cocaine) abuse or alcohol withdrawal

Question 19

Illusion

Answer 19

Misinterpretation of an existing sensory stimulus (such as mistaking a shadow for a cat)

Question 20

Psychosis secondary to General Medical Condition

Answer 20

Medical causes of psychosis include: CNS Disease, Endocrinopathies, Nutritional/Vitamin Deficiency states, Other

Question 21

Loss of ego boundaries

Answer 21

Unawareness of where one’s mind and body end and those of others begin

Question 22

CNS Disease as a medical cause of psychosis

Answer 22

Cerebrovascular disease, multiple sclerosis, neoplasm, Parkinson’s disease, Huntington’s chorea, temporal lobe epilepsy, encephalitis, prion disease

Question 23

Endocrinopathies as a medical cause of psychosis

Answer 23

Addison’s/Cushing’s diease, hyper/hypothyroidism, hyper/hypocalcemia, hypopituitarism

Question 24

Nutritional/Vitamin Deficiency states as a medical cause of psychosis

Answer 24

Deficiency in B12, folate, and niacin

Question 25

Other medical causes of psychosis

Answer 25

Connective tissue disease (SLE, temporal arteritis) and porphyria

Question 26

DSM-IV criteria for psychotic disorder secondary to a general medical condition include:

Answer 26

- Prominent hallucinations or delusions - Symptoms do not occur only during episode of delirium - Evidence to support medical cause from lab data, history, or physical

Question 27

Psychosis secondary to medication or substance use

Answer 27

Due to: antidepressants, antiparkinsonian agents, antihypertensives, antihistamines, anticonvulsants, digitalis, beta blockers, antituberculosis agents, corticosteroids, hallucinogens, amphetamines, opiates, bromid, heavy metal toxicity, and alcohol.

Question 28

Psychosis secondary to medication or substance use. DSM IV Criteria

Answer 28

- Prominent hallucinations or delusions - Symptoms do not occur only during episode of delirium - Evidence to support medication or substance-related cause from lab data, history, or physical - Disturbances is not better accounted for by a psychotic disorder that is not substance-induced.