Psychotic Disorders Flashcards

1
Q

What is psychosis?

A

When an individual experiences a different reality to someone else. The person will not realise they are having a psychotic episode.

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2
Q

What is a hallucination?

A

Perception of an stimulus in the absence of external stimuli. Can be in any of the 5 senses but is most commonly in the form of second or third person auditory hallucinations

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3
Q

What is a delusion?

A

Fixed, firmly held belief that is usually false that cannot be reasoned away and is held despite evidence to the contrary. It is out of keeping with a person’s sociocultural norms.

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4
Q

What is a persecutory delusion?

A

Thought that they are at risk of harm, being threatened, cheated or harrassed

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5
Q

What is a grandiose delusion?

A

Idea that the person is exceptionally powerful, talented or important

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6
Q

What is a delusion of reference?

A

A delusion involving certain objects, people or events having great significance

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7
Q

What is a delusion of love (erotomania)?

A

Delusion that someone of high status is in love with them

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8
Q

What is a delusion of misidentification? (Capgras syndrome and Fregoli syndrome)

A

Capgras syndrome is when a person believes a familiar person has been replaced with an exact double
Fregoli syndrome is when a person believes a stranger is a familiar person

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9
Q

What is thought insertion?

A

The delusion that your thoughts are being implanted in your brain from someone else

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10
Q

What is thought withdrawal?

A

Thoughts are being extracted from one’s head

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11
Q

What is thought broadcasting?

A

Thoughts are being projected into other people’s mind usually without the person’s consent

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12
Q

What is a formal thought disorder?

A

A problem with speech so each sentence doesnt follow on from the next.

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13
Q

What is circumstantial speech?

A

Speech is delayed but does reach a conclusion

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14
Q

What is tangential speech?

A

Speaker never returns to original point

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15
Q

What are neologisms?

A

Use of new words created by the patient

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16
Q

What is thought blocking?

A

Sudden stop to the patient’s flow of speech

17
Q

What is thought preservation?

A

Repetition of a word or a phrase

18
Q

Describe a disorder of the self

A

The individual cannot distinguish between themselves and the world

19
Q

What is schizophrenia?

A

Psychosis disorder which usually presents in young adults and affects their personality over time

20
Q

What are the 1st rank symptoms of schizophrenia?

A

Auditory hallucinations (2nd/3rd person auditory)
Thought disorder
Passivity phenomena (bodily sensations controlled by others)
Delusional perceptions

21
Q

Give examples of negative schizophrenia symptoms?

A
Loss of emotion 
Apathy 
Poverty of thought 
Social isolation 
Poor self care
22
Q

Give examples of positive schizophrenia symptoms?

A

Delusions
Hallucinations
Thought disorders

23
Q

How long must symptoms be present for a diagnosis of schizophrenia to be made?

24
Q

What is paranoid schizophrenia?

A

Presents with persecutory, systematised delusions and auditory hallucinations. It is the most common form of schizophrenia.

25
What is disorganised schizophrenia?
Thought disorder, odd behaviour, fleeting, bizarre delusions and labile or inappropriate mood. It normally has an early onset and a poor prognosis
26
What factors indicate a poor prognosis in schizophrenia?
``` Family history Gradual onset Low IQ Premorbid history of social withdrawal Lack of obvious precipitant ```
27
How is schizophrenia managed?
Antipsychotic drugs Benzodiazepines to sedate Education of patient and family Assessment of needs and risks
28
Give 4 risk factors for schizophrenia
``` Family history Obstetric complications Advancing paternal age Life stressors Poverty Urban upbringing ```
29
What is schizoaffective disorder?
Episode of low mood and schizophrenia at the same time.