Psychotic disorders

Question 1

Drug induced psychosis

Answer 1

symptoms tend to be short acting if access to the psychoactive substance is removed
Beware of the comorbidity of substance misuse in schizophrenia and bipolar affective disorder- therefore, psychotic symptoms in the context of substance misuse doesn’t always mean drug induced psychosis

Question 2

Depressive psychosis

Answer 2

Mood congruent context of psychotic symptoms
delusions of worthlessness, guilt etc
hallucinations of accusing/insulting, threatening voices usually 2nd person

Question 3

Delirium

Answer 3

Acute transient disturbance - infection, surgical patients, alcohol/drug withdrawal, cloudiness of consciousness, impaired conc/memory
Visual hallucinations/illusions +/- auditory hallucinations persecutory delusions, psychomotor disturbance, irritability, insomnia

Question 4

Mania with psychosis

Answer 4

Delusions of grander/ special ability/ religiosity
Hallucinations- auditory eg Gods voice
Flight of ideas