Psychotic Disorders (Module 9)

Question 1

Criteria for Delusional Disorder

Answer 1

One or more delusions for one month or more
function and behavior not markedly affected

Question 2

Brief psychotic disorder

Answer 2

Sudden onset
Lasts at least one day

Question 3

Schizophreniform disorder (duration)

Answer 3

1-6 months - longer than brief psychotic disorder but shorter than schizophrenia

Question 4

Schizoaffective disorder

Answer 4

Meets criteria for Schizophrenia and includes major mood episode (manic or depressive)

Question 5

Schizophrenia criteria

Answer 5

2+ in a one-month period - Must include one of the first 3 (HalDelDisDaN)
1. Hallucinations
2. Delusions
3. Disorganized speech
4. Disorganized Behavior (including catatonic)
5. Negative symptoms
6. Affects level of functioning

Question 6

Differential diagnoses of schiophrenia

Answer 6

OCD, bipolar disorder, substance induced psychotic disorder, schizoid/schizotypal psychotic disorder

Question 7

Nonpharmacologic interventions for psychotic disorders

Answer 7

CBT, social skills training, group therapy, family oriented therapy, art therapy, cognitive remediation

Question 8

Important lab values for people taking SGA

Answer 8

BMI, triglycerides, BP, fasting plasma glucose, fasting lipids, CBC

Question 9

Dopamine pathways

Answer 9

mesocortical
mesolimbic
tuberoinfundibular
nigrostriatal

Question 10

Mesocortical

Answer 10

supplies dopamine to frontal cortex:
NEGATIVE symptoms

Question 11

Mesolimbic

Answer 11

supplies dopamine to reward pathway:
POSITIVE symptoms

Question 12

Tuberoinfundibular

Answer 12

Prolactin pathway

Question 13

Nigrostriatal

Answer 13

Motor movement: Blocking dopamine causes abnormal movements

Question 14

AIMs Scale
when to perform

Answer 14

Abnormal Involuntary Movement Scale
Before treatment with any antipsychotic and then every three months