schizophrenia +delusions Flashcards
what is psychosis
experiencing things differently to those around them
psychotic features
hallucinations // delusions // thought disorganisation
common thought disorders in psychosis
alogia // tangentiality // clanging // word salad
assoc sympoms psychosis
agitation or aggresion // neurcognitive (attention, memory, functioning // depression // SH
how long is a brief psychotic disorder
lasts <1 month
common causes psychosis
schizophrenia most common // depression // Bipolar // puerpal // parkinsons, huntington // drugs
prescribed drugs that causes psychosis
steroids
illicit drugs that cause psychosis
cannabis, phencyclidine
what is schizoaffective disorder
bipolar + psychosis present together
strongest RF developing schizophrenia
FH
other RF schizophrenia
black, migration, urban area, cannabis
poor prognosis schizophrenia (5)
FH, slow onset, low IQ, prodromal social withdraw, lack of obvious trigger, disorganised subtype
what are first rank schizophrenia symptoms
auditory halluconations // thought disorders // passivity phenomena /. delusional perception
non-first rank symptoms shizophrenia
impaired insight // decreased speech // neologisms // catatonia // blunted or incongruent affect (laugh inappropriately)
negative symptoms shcizophrenia
blunt affect // depression // lack of pleasure + motivation // lack of speech // withdrawn
examples thought disoirders schizophrenia
thought insertion (has been implanted) // withdrawal (taken away from them) // broadcasting (people can hear thought)
passivity phenomena
body controlled by external force
what is delusional perception
normal stimuli mean intense delusion - phone rang 5 times i will die
most common shizophrenic subtype
paranoid (people out to get them)
what is Disorganised/ hebephrenic schizophrenia
disorganised thought and behaviour, pranks, giggling, fast onset + short lasting
what is catatonic schizophrenia
increased tone, mute, resist physical attempt at you moving them but will move on command
mx schizophrenia
1 = oral atypicals + CBT
mx treatment resistent schizophrenia
one atypical 6 weeks –> 1 typical 6 weeks –> clozapine
what is circumstantiality thought disorder
cannot answer without giving excessive detail - does return and answer
what is tangentiality thought disorder
wandering from topic without returning to it
what is neoloogisms thought disorder
new word formations - combing two words
what is word salad thought disorder
completely incoherent - real words are strung together in nonsense
what is knights move thought disorder
severe loosening of associations - no pattern between idea
where is knights move seen
schizphrenia
what is flight of ideas thought disorder
leap from topic to topic with links
where is flight of ideas seen
mania
what is preservation thought disorder
cannot change topic - will repeat ideas
what is echolalia thought disorder
repeating speech
what is cotard delusion
patient believes they are dead/ non-existent
symptoms cotard delusion
stop eating and drinking
assoc cotard delusion
severe depresison
what is declambault’s delusion (erotomania)
paranoid delusion that someone is in love with them (single women who has famous bf) // no other psychotic symptoms
what is othello delusion
extreme jealousy - partner is cheating on them –> invade privacy, do weird things
what is delusional parasitosis
believe they are infested with bugs
