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blunt affect // depression // lack of pleasure + motivation // lack of speech // withdrawn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
