schizophrenia +delusions Flashcards

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1
Q

what is psychosis

A

experiencing things differently to those around them

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2
Q

psychotic features

A

hallucinations // delusions // thought disorganisation

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3
Q

common thought disorders in psychosis

A

alogia // tangentiality // clanging // word salad

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4
Q

assoc sympoms psychosis

A

agitation or aggresion // neurcognitive (attention, memory, functioning // depression // SH

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5
Q

how long is a brief psychotic disorder

A

lasts <1 month

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6
Q

common causes psychosis

A

schizophrenia most common // depression // Bipolar // puerpal // parkinsons, huntington // drugs

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7
Q

prescribed drugs that causes psychosis

A

steroids

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8
Q

illicit drugs that cause psychosis

A

cannabis, phencyclidine

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9
Q

what is schizoaffective disorder

A

bipolar + psychosis present together

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10
Q

strongest RF developing schizophrenia

A

FH

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11
Q

other RF schizophrenia

A

black, migration, urban area, cannabis

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12
Q

poor prognosis schizophrenia (5)

A

FH, slow onset, low IQ, prodromal social withdraw, lack of obvious trigger, disorganised subtype

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13
Q

what are first rank schizophrenia symptoms

A

auditory halluconations // thought disorders // passivity phenomena /. delusional perception

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14
Q

non-first rank symptoms shizophrenia

A

impaired insight // decreased speech // neologisms // catatonia // blunted or incongruent affect (laugh inappropriately)

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15
Q

negative symptoms shcizophrenia

A

blunt affect // depression // lack of pleasure + motivation // lack of speech // withdrawn

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16
Q

examples thought disoirders schizophrenia

A

thought insertion (has been implanted) // withdrawal (taken away from them) // broadcasting (people can hear thought)

17
Q

passivity phenomena

A

body controlled by external force

18
Q

what is delusional perception

A

normal stimuli mean intense delusion - phone rang 5 times i will die

19
Q

most common shizophrenic subtype

A

paranoid (people out to get them)

20
Q

what is Disorganised/ hebephrenic schizophrenia

A

disorganised thought and behaviour, pranks, giggling, fast onset + short lasting

21
Q

what is catatonic schizophrenia

A

increased tone, mute, resist physical attempt at you moving them but will move on command

22
Q

mx schizophrenia

A

1 = oral atypicals + CBT

23
Q

mx treatment resistent schizophrenia

A

one atypical 6 weeks –> 1 typical 6 weeks –> clozapine

24
Q

what is circumstantiality thought disorder

A

cannot answer without giving excessive detail - does return and answer

25
Q

what is tangentiality thought disorder

A

wandering from topic without returning to it

26
Q

what is neoloogisms thought disorder

A

new word formations - combing two words

27
Q

what is word salad thought disorder

A

completely incoherent - real words are strung together in nonsense

28
Q

what is knights move thought disorder

A

severe loosening of associations - no pattern between idea

29
Q

where is knights move seen

A

schizphrenia

30
Q

what is flight of ideas thought disorder

A

leap from topic to topic with links

31
Q

where is flight of ideas seen

A

mania

32
Q

what is preservation thought disorder

A

cannot change topic - will repeat ideas

33
Q

what is echolalia thought disorder

A

repeating speech

34
Q

what is cotard delusion

A

patient believes they are dead/ non-existent

35
Q

symptoms cotard delusion

A

stop eating and drinking

36
Q

assoc cotard delusion

A

severe depresison

37
Q

what is declambault’s delusion (erotomania)

A

paranoid delusion that someone is in love with them (single women who has famous bf) // no other psychotic symptoms

38
Q

what is othello delusion

A

extreme jealousy - partner is cheating on them –> invade privacy, do weird things

39
Q

what is delusional parasitosis

A

believe they are infested with bugs