Schizophreniaamd Psychosis

Question 1

Schneiders first rank symptoms

Answer 1

ADPT
Auditory hallucinations- multiple voices commenting on patient and thought echo

Delusional perceptions

Passivity - do not feel in control of thoughts actions and perceptions

Thought disorder- thought insertion, withdrawal, blocking or broadcast

Question 2

Diagnostic criteria for schizophrenia

Answer 2

First rank symptoms lasting more than a month

Or two of:

Persistent hallucination
Catatonia
Negative symptoms
Breaks in train of thought

Question 3

Which teams are involved in managment of psychotic patient

Answer 3

First episode- early intervention in psychosis team

Chronic psychotic illness- local CMHT

Early stage of relapse: crisis resolution and home treatment team

Question 4

Treatment of schizophrenia

Answer 4

1- atypical anti psychotic (olanzapine)

2- check compliance and use of illicit drugs. Try a different atypical anti psychotic

3- clozapine

Question 5

Poor prognostic indicators for schizophrenia

Answer 5

Strong family history
Gradual onset
Proteome of social withdrawal
Low IQ