Week 13 - Psychotic Disorders Flashcards

1
Q

Individual experiences distortion of or loss of contact with reality without clouding of consciousness

A

Psychosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Positive psychotic symptoms

A
  • Delusions
  • Hallucinations
  • Thought disorder
  • Thought alienation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  • False, unshakeable belief
  • Out of keeping with prevailing cultural or religious beliefs
  • Maintained despite evidence to the contrary
A

Delusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What type of delusion is this:

- Belief that one is being harasses, persecuted or cheated

A

Persecutory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What type of delusion is this:

  • Exaggerated conception of one’s power, status or identity
  • More commonly seen with illnesses like manic phase of bipolar disorder
A

Gandiose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  • Perceptions that occur in the absence of a sensory stimulus:
    >auditory
    >visual
    >olfactory, gustatory, tactile
A

Hallucination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Misinterpretations of existing sensory stimuli

A

Illusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Risk factors for psychosis

A
  • Genes
  • Advanced paternal age
  • Developmental delays
  • Abuse
  • Low SES
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  1. Two or more of the following present for a significant proportion of time during a one month period
    - Delusions
    - Hallucinations
    - Disorganised speech
    - Grossly disorganised or catatonic behaviour
    - Negative symptoms
  2. Significant decline in functioning
  3. Persistent
  4. Not major depressive disorder with psychotic features
  5. Not due to drugs or medical condition
A

Schizophrenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Is schizophrenia onset gradual or sudden?

A

Can be both

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Most common age for schizophrenia

A

early adulthood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Is this bipolar I or II?:
at least one manic episode and typically is characterised by occasional but sometimes frequent manic episodes and depressive episodes

A

Bipolar I

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Is this bipolar I or II?:

- hypomanic episodes that do not meet criteria for manic episodes plus major depression

A

Bipolar II

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
  • Distinct period of abnormally and persistently elevated, expansive or irritable mood, LASTING FOR AT LEAST 4 DAYS
A

Hypomania

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the difference between mania and hypomania?

A

Duration:

  • Mania = at least one week
  • Hypomania = at least 4 days
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  • Use of a psychotomimetic substance

- Followed by an episode of psychosis that exceeds the period of intoxication

A

Drug induced psychotic disorder

17
Q
  • Has features of both psychosis and mood disturbance
A

Schizoaffective disorder

18
Q

Three pillars of managing psychosis

A
  • Mental and physical health care
  • Disability support
  • Suitable accommodation
19
Q

Mental health care involves

A
  • Minimise the duration of untreated psychosis
  • Address risk
  • Involve families
  • Psychoeducation
  • Medication
20
Q

Major challenge in psychosis care

A

Non-adherence

- Need to engage family; avoid antipsychotics with side effects; offer Long Acting Injectable antipsychotic medications

21
Q

Therapies for psychosis

A
  • CBT
  • Social cognition and interaction training
  • Cognitive remediation
  • Motivational interviewing for substance use
22
Q

Social interventions for psychosis

A
  • Housing and accomodation
  • Education
  • Encourage interests
  • Socialisation
  • Vocational support