Clip 8: Thought problems spectrum/psychosis spectrum

Question 1

waar gaat dit vooral over

Answer 1

psychotic like symptoms (hallucinations, delusions, and disorganized thought/speech)

Question 2

met welke gaat thought problems vaak samen

Answer 2

internalising & somatoform

(dus deze mensen hebben vaak ook psychotic like experiences, dit komt vaak voor)

Question 3

welke chapter hoort er bij psychosis spectrum disorders

Answer 3

chapter 2

Question 4

welke syndromes horen bij psychosis spectrum disorder

Answer 4

• delusional disorder
• brief psychotic syndrome
• psychotic syndrome low/medium severity (schizophreniform)
• psychotic syndrome medium/high severity (schizofrenia)
• psychotic syndrome with mood episodes (schizoaffective)

Question 5

psychosis filmpje (+ hoe zou je psychosis in een zin omschrijven????)

Answer 5

allerlei symptomen die ervoor zorgen dat mensen niet meer in contact zijn met de werkelijke realiteit. vaak heel suspicious over andere mensen, en bang omdat mensen je zullen attacken.

• delusions: firmly held beliefs that are not real (thinking people are listening to their thoughts, believing they are a super human, or in touch with a divine voice, denken dat je een engel bent)
• hallucinations: sensory experiences that only exist in the mind, auditory, visual, olfactory (demonic voices)
• disorganized thoughts/speech: make up or use words or phrases that do not make sense

dus savonds laat alleen naar huis fietsen experiences
soms merken mensen het niet, of denken ze dat het positief is. maar voor veel is het distressing en eng.

Question 6

2 psychotic syndromes =

Answer 6

• delusional syndrome
• brief psychotic syndrome

Question 7

exclusion criteria psychotic disorder=

Answer 7

the psychotic disorders in dsm 5 are mutually exclusive, you can only have one diagnosis!

Question 8

delusional syndrome A=

Answer 8

the presence of one or more delusions with a duration of at least 1 month

Question 9

brief psychotic syndrome A=

Answer 9

presence of at least one symptom:

• delusions
• hallucinations
• disorganized speech
• grossly disorganized or catatonic behaviour

Question 10

brief psychotic syndrome B=

Answer 10

duration of an episode of the disturbance is at least 1 day, but less than 1 month, with eventual return to premorbid level of functioning

Question 11

wat is het belangrijke aan delusions

Answer 11

het gaat er niet om als een groep mensen het denkt, maar echt op individueel level

Question 12

criteria A from all ‘schizo-diagnoses’ (ofwel psychotic syndromes)

Answer 12

at least 2 of the following, present for a significant portion of the time during a 1 month period (or less if treatment). at least one must be 1, 2 or 3:

1. delusions
2. hallucinations
3. disorganized speech
4. grossly disorganized or catatonic behaviour
5. negative symptoms

Question 13

dus wat is het verschil tussen brief psychotic syndrome en psychotic syndromes

Answer 13

bij brief heb je geen negatieve symptomen

Question 14

schizofreniform B=

Answer 14

at least 1 month, less than 6 months

Question 15

schizofrenia B=

Answer 15

for a significant portion of the time since onset, level of functioning in one or more major areas is disturbed, below the level prior to the onset.

Question 16

schizofrenia C=

Answer 16

continous signs of the disturbance for at least 6 months

Question 17

what if there is no decreased functioning, but longer than 6 months?

Answer 17

dan waarschijnlijk een psychotic disorder, not otherwise specified or otherwise specified

Question 18

psychotic syndrome with important mood episodes A=

Answer 18

uninterrupted period of illness, during whihc there is a major mood episode (major depressive disorder or manic) concurrent with criterion A of schizofrenia

Question 19

psychotic syndrome with important mood episodes B=

Answer 19

delusions or hallucinations for 2 or more weeks in the absence of a major mood episode (depressive or manic) during the lifetime duration of the illness

Question 20

wat als er geen psychotic symptoms in the absence of a major mood episode zijn

Answer 20

dan dus geen psychotic syndrome…. maar bipolar of mdd (duh)

Question 21

dus waar gaat psychotic syndrome with imporant mood episodes eigenlijk over

Answer 21

concurrent mood episodes vs psychotic symptoms

Question 22

in case of both psychotic + mood symptoms…

Answer 22

there are a number of possibilities:

• psychotic without mood disorder (als ze niet severe genoeg zijn)
• mood disorder with psychotic features
• schizoaffective

Question 23

psychotic syndrome with important mood episodes C=

Answer 23

symptoms that meet criteria for a major mood episode are present for the majority of the total duration of the active and residual portions of the illness