2.9, 2.10 Psychosis, schizophrenia and management Flashcards Preview

Psychiatry- Carol > 2.9, 2.10 Psychosis, schizophrenia and management > Flashcards

Flashcards in 2.9, 2.10 Psychosis, schizophrenia and management Deck (13):
1

What elements of the mental state examination may be disturbed in schizophrenia?

1. Appearance
2. Behaviour **
3. Speech
4. Mood **
5. Affect **
6. Thoughts ** (CONTENT, FORM, FLOW)
7. Perceptions **
8. Cognition
9. Insight
(Risk assessment)

2

What are the positive symptoms of schizophrenia?

Delusions
Hallucinations
Thought disorder

3

What are the negative symptoms of schizophrenia?

Apathy
Lack of volition
Social withdrawal
Cognitive impairment

4

How long must symptoms persist for a diagnosis of schizophrenia in the ICD-10?

At least 1 month

5

What are Schneider's first rank symptoms?

1. Auditory hallucinations
-Thoughts spoken out loud
-Running commentary
-Third person voices

2. Delusional perception
-a delusional belief arising from normal perception

3. Delusions of control
-made acts
-impulses
-volition
-feelings

4. Delusions of thought interference:
-Thought insertion
-thought withdrawal
-thought broadcasting

Any one of these symptoms lasting for 1 month or more indicates schizophrenia.

6

What is the population lifetime risk of schizophrenia?

1%

7

What is the peak incidence of schizophrenia in men and women?

Men: 15-25
Women: 25-35

8

What is the rate of suicide in schizophrenia?

10-15%

9

What factors are good prognostic indicators for schizophrenia?

-older age at onset
-female gender
-markred mood disturbance esp. elation
-FH of mood disorder

10

What factors are bad prognostic indicators for schizophrenia?

-longer duration of untreated psychosis
-poor pre-morbid adjustment
-insidious onset
-early onset/childhood/adolescence

11

What are 4 main groups of psychotic experiences?

Hallucinations
Delusions
Passivity
Formal thought disorder

12

What is schizoaffective disorder?

Presence of both symptoms of schizophrenia and affective disorder
Episodes may be schizo-manic or schizo-depressed

13

What are the main features of delirium?

A fluctuating state of clouded consciousness, and disorientation in person/place/time
-impaired concentration/memory
-visual/auditory hallucinations/illusions
-persecutory delusions
-psychomotor disturbance
-irritability
-insomnia