5: Psychosis: Schizophrenia, schizoaffective disorders and differentials Flashcards Preview

Psychiatry Week 2 2018/19 > 5: Psychosis: Schizophrenia, schizoaffective disorders and differentials > Flashcards

Flashcards in 5: Psychosis: Schizophrenia, schizoaffective disorders and differentials Deck (47)
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1

What is psychosis?

Impaired relationship with reality

2

What are four features of psychosis?

Delusions

Hallucinations

Disordered thinking

Passivity

3

Is psychosis a disease?

No

Symptom

4

In psychosis, our thoughts (match / differ from) reality.

thoughts do not match reality

5

What is a delusion?

Irrational, deeply held belief about yourself or others

6

What are some examples of delusions?

Thought insertion - your thoughts are not your own, they're someone else's

Thought withdrawal - someone else is removing thoughts from your mind

Thought control - someone is controlling your thoughts

Thought broadcasting - other people can tell what you're thinking

Delusions of grandeur - you're someone famous, Jesus etc...

 

7

What is a delusion of reference?

Irrational idea that a person, object or idea is more personally significant than it actually is

8

Do patients with psychosis know that they are ill?

What is this sign called?

No

Lack of insight

9

What is thought disorder?

A feature of psychosis which include:

difficulty ordering thoughts, words or phrases

poverty of speech i.e not being able to muster anything to say

irrelevancies, tangents

illogical ideas

repetition of particular words or phrases

10

What is a hallucination?

Perception which occurs in the absence of an external stimulus

11

What are some forms that hallucinations can take?

Visual

Auditory

Olfactory

Gustatory (taste)

Tactile (touch)

12

Delusions that your thoughts, actions or perceptions are being controlled by someone else are also known as delusions of ___.

passivity

13

What type of delusion involves attachment of personal significance to events by a patient?

Ideas of reference

14

Patients may have ___ beliefs about hallucinations they have experienced.

delusional beliefs

e.g "my visions are being transmitted to me by the Mafia" - thought insertion delusion ABOUT a hallucination the patient has experienced

15

The content of delusions is often related to the ___ beliefs of the patient.

cultural beliefs

religious, popular culture, current events etc.

16

What is a neologism?

What symptom of psychosis is it an example of?

Newly invented word or phrase

Thought disorder

17

What is tangentiality?

Tendency to go off on unrelated strings of thought instead of holding to the same subject

18

What is Knight's move thinking?

Tendency to jump from one subject to an unrelated one

compared to a knight jumping around a chessboard

19

What is word salad?

Strings of seemingly unrelated words or phrases

20

Give some examples of thought disorder.

Neologisms - new words or phrases

Word salad

Tangentiality

Knight's move thinking

Clanging and punning - relating words by sound rather than meaning

21

Delusions that another party is controlling your thoughts, behaviour or perceptions are known as ___ delusions.

passivity delusions

22

To confirm that a patient's beliefs are psychotic, you need to challenge them with logic and reason.

What can you lose by doing this?

Patient relationship, rapport

so you need to be careful

23

Apart from schizophrenia, what other conditions may cause psychotic symptoms?

Acute: delirium, dementia, stroke

Substance use: intoxication, withdrawal, delirium tremens

Mood disorders: dementia, bipolar, schizoaffective disorder

24

Auditory delusions of schizophrenia often refer to the patient from which point of view?

Third person

(He/she/they are x, y, z)

It's like you're being talked about by other people

25

Auditory delusions of depressive disorders often refer to the patient from which point of view?

2nd person

(You)

Self-criticism

26

Patients with acute psychotic symptoms caused by an underlying substance abuse problem, delirium or head injury will not have schizophrenia or schizoaffective disorder.

True or false?

False

May be underlying

27

Name two examples of schizoaffective disorders.

Depressive psychosis

Mania with psychosis

28

What types of delusions and hallucinations do patients with depressive psychosis experience?

Delusions of guilt, worthlessness, poverty - downer delusions

2nd person auditory delusions - hearing putdowns, criticisms etc.

29

What type of

a) delusions

b) hallucinations

c) thought disorders

do patients with manic psychosis experience?

a) Delusions of grandeur, reference, superhuman powers

b) 3rd person auditory delusions e.g God's voice

c) Flight of ideas - tangentiality, clanging and punning, neologisms

30

What acute psychiatric disorder, common in the elderly, can present as psychosis?

Delirium