What is psychosis?
Impaired relationship with reality
What are four features of psychosis?
Is psychosis a disease?
In psychosis, our thoughts (match / differ from) reality.
thoughts do not match reality
What is a delusion?
Irrational, deeply held belief about yourself or others
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...
What is a delusion of reference?
Irrational idea that a person, object or idea is more personally significant than it actually is
Do patients with psychosis know that they are ill?
What is this sign called?
Lack of insight
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
repetition of particular words or phrases
What is a hallucination?
Perception which occurs in the absence of an external stimulus
What are some forms that hallucinations can take?
Delusions that your thoughts, actions or perceptions are being controlled by someone else are also known as delusions of ___.
What type of delusion involves attachment of personal significance to events by a patient?
Ideas of reference
Patients may have ___ beliefs about hallucinations they have experienced.
e.g "my visions are being transmitted to me by the Mafia" - thought insertion delusion ABOUT a hallucination the patient has experienced
The content of delusions is often related to the ___ beliefs of the patient.
religious, popular culture, current events etc.
What is a neologism?
What symptom of psychosis is it an example of?
Newly invented word or phrase
What is tangentiality?
Tendency to go off on unrelated strings of thought instead of holding to the same subject
What is Knight's move thinking?
Tendency to jump from one subject to an unrelated one
compared to a knight jumping around a chessboard
What is word salad?
Strings of seemingly unrelated words or phrases
Give some examples of thought disorder.
Neologisms - new words or phrases
Knight's move thinking
Clanging and punning - relating words by sound rather than meaning
Delusions that another party is controlling your thoughts, behaviour or perceptions are known as ___ delusions.
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
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
Auditory delusions of schizophrenia often refer to the patient from which point of view?
(He/she/they are x, y, z)
It's like you're being talked about by other people
Auditory delusions of depressive disorders often refer to the patient from which point of view?
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?
May be underlying
Name two examples of schizoaffective disorders.
Mania with psychosis
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.
What type of
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
What acute psychiatric disorder, common in the elderly, can present as psychosis?