Schizophrenia and Psychosis

Question 1

Describe the 3 different types of auditory hallucinations

Answer 1

• 2nd Person: voices which directly address the patient (e.g. “your are a bad persone”).
• 3rd Person: voices which discuss the patient or provide a running commentary on their actions (e.g. “they are a bad person”).
• Thought Echo: patient experiences his own thoughts spoken or repeated aloud.

Question 2

What could the theme of the delusion likely be in schizophrenia?

Answer 2

Control and persecution

Question 3

Describe the passivity phenomena

Answer 3

Behaviour is experienced as being controlled by an external agency rather than the individual themselves (e.g. the mafia are transmitting thoughts into my head).

Question 4

What are the 3 cardinal features of schizophrenia?

Answer 4

• Thought insertion/withdrawal/broadcasting
• Delusion of external control or manipulation
• 3rd person auditory hallucinations.

Question 5

State 3 of the negative symptoms which may be seen in schizophrenia

Answer 5

• Reduced amount of speech.
• Reduced motivation.
• Reduced social interaction.

Question 6

What are 4 bad prognostic factors for schizophrenia?

Answer 6

• Insidious onset
• Early onset (childhood/adolescence)
• Cognitie impairment
• Enlarged ventricles

Question 7

Which type of antipsychotic is more associated with EPSE?

Answer 7

Typical