Flashcards in Psychosis Deck (69)
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1
Define Psychosis
A loss of contact with reality
2
Define Delusions
Strongly held false beliefs that are not part of the patient's cultural or religious backgrounds
3
Types of Delusions
Persecutory
Grandiose
Erotomanic
Somatic
Delusions of reference
Delusions of control
4
Define Hallucinations
Wakeful experiences of content that is not actually present
Auditory most common
5
Thought Disorganization
Alogia/poverty of content
Thought blocking
Loosening of association
Tangentiality
Clanging or clang association: rhyming words
Word salad: words linked incoherently
Perseravation: repeating words phrases no matter the topic
6
Differential Diagnosis of Psychotic Disorders
Schizophrenia
Bipolar disorder + psychotic features
Major depression + psychotic features
Schizoaffective disorder
Schizophreniform disorder
Brief psychotic disorder
Substance induced psychotic disorder
Delusional disorder
Psychosis secondary to medical condition
7
Define Schizoaffective Disorder
Affective disorder but have psychotic features at a separate time than the affective disorder
8
Define Schizophreniform Disorder
Schizophrenia that doesn't quite meet the criteria for Schizophrenia
9
Labs for Psychosis Work-up
CBC
CMP
RPR/VDRL
TSH
HIV
UA
Urine drug screen
10
What is the peak age of schizophrenia?
Men: 12-25
Women: 25-35
11
Items that make schizophrenia difficult to deal with
Highly disabling
Persists throughout patient's life
Poor care & social ostracism
Only 1/2 obtain treatment
12
DSM-5 Criteria: 2 of the following characteristics during a 1 month period
Delusions
Hallucinations
Disorganized speech
Grossly disorganized or catatonic behavior
Negative symptoms
Social or occupational dysfunction
Continuous signs of disturbance persisting for at least 6 months within 1 month of "active-phase" symptoms
13
Positive Symptoms of Schizophrenia
Delusions
Hallucinations
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Negative Symptoms of Schizophrenia
Affective flattening
Poverty of speech (Alogia)
Blocking
Poor grooming
Lack of motivation
Anhedonia
Social withdrawal
15
Which types of symptoms have better responses to treatment?
Positive symptoms
16
Subtypes of Schizophrenia
Paranoid type
Disorganized type
Catatonic type
17
Define Paranoid Schizophrenia
Preoccupation with one or more delusions or frequent auditory hallucinations
No disorganized speech, disorganized or catatonic behavior, or flat or inappropriate affect
18
Characteristics of Disorganized Schizophrenia
Disorganized speech
Disorganized behavior
Flat or inappropriate affect
19
Characteristics of Catatonic Schizophrenia
Motoric immobility
Excessive purposeless motor activity
Extreme negativism or mutism
Peculiarities of voluntary movement
Echolalia or echopraxia
20
Define Echolalia & Echopraxia
Mimic your movements or your speech
21
Four Components of Delusions
False belief
Based on incorrect inference about external reality
Not consistent with patient's intelligence & cultural background
Cannot be corrected by reasoning
22
Name this type of Delusion: "I can't believe that they've now sabotaged my car! Last week they stole my mail and I know they are following me overtime I leave the house"
Delusion of Persecution
23
Name this type of Delusion: "God has chosen me to be the world's representative at the universal meeting at Mars next month"
Delusion of Grandeur
24
Name this type of delusion: "Invaders from space have infiltrated my testicles so I wouldn't be allowed to father any children."
Bizarre Delusion
25
Name this type of delusion: "It doesn't matter anyway with how my thoughts are controlled by the government."
Delusion of Control
26
Name this type of delusion: "The DJ is really giving me instructions on what to do. He just disguises it so no one will pick up on it."
Delusion of Reference
27
Different Thought Form & Process's
Flight of ideas
Thought blocking
Incoherence
Poverty of content
Poor abstraction abilities
Verbigeration
Tangentiality
Circumstantiality
Loose associations
Derailment
Neologisms
28
Parts of a Mental Status Examination
General description
Mood, feelings, affect
Perception
Thought: content, form & process
Sensorium & cognition: oriented x3, memory intact, poor insight
Impulsiveness
29
Neurotransmitters Associated with Schizophrenia
Dopamine
Glutamate
Gamma-amino-butyric-acid (GABA)
Acetylcholine
Serotonin
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