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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

14

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

30

Dopamine in Schizophrenia

Decreased dopamine: cognitive & negative symptoms