Psychosis Flashcards
(25 cards)
Short-lived illnesses similar to paranoid schizophrenia are associated with cocaine, amfetamines and cannabis. True or false?
True
drug-induced psychosis
What are Schneider’s first rank symptoms for schizophrenia? (three threes and two randoms)
THOUGHT ALIENATION
- thought insertion
- thought broadcast
- thought broadcast
PASSIVITY PHENOMENA
- made acts
- made impulses
- made emotions
AUDITORY HALLUCINATIONS
- third person
- running commentary
- thought ECHO
SOMATIC PASSIVITY
DELUSIONAL PERCEPTIONS
What are the three features of auditory hallucinations in the first rank symptoms of schizophrenia?
third person
running commentary
thought echo
Name 6 possible negative symptoms of schizophrenia.
blunted / incongruent affect anhedonia low motivation poverty of speech self-neglect social withdrawal
What is the STRONGEST risk factor for schizophrenia?
family history
Family history is a very strong risk factor for schizophrenia. What are some others?
cannabis use social isolation urban environment migration Black Afro-Caribbean abnormal early development / family interactions premature birth / LBW
What is the biological management of schizophrenia?
- atypical antipsychotic
- another atypical antipsychotic
- clozapine
- ECT
all patients should be offered CBT
What is the main side effect of ATYPICAL anti-psychotics?
weight gain.
Why are people with schizophrenia more at risk of heart disease, respiratory disease, cancer and T2DM?
It may be something to do with eating badly, getting less exercise and smoking more than other people. It may be made worse by some of the medications that are prescribed for psychosis.
Vivid visual hallucinations, such as insects climbing the walls, makes you think of….
Delirium Tremens
What is the medical name for delusional jealousy?
Othello syndrome
Sudden onset psychosis after taking course of steroids. What should you consider?
steroid-induced psychosis
What happens if patients stop benzos too quickly?
benzodiazepine withdrawal
perspiration, anxiety, irritability, insomnia
Do the negative symptoms of schizophrenia respond well to medications?
no
positive do
Auditory/visual hallucinations and delusions (persecutory and/or grandiose). No thought disorder or flattened affect.
…What kind of schizophrenia does this describe?
paranoid schizophrenia
What kind of delusions are common in PARANOID schizophrenia?
persecutory
grandiose
Which kind of schizophrenia is characterised by thought diosrder and flat affect?
hebephrenia (a.k.a ‘disorganised type’)
What is hebephrenia (disorganised type schizophrenia) characterised by?
thought disorder
flat affect
Agitated purposeless movement with waxy flexibility, echolalia and echopraxia. What kind of schizophrenia could this be?
Catatonic schizophrenia
Insidious and progressive negative symptoms with no history of psychotic symptoms. What kind of schizophrenia is this?
simple
Chronic negative symptoms. What kind of schizophrenia?
residual
What is residual schizophrenia?
chronic negative symptoms
What is simple schizophrenia?
inisidious and progressive negative symptoms with no history of psychotic symptoms.
Name some other causes of psychosis apart from schizophrenia
persistent delusional disorder schizoaffective disorder acute and transient psychosis drug-induced psyhcosis organic psychosis puerperal psychosis
