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YEAR 3 PSYCH > Psychosis and Schizophrenia > Flashcards

Psychosis and Schizophrenia Flashcards

1
Q

do MSE deck for definitions

A

some also in this deck

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2
Q

what are ideas of reference

A

innocuous or coincidental events will be ascribed significant meaning by the person

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3
Q

what are self referential experiences

A

the belief that external events are related to oneself - can be anything from the feeling that others are laughing at you to self referential delusions/delusion of reference e.g. the tv is transmitting messages to me or i am the second coming of christ

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4
Q

what is a secondary delusion

A

attempt to explain anomalous experience e.g. thought insertion explained by they are being transmitted to me by the mafia

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5
Q

what is poverty of speech

A

not being able to muster anything to say

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6
Q

what is a functional hallucination

A

only occurs in response to a specific que e.g. noise

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7
Q

psychosis is

A

inability to cope with or recognise reality
characterised by lack of insight
commonly see hallucinations, delusions, disorder of thought, ideas of reference

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8
Q

3rd person auditory hallucinations suggest

A

schizophrenia

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9
Q

tactile hallucinations suggest

A

delirium

alcohol withdrawal

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10
Q

what drugs can induce psychosis

A 
amphetamine
levodopa
steroids
antimalarials
anticonvulsants
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11
Q

depressive psychosis or mania with psychosis is typified by _____ _____ content of psychotic symptoms

A

mood congruent

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12
Q

you would most commonly see what delusions in depressive psychosis

A

delusions of worthlessness/guilt/poverty/nihilism/poverty/hypochondriasis

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13
Q

you would most commonly see what hallucinations in depressive psychosis

A

derogatory 2nd person hallucinations - accusing/insulting/threatening

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14
Q

you would most commonly see what delusions in mania with psychosis

A

grandieur/persecution/religion

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15
Q

what hallucinations would you see in mania with psychosis

A

2nd person e.g. gods voice

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16
Q

what psychotic features are seen in delirium

A

visual hallucinations/illusions
threatening auditory hallucinations
persecutory delusions

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17
Q

what causes Schizophrenia

A

genetically determined neurodevelopmental vulnerability later triggered by environmental stressors

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18
Q

what is the ICD10 criteria for schizophrenia

A

symptoms present most of the time for at least a month
1 of:
- 3rd person auditory hallucination
- delusion of control/influence/passivity
- thought disorder
- persistent delusions that are culturally inappropriate and completely impossible

or 2 of:

  • persistent hallucinations in any modality
  • neologisms, breaks or interpolations leading to incoherent irrelevant speech
  • catatonic behaviour
  • negative symptoms
19
Q

what is catatonic behaviour

A

abnormal movements caused by disturbed mental state

- excited, negativism, mutism, stupor, posturing or waxy flexibility

20
Q

do schizophrenics have insight

A

no

21
Q

what are 1st rank symptoms

A

suggestive of schizophrenia in absence of drug use or organic impairment but arent pathognomic

22
Q

what are the 1st rank symptoms

A 
(the 1 ofs)
delusion
delusional perception
3rd person auditory hallucinations or audible thoughts
thought disorder
passivity of experience
23
Q

what are some negative symptoms

A 
reduced amount of speech
reduced drive/motivation
reduced interest/pleasure
reduced social interaction
blunted/incongruent affect
24
Q

what is the most common type of schizophrenia

A

paranoid

25
Q

what symptoms are predominant in paranoid schizophrenia

A

1st rank symptoms

26
Q

what are 2 other types of schizophrenia

A

catatonic

hebephrenic

27
Q

what is catatonic schizophrenia

A

movement disorder predominates

28
Q

what is hebephrenic schizophrenia

A

disorganised - odd delusions and behaviours, thought disorders

29
Q

what is mutism

A

inability to speak

30
Q

what is negativism

A

resistance to command/attempts to be moved

31
Q

what is command automatism

A

will do whatever you ask them to do

32
Q

what is schizoaffective disorder

A

bridge between BPD and schizophrenia

- psychosis and mood symptoms present in equal measure

33
Q

schizophrenia is more common in females/males

A

males

34
Q

wha tis the peak onset of schizophrenia in females

A

25-35

35
Q

what is the peak onset of schizophrenia in males

A

15-25

36
Q

true/false

schizophrenia is more common in low socio-economic classes

A

true

37
Q

what are some things that increase risk of schizophrenia

A 
FAMILY HISTORY
cannabis 
prenatal exposure to infection/stress
birth complications
urban dwelling
38
Q

what mutation carries a higher risk of schizophrenia

A

22q11

39
Q

true/false

schizophrenia is more common in caucasians in UK

A

false

more common in afro-carribean in UK

40
Q

what would a typical pre-morbid history of schizophrenia look like

A

subtle motor, cognitive and social deficits in childhood that increase as time goes on

41
Q

in schizophrenia there is ____ enlargement, decrease in __________
lack of ____

A

ventricular
grey matter volume and amount of healthy white matter
lack of gliosis

42
Q

what are some good prognostic indictors

A

older age of onset
female
family history of mood disorder
marked mood disturbance particularly elation

43
Q

when is suicide risk highest in schizophrenia

A

week of discharge from hospital

44
Q

What are some poor prognostic indicators

A 
younger age of onset 
insidious onset
hebephrenic subtype
long duration of untreated schizophrenia
social isolation
cognition impairment

YEAR 3 PSYCH (14 decks)

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