Psychotic disorders Flashcards Preview

Psychiatry exam 2018 > Psychotic disorders > Flashcards

Flashcards in Psychotic disorders Deck (15)
Loading flashcards...
1
Q

Definition psychosis

A

Loss of contact with reality

2
Q

Most important psychiatric disorders with psychotic features (6)

A

1) Schizophrenia
2) Schizoaffective disorder
3) Bipolar disorder
4) Severe depression
5) Delusive (paranoid)
6) Drug-induced

3
Q

Positive symptoms psychosis

A

1) Delusions
2) Cenceptual disorganization
3) Perceptual disturbances (hallucinations, illusions)
4) Catatonic symptoms

4
Q

Delusion definition

A

Beliefs and conclusions held with strong conviction despite superior evidence to the contrary

5
Q

Advised behaviour during exploration of delusions

A
  • Do not argue with the patient’s delusions

- Do not confirm the patient’s delusions

6
Q

Conceptual disorganization definition

A

Disorganized thought process, during which the aim-oriented sequential organization is discontinued

7
Q

Conceptual disorganization examples (?) (7)

A

1) Clang associations
2) Loose associations
3) Neologisms
4) Tangentiality
5) Incoherence - extreme form: amentia or schizophasia (word salad)
6) Circumstantiality
7) Blocking

8
Q

Perceptual disturbances

A

Hallucinations, illusions

9
Q

Hallucinations definition

A

Perceptions in the absence of an external stimulus.
Can be classified based on sensory modality (acoustic, visual, olfactory, gustatory, tactile or somatic), complexity and reality.

10
Q

Illusions definition

A

External stimuli are present, but the sensation is distorted or misinterpreted

11
Q

Catatonic symproms definition

A

Qualitative psychomotor disturbances, which can be associated with different (psychiatric) disorders

12
Q

Catatonic symptoms examples (12)

A

1) Stupor
2) Catalepsy
3) Waxy flexibility
4) Mutism
5) Negativism (active or passive)
6) Command automatism
7) Posturing (crystallization)
8) Mannerism
9) Motor stereotypes
10) Agitation
11) Block (logo- or ergorexis)
12) Echolalia (word), Echopraxia (gesture)

13
Q

Negative symptoms psychosis

A

Decrease, impoverishment or lack of normal functions (feelings, willpower, energy, motivation). Presence of symptoms determined by observation

14
Q

Examples negative symptoms psychosis (7)

A

1) Blunted affect
2) Restricted affect
3) Poor rapport
4) Passive/apathetic social life or social withdrawal
5) Lack of spontaneity and poverty of speech
6) Disturbed abstract thinking
7) Stereotypic thinking

15
Q

PANSS

A

“Positive and negative syndrome scale”

- Measure manifestation of schizophrenia symptoms