Psychosis Flashcards

1
Q

Classic characteristics of psychosis?

A
Hallucinations
Thought interference
Passivity phenomena
Loss of insight
Ideas of reference 
Delusions
Disorder of form of thought
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2
Q

What is a hallucination?

A

A perception which occurs in the absence of an external stimulus
Can be all 5 senses

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3
Q

What is a simple hallucination?

A

Formless sound
Murmuring
Bangs

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4
Q

What is a complex hallucination?

A

Voice

Music

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5
Q

Reality testing in psychosis

A

This is an internal perception = hallucination
This is my thought = thought insertion
I am moving my arm = passivity of action
This is significant = delusional perception

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6
Q

What is an idea of reference?

A

Innocuous or coincidental events will be ascribed significant meaning by the person for example;
Messages in the newspaper for them
Television news is commenting on their life
Seeing meaning in peoples gestures

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7
Q

What is a self referential experience?

A

External events are related to oneself

Can vary from a brief thought to frequent and intrusive thoughts to delusional intensity

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8
Q

What is a delusion?

A

A fixed, falsely held belief that is held with unshakeable conviction
Impervious to logical argument or evidence to the contrary

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9
Q

What is a primary delusion?

A

Arrives dully formed in the consciousness without the need for explanation

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10
Q

What is a secondary delusion?

A

Often attempts to explain anomalous experiences e.g. hallucinations, passivity experiences, depression

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11
Q

Types of delusion?

A
Paranoid 
Persecutory 
Grandiose
Religious
Misidentification 
Guilt
Sin; almost always paedophilia 
Poverty
Nihilistic
Erotomaniac
Of reference
Jealousy; othello syndrome
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12
Q

Different types of thought disorder?

A
Neologisms; creation of a new vocabulary 
Circumstantiality/ tangentiality 
Clanging and punning
Loosening of associations 
Knight's move thinking
Verbigeration/ word salad
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13
Q

Different types of thought interference?

A

Thought insertion
Thought withdrawal
Thought broadcasting
Thought blocking

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14
Q

Different types of passivity phenomena?

A

Volition; made action
Affect; made feelings
Impulse; mde urges
Somatic; influence on the body

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15
Q

What does 3rd person auditory hallucinations suggest?

A

Schizophrenia

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16
Q

Describe drug induced psychosis?

A

May be florid symptoms or chronic
Tend to be short lasting if access to psychoactive substance removed
Beware comorbid of substance misuse and schizophrenia/ bipolar

17
Q

Hallucination and delusion types in depressive psychosis

A

Mood congruent content of psychotic symptoms
Delusions of worthlessness/ guilt/ hypochondriasis/ poverty/ sin/ nihilistic
Hallucination of accusing/ insulting/ threatening = 2nd person

18
Q

Hallucinations, thought form and delusions present in mania with psychosis?

A

Mood congruent
Delusions of grandeur/ speciality ability/ persecution/ religiosity
Hallucinations; 2nd person and auditory
Flight of ideas

19
Q

Describe delirium

A
Clouding of consciousness
Disorientation in TPP 
Fluctuation with worseness at night 
Impaired concentration/ memory
Visual hallucinations/ illusions +/- threatening auditory hallucinations
Persecutory delusions 
Psychomotor disturbance; agitation OR retardation 
Irritability 
Insomnia
20
Q

Describe the psychosis in schizophrenia

A
Formal thought disorder
Self-referential delusions
Grandiose delusions
Persecutory delusions
Passivity phenomena
3rd person auditory hallucinations 
Normal consciousness, no fluctuation
21
Q

Describe the psychosis in substance misuse

A
Self-referential delusions
Grandiose delusions
Persecutory delusions 
Passivity phenomena 
2nd and 3rd person auditory hallucinations 
Visual hallucinations 
Fluctuant and variable
22
Q

Describe the psychosis in mania

A
Formal thought disorder 
Self-referential delusions 
Grandiose delusions 
PErsecutory delusions 
2nd person auditory hallucinations 
No visual hallucinations 
No fluctuation 
No impaired conscious level
23
Q

Describe the psychosis in depression

A

Poverty of thought
Persecutory delusions
2nd person auditory hallucinations

24
Q

Describe the psychois in delirium/ dementia

A
Formal thought disorder
Sometimes poverty of thought
Self-referential, grandiose, persecutory delusions 
Passivity phenomenon 
2nd and 3rd person auditory hallucinations
Visual hallucinations
Fluctuant and variable
Impaired conscious level