Flashcards in Psych Deck (198)
What is a delusion?
Fixed firmly held belief that is held despite evidence to the contrary and cannot be reasoned away. It is out of keeping with the person's sociocultural norms.
What is a delusion of reference?
Thinking every day things (neutral events) have a special meaning or personal message behind them
What is a persecutory delusion?
Thinking that others are out to get them
What is a grandiose delusion?
Belied that they have special talents, are famous or particularly important
What is a depressive delusion?
Belief that they are guilty, worthless, end of the world is coming
What is delusional jealousy?
Preoccupation with thought that their spouse is being unfaithful without having logical proof
What is a delusion of control
Feeling under the control of a force or power
Describe thought withdrawal
Feeling that thoughts are being taken out of their head so mind left blank
What is thought broadcast
Thoughts transmitted, everyone can hear
What is thought echo?
Thoughts repeated like an echo!
What is thought insertion?
Someone else putting thoughts into the mind
What physical disorders can present like psychosis?
Epilepsy of temporal lobe
What are the hallmark symptoms of psychosis?
Lack of insight
What are the first rank symptoms of schizophrenia
Delusions of one type
Auditory hallucinations- echo, third person voices, running commentary
Thought disorder - insertion, withdrawal, broadcast
What are the negative symptoms of schizophrenia
Poverty of speech
What are the signs of schizophrenia on MSE
Appearance and behaviour: withdrawal, self neglect, stereotypical behaviours, responding to unseen stimuli
Speech: poverty of speech, loosening of associations
Emotion: flat affect
Thoughts: delusional beliefs, passivity, thought disorders
Perceptions: auditory hallucinations
According to ICD 10, which four symptoms do people need to experience one of for a diagnosis of schizophrenia?
Delusions of control, passivity or influence
Hallucinatory voices - running commentary, third person,
What is the differential diagnosis for schizophrenia?
Mood disorder with psychotic symptoms
What is the treatment for schizophrenia
First line: atypical - risperidone, olanzapine
Then: typical - haloperidol
How quickly does schizophrenia improve following initiation of antipsychotic treatment?
After first few days excitement and irritability improve
After few weeks, hallucinations and delusions improve
What is schizoaffective disorder?
Schizophrenic and mood symptoms, both severe enough to reach ICD 10 criteria
How long do symptoms of schizophrenia need to be present for a diagnosis to be made?
What is delusional disorder?
Delusion for at least 3 months
No presence of other symptoms
What are the core symptoms of depression
Lack of energy
For at least 2 weeks
What are some depressive cognitions?
I am worthless
Constant worries about health
State the biological symptoms or depression
Early morning wakening
Diurnal mood variation
Lack of appetite
Loss if libido
Psychomotor agitation or retardation
What is the ICD 10 classification for the severity of depression?
Mild - 2 core, 2 others
Moderate - 2/3 core, 3/4 others
Severe - 3 core, 4 others
What is the difference between grief reaction and depression?
In grief reaction:
still have ability to feel pleasure,
grief comes in waves,
no thoughts of worthlessness of hopelessness,
able to look forward to future
Management of mild to moderate depression
Then antidepressant if persists or if history of depression