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Flashcards in Psych Deck (198)
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1

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.

2

What is a delusion of reference?

Thinking every day things (neutral events) have a special meaning or personal message behind them

3

What is a persecutory delusion?

Thinking that others are out to get them

4

What is a grandiose delusion?

Belied that they have special talents, are famous or particularly important

5

What is a depressive delusion?

Belief that they are guilty, worthless, end of the world is coming

6

What is delusional jealousy?

Preoccupation with thought that their spouse is being unfaithful without having logical proof

7

What is a delusion of control

Feeling under the control of a force or power

8

Describe thought withdrawal

Feeling that thoughts are being taken out of their head so mind left blank

9

What is thought broadcast

Thoughts transmitted, everyone can hear

10

What is thought echo?

Thoughts repeated like an echo!

11

What is thought insertion?

Someone else putting thoughts into the mind

12

What physical disorders can present like psychosis?

Dementia
Thyrotoxicosis
Cushing's
Epilepsy of temporal lobe
Drug misuse

13

What are the hallmark symptoms of psychosis?

Hallucinations
Delusions
Thought disorder
Lack of insight

14

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
Passivity experiences

15

What are the negative symptoms of schizophrenia

Under activity
Poverty of speech
Low motivation
Social withdrawal
Emotional flattening
Self neglect

16

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
Insight: lack!

17

According to ICD 10, which four symptoms do people need to experience one of for a diagnosis of schizophrenia?

Thought disorder
Delusions of control, passivity or influence
Hallucinatory voices - running commentary, third person,
Persistent delusions

18

What is the differential diagnosis for schizophrenia?

Delirium
Drugs
Mood disorder with psychotic symptoms
Delusional disorder
Schizoaffective
Dementia

19

What is the treatment for schizophrenia

First line: atypical - risperidone, olanzapine

Then: typical - haloperidol

Then: clozapine

20

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

21

What is schizoaffective disorder?

Schizophrenic and mood symptoms, both severe enough to reach ICD 10 criteria

22

How long do symptoms of schizophrenia need to be present for a diagnosis to be made?

One month

23

What is delusional disorder?

Delusion for at least 3 months
No presence of other symptoms

24

What are the core symptoms of depression

Anhedonia
Low mood
Lack of energy

For at least 2 weeks

25

What are some depressive cognitions?

I am worthless
Guilt
Hopelessness
Constant worries about health
Poor concentration
Suicidal ideation

26

State the biological symptoms or depression

Early morning wakening
Diurnal mood variation
Lack of appetite
Weight loss
Loss if libido
Psychomotor agitation or retardation

27

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

28

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

29

Management of mild to moderate depression

CBT

Then antidepressant if persists or if history of depression

30

Treatment of moderate to severe depression

Antidepressants
- SSRI
- different SSRI or SNRI
- mirtazapine or augment with lithium/quetiapine

AND

CBT/ IPT

ECT can be used if fast treatment needed, or situation is life threatening