Psychology Chapter on Psychosis

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Questions and Answers

What characterizes psychosis?

  • Distorted perception of reality (correct)
  • Chronic fatigue
  • Impaired motor coordination
  • Uncontrolled physical movements

Which type of hallucination is most commonly associated with psychiatric illnesses like schizophrenia?

  • Visual hallucinations
  • Olfactory hallucinations
  • Auditory hallucinations (correct)
  • Tactile hallucinations

Delusions are characterized by which of the following?

  • False beliefs despite contrary evidence (correct)
  • Emotional instability and mood swings
  • Involuntary movements of the body
  • Perceptions with real external stimuli

What type of disorganized thought is characterized by speech that is incoherent or 'word salad'?

<p>Loose associations (D)</p> Signup and view all the answers

Which type of hallucination might occur as an aura in temporal lobe epilepsy?

<p>Olfactory hallucinations (C)</p> Signup and view all the answers

What is a key feature of mood disorders?

<p>Loss of control over internal emotional states (A)</p> Signup and view all the answers

Which type of delusion involves the belief that one is being persecuted?

<p>Persecutory delusion (B)</p> Signup and view all the answers

What does the term 'hypnopompic' refer to?

<p>Hallucinations upon waking from sleep (D)</p> Signup and view all the answers

What is necessary for a diagnosis of delusional disorder?

<p>One or more delusions lasting more than 1 month (A)</p> Signup and view all the answers

Which of the following symptoms is NOT part of the DIG FAST criteria for diagnosing a manic episode?

<p>Increased need for sleep (C)</p> Signup and view all the answers

What distinguishes schizotypal personality disorder from schizophrenia?

<p>Less frequent and severe psychotic episodes (C)</p> Signup and view all the answers

What defines the term 'folie à deux'?

<p>The sharing of a delusion between two individuals (D)</p> Signup and view all the answers

Which of the following must be present for a manic episode diagnosis?

<p>Marked functional impairment with three or more symptoms (C)</p> Signup and view all the answers

What is a common characteristic of positive symptoms in schizophrenia?

<p>Hallucinations and delusions (A)</p> Signup and view all the answers

Which treatment is commonly considered the first line for schizophrenia?

<p>Atypical antipsychotics (B)</p> Signup and view all the answers

What does the diagnosis of schizophrenia require regarding symptom duration?

<p>1 month of active symptoms over the past 6 months (C)</p> Signup and view all the answers

In which demographic is schizophrenia more likely to present earlier?

<p>Males in late teens to early 20s (D)</p> Signup and view all the answers

What is a notable risk associated with heavy cannabis use during adolescence?

<p>Worsened course of psychotic disorders (A)</p> Signup and view all the answers

Which of the following is NOT categorized as negative symptoms of schizophrenia?

<p>Delusions (C)</p> Signup and view all the answers

What characterizes a brief psychotic disorder in terms of symptom duration?

<p>One or more symptoms lasting between 1 day and 1 month (B)</p> Signup and view all the answers

Which type of disorder shares symptoms with both schizophrenia and mood disorders?

<p>Schizoaffective disorder (B)</p> Signup and view all the answers

What is the duration required for symptoms to qualify as an adjustment disorder following a psychosocial stressor?

<p>Up to 6 months after the stressor ends (A)</p> Signup and view all the answers

Which treatment is considered first line for post-traumatic stress disorder (PTSD)?

<p>Cognitive Behavioral Therapy (CBT) (D)</p> Signup and view all the answers

What distinguishes acute stress disorder from post-traumatic stress disorder (PTSD)?

<p>Duration of symptoms (D)</p> Signup and view all the answers

What are typical symptoms of adjustment disorder?

<p>Emotional and behavioral symptoms like anxiety and outbursts (B)</p> Signup and view all the answers

What medication is specifically mentioned as reducing nightmares in individuals with PTSD?

<p>Prazosin (A)</p> Signup and view all the answers

Which treatment is considered the first line for addressing emotional issues related to malnutrition and developmental disabilities?

<p>Psychotherapy and nutritional rehabilitation (D)</p> Signup and view all the answers

What defines gender dysphoria?

<p>Incongruence between gender identity and assigned gender for more than 6 months (A)</p> Signup and view all the answers

Which of the following statements about transgender individuals is true?

<p>Transgender individuals may pursue multiple domains of gender affirmation. (B)</p> Signup and view all the answers

Which of the following is a category of sexual dysfunction?

<p>Erectile dysfunction (D)</p> Signup and view all the answers

Which of the following factors is NOT included in the differential diagnosis for sexual dysfunction?

<p>Exposure to loud noises (D)</p> Signup and view all the answers

What is the primary physiological disturbance associated with anorexia nervosa?

<p>Osteoporosis (A)</p> Signup and view all the answers

What distinguishes the binge-eating/purging type of anorexia nervosa from the restricting type?

<p>Recurring purging behaviors (B)</p> Signup and view all the answers

Which treatment is considered a first-line intervention for bulimia nervosa?

<p>Nutritional rehabilitation (B)</p> Signup and view all the answers

Which symptom is commonly associated with binge-eating disorder?

<p>Diabetes risk (A)</p> Signup and view all the answers

What is a key characteristic of pica?

<p>Consumption of non-food substances (B)</p> Signup and view all the answers

Which sign is associated with self-induced vomiting in bulimia nervosa?

<p>Dorsal hand calluses (D)</p> Signup and view all the answers

Which statement is true about the treatment of anorexia nervosa?

<p>Olanzapine may be used in treatment. (D)</p> Signup and view all the answers

What physiological changes can occur due to refeeding syndrome?

<p>Hypophosphatemia (D)</p> Signup and view all the answers

Flashcards

Psychosis

A distorted perception of reality, often including delusions, hallucinations, and disorganized thoughts.

Delusions

False, fixed beliefs that aren't typical of a person's culture or religion, despite evidence to the contrary.

Disorganized Thought

Incoherent or illogical speech patterns, like 'word salad,' tangentiality, or derailed thoughts.

Hallucinations

Perceptions without real external stimuli; seeing, hearing, feeling something not there.

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Auditory Hallucinations

Hearing voices or sounds that aren't real, often linked to psychiatric illness.

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Visual Hallucinations

Seeing things that aren't present, often connected to medical conditions, not always psychiatric.

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Mood Disorder

Characterized by abnormal moods that cause significant distress or functional problems.

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Major Depressive Disorder

A mood disorder characterized by a depressed mood, loss of interest, and other symptoms.

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Schizophrenia

A chronic illness that causes profound functional impairment and is characterized by positive, negative, and cognitive symptoms.

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Positive Symptoms

Excessive behavior or distorted functioning in schizophrenia, like hallucinations, delusions, and disorganized speech.

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Negative Symptoms

Diminished functioning in schizophrenia, such as flat affect, apathy, anhedonia, alogia, and social withdrawal.

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Cognitive Symptoms

Reduced ability to understand or make plans, diminished working memory, and inattention in schizophrenia.

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Atypical Antipsychotics

First-line treatment for schizophrenia, often risperidone, that helps manage symptoms.

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Brief Psychotic Disorder

A temporary psychotic state characterized by at least one positive symptom lasting between one day and one month, often triggered by stress.

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Schizophreniform Disorder

A psychotic disorder with symptoms similar to schizophrenia lasting one to six months.

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Schizoaffective Disorder

A disorder encompassing symptoms of both schizophrenia and major depressive disorder or bipolar disorder.

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Delusional Disorder

A mental health condition where you have one or more delusions that last for at least a month, but you don't have other symptoms of psychosis like hallucinations or disorganized thinking. This means you hold onto false beliefs despite evidence to the contrary.

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Schizotypal Personality Disorder

A personality disorder characterized by unusual thoughts and behaviors. People with this condition may have brief psychotic episodes with delusions, but they are less frequent and severe than in schizophrenia.

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Manic Episode

A period of intense and abnormal mood elevation, often accompanied by increased energy and activity. To meet the criteria for a manic episode, someone must experience at least three specific symptoms, including distractibility, racing thoughts, and impulsiveness, for at least a week (or less if hospitalization is needed).

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Folie à Deux

A rare condition where two or more people share the same false belief. It's often seen in close relationships where someone with a delusional disorder influences their partner or family member.

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Differentiating a Mood Disorder with Psychotic Features

To diagnose a psychotic disorder, a patient must have at least two weeks of psychotic symptoms (like delusions or hallucinations) without a major depressive or manic episode. This helps distinguish it from mood disorders that can sometimes include psychotic features.

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Adjustment Disorder

Emotional or behavioral issues (like anxiety or outbursts) that appear within 3 months of a stressful event (like divorce or illness) and last less than 6 months after the stressor ends. The symptoms don't meet criteria for another mental illness.

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Post-traumatic Stress Disorder (PTSD)

Experiencing, witnessing, or discovering a traumatic event (like a serious injury or assault) leads to persistent symptoms like hyperarousal, avoidance, intrusive memories, and mood changes. These symptoms last longer than a month and significantly affect daily life.

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Acute Stress Disorder

Similar to PTSD but symptoms last for 3 days to 1 month after a traumatic event. Most people recover within that time period.

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What's the difference between Adjustment Disorder and PTSD?

Adjustment Disorder involves a less severe reaction to a stressful event, lasting less than 6 months. PTSD involves a more intense response to a traumatic event, with persistent symptoms lasting longer than a month.

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What's the difference between Acute Stress Disorder and PTSD?

Acute Stress Disorder is the immediate response to trauma with symptoms lasting less than a month. PTSD develops if these symptoms persist beyond a month.

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Pica

A craving and consumption of non-food substances like ice, dirt, or paper, often associated with iron deficiency, malnutrition, or emotional distress.

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Gender Dysphoria

A significant mismatch between one's internal sense of gender and the sex assigned at birth, causing distress and impacting daily function.

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Transgender

An individual who experiences a difference between their gender identity and the sex assigned at birth.

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Sexual Desire Disorders

Problems related to sexual interest or motivation, including low desire or aversion to sex.

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Erectile Dysfunction

Persistent difficulty achieving or maintaining an erection sufficient for sexual activity.

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Anorexia Nervosa

An eating disorder characterized by intense fear of gaining weight, distorted body image, and severe calorie restriction leading to significantly low body weight (BMI < 18.5).

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Bulimia Nervosa

An eating disorder involving recurring episodes of binge eating followed by purging behaviors (vomiting, laxatives, etc.) at least weekly.

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Binge-Eating Disorder

An eating disorder marked by recurring episodes of binge eating without purging behaviors at least weekly, leading to distress and often weight gain.

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Refeeding Syndrome

A potentially life-threatening condition occurring when severely malnourished individuals suddenly increase their calorie intake, leading to electrolyte imbalances and organ dysfunction.

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Russell Sign

Calluses or abrasions on the back of the hands caused by repeated self-induced vomiting.

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Mallory-Weiss Syndrome

A tear in the lining of the esophagus caused by forceful vomiting, commonly seen in bulimia nervosa.

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Electrolyte Disturbances

Imbalances in electrolytes (e.g., potassium, chloride) due to purging behaviors or other factors related to eating disorders.

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Study Notes

Psychosis

  • Distorted perception of reality, characterized by delusions, hallucinations, and/or disorganized thought/speech.
  • Can occur in patients with psychiatric illness or due to substance/medication use.
  • Delusions are false, fixed beliefs that persist despite evidence. Types include erotomanic, grandiose, jealous, persecutory, somatic, mixed, and unspecified.

Delusions

  • False, fixed, idiosyncratic beliefs.
  • Not typical of the patient's culture or religion.

Disorganized Thought

  • Speech may be incoherent ("word salad"), tangential, or derailed ("loose associations").

Hallucinations

  • Perceptions in the absence of external stimuli (e.g., seeing a light that isn't there).
  • Contrast with misperceptions (illusions) of real external stimuli.
    • Auditory: More commonly due to psychiatric illness (e.g., schizophrenia) than neurologic disease.
    • Visual: More commonly associated with neurologic conditions (e.g., dementia, delirium, or drug intoxication) than psychiatric illness.
    • Tactile: Common in alcohol withdrawal or stimulant use (e.g., tactile hallucinations).
    • Olfactory: Often an aura of temporal lobe epilepsy (e.g., burning rubber), and in brain tumors.
    • Gustatory: Rare, but seen in epilepsy.
    • Hypnagogic: Occur while going to sleep, sometimes in narcolepsy.
    • Hypnopompic: Occur while waking from sleep, sometimes in narcolepsy.

Mood Disorder

  • Characterized by an abnormal range of moods and internal emotional states. Loss of control over these moods causes significant distress and impairment in social and occupational function.
  • Includes major depressive, bipolar, dysthymic, and cyclothymic disorders.
  • Psychotic features (delusions, hallucinations, disorganized speech/behavior) may be present during mood episodes.
  • Mood episodes can be superimposed on other psychiatric conditions.

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