Psychotic Disorders

Question 1

Describe the characteristics of disorganized thinking/speech

Answer 1

Thought control/withdrawal, broadcasting, loose associations, tangential, word-salad, circumstantial speech, poverty/prosody of speech, perseveration, clanging (rhyming)

Question 2

Describe the characteristics of disorganized behavior

Answer 2

bizarre behavior/dress, decline in daily function, lack of impulse control, inappropriate emotional response, catatonia

Question 3

Describe the characteristics of negative symptoms

Answer 3

flat affect, avolition, alogia, anhedonia, asociality, ambivalence, attention

Question 4

Describe the types of delusion seen in psychotic disorders

Answer 4

• Persecutory: infidelity of partner, maleficence of social sphere
• Referential (ideas of reference): random things have deeper meaning specifically to them & may convey messages to them, toy is creator of universe, TV sending messages to them
• Grandiose: believing they are the king of the world, jesus, god, famous, CEO, etc.
• Erotomanic: delusion that someone else is in love with them/attracted to them
• Nihilistic: delusions of the world ending or major catastrophe occurring
• Somatic: hypochondria, something wrong with me, this pain is something, bugs under skin/in skull

Question 5

Describe the difference between good prognostic indicators and poor prognostic indicators in psychotic disorders

Answer 5

Question 6

Describe the diagnosis & treatment of delusional disorder

Answer 6

Question 7

Describe the presentation of schizophreniform disorder

Answer 7

Question 8

Describe the diagnosis & treatment of schizophreniform disorder

Answer 8

Question 9

Describe the presentation of schizophrenia

Answer 9

Question 10

Describe the diagnosis & treatment of schizophrenia

Answer 10

Question 11

Describe the diagnosis of schizoaffective disorder

Answer 11

Question 12

Describe the treatment of schizoaffective disorder

Answer 12