Psychosis
Definitions
DSM-V
Psychotherapy & Psychopharmachology
Treatment
Ethical & Clinical Implications
Getting to Know You
100

Fixed beliefs that are not amenable to change in light of conflicting evidence.

What are delusions?

100

alcohol, cannabis, hallucinogens, inhalants, sedatives, hypnotics, anxiolytics, stimulants, and other or unknown substances, anesthetics and analgesics, anticholinergic agents, anticonvulsants, antihistamines, antihypertensive and cardiovascular medications, antimicrobial medications, antiparkinsonian medications, chemotherapeutic agents, corticosteroids, gastrointestinal medications, muscle relaxants, nonsteroidal anti-inflammatory medications, and over the counter medications, anticholinesterase, organophosphate insecticides, sarin and other nerve gases, carbon monoxide, carbon dioxide, and volatile substances such as fuel or paint.

What are types of drugs and toxins that can cause substance/medication-induced psychosis?

100

Following are potential resultants: Weight-gain, drowsiness, agitation, dry-mouth, stuffy nose, blurred vision, movement effects, loss of menstrual periods in females, sexual dysfunction, cardiac arrhythmia, etc

What are side-effects of Antipsychotics?

100

This is one of the most important factors affecting the result/outcome of therapy

What is Therapeutic Alliance?

100

This person's niece, nephew, and sister recently came to BC to visit this person.

Who is Adam?

200

Perception-like experiences that occur without an external stimulus.

What are hulluncinations?

200

Psychotic symptoms that include persistence of psychotic symptoms for a substantial period of time (i.e., a month or more) after the end of substance intoxication or acute substance withdrawal or after cessation of medication use; or history of prior recurrence primary psychotic disorders.

What are primary psychotic disorders?

200

An Alternative Approach to the Biomedical Model of Psychosis

What is the Hearing Voices Movement?

200

Uses colouring as a form of self-care?

Who is Ankita?

300

Formal thought disorder is typically inferred from the individual speech. It may include: derailment or loose associations; tangentiality; or incoherence or “word salad”.

What is disorganized thinking (speech)?

300

Presence of delusions or hallucinations that developed during or soon after substance intoxication or withdrawal or after exposure to a medication and involved substance/medication is capable of producing the symptoms.The disturbance is not better explained by a psychotic disorder that is not substance/medication-induced. The disturbance does not occur exclusively during the course of delirium. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

What are the diagnostic criteria for substance/medication-induced psychosis disorder?

300
  • Hearing voices (auditory hallucinations) or having unusual beliefs (delusions) are in themselves not signs of psychopathology 
  • Hearing voices and unusual beliefs are natural human variations 
  • Place focus on client experience rather than labels 
  • Not looking for cure, but helping people live alongside their voices
  • Accepting their heard voices and seeking to make sense of them
  • Patient is the expert of their experience

What are the core beliefs of the Hearing Voices Movement?

300

Grew up in rural Manitoba.

Who is Jill?

400

May manifest itself in a variety of ways, ranging from childlike “silliness” to unpredictable agitation. Problems may be noted in any form of goal-directed behaviour, leading to difficulties in performing activities of daily life.

What is Disorganized or abnormal motor behaviour?

400

They include: persecutory, referential, grandiose, erotomanic, nihilistic, and somatic.

What are types of delusions?

400

Grew up in Alberta.

Who is Adam?

500

Characterized as decrease in reactivity to the environment, ranging from: resistance to instructions (negativism), maintaining a rigid, inappropriate or bizarre posture, complete lack of verbal or motor responses (mutism or stupor), include purposeless and excessive motor activity without obvious cause, repeated stereotype movements (staring, grimacing, mutism, and the echoing of speech).

What is catatonic behaviour?

500

They are defined by abnormalities in one or more of the following domains: delusions, hallucinations, disorganized thinking (speech), grossly disorganized or abnormal motor behaviour (including catatonia), and negative symptoms.

What are Schizophrenia spectrum and other psychotic disorders? 

include schizophrenia, and other psychotic disorders, and schizotypal (personality) disorder

500

This concept promotes agency, creates personal meaning, includes relationships, includes social context, collaborative, non-stigmatizing, no medical consequences, no social context.

What is Formulation?

500

1. Has a mental health disorder that seriously impairs their ability to live in the community

2. Requires psychiatric treatment in a designated facility

3. Requires care and supervision to prevent deterioration or protect themselves or others

4. Cannot safely or adequately be treated in a community-cased facility

What are the 4 criteria to certify someone under the Mental Health Act?

500

Has lived all over the world.

Who is Ankita?