Please wait - loading…

Psychosis

Description

University Level Nursing - Psychiatry Mind Map on Psychosis, created by SaraJaarour on 10/13/2015.
SaraJaarour
Mind Map by SaraJaarour, updated more than 1 year ago
SaraJaarour
Created by SaraJaarour over 6 years ago
116
2

Resource summary

Psychosis

Annotations:

  • Gross Impairment of reality testing accompanied with hallucinations, delusions, and loss of ego boundaries. 
  1. Schizophrenia

    Annotations:

    • It cannot be considered as a single illness.
    • Maintained intellectual abilities. Cognitive deficits may evolve with time.
    • 1 % of every population 16-25 years old Continuation signs of disturbance for at least 6 months
    1. Psychopathology (7)

      Annotations:

      • Thought echo Thought insertion/withdrawal Thought broadcasting Thought disorders and negative symptoms Delusional perceptions and delusions of control Influence or passivity  Hallucinatory voices commenting or discussing the patient in third person.
      • Multifactorial
      1. Kraepalin, Bleuler, Schneider
        1. Four As

          Annotations:

          • Primary Symptoms Affective blunting Disturbance of association Autism Ambivalence 
          • Secondary Symptoms Hallucinations and Delusions
        2. Course

          Annotations:

          • Continuous without temporary improvement. Episodic with progressive or stable deficit. Episodic with complete or incomplete remission
          1. Typical Stages

            Annotations:

            • Prodromal: No symptoms/Deterioration Active: Symptoms triggered by stress Residual: Leftovers/prodromal-like phase of functioning and symptoms/ -ve not +ve
            1. Positive and Negative Symptoms

              Annotations:

              • Negative Symptoms:  Cognitive Disorders Association of thoughts Disorder Emotional Blunting Small or MISSING Hallucinations and delusions
              • Positive Symptoms: Hallucinations and Delusions Bizarre Behavior Positive formal thought Disorder (loose associations-Neologisms-Perseverations-Clang- Derailment-Tangentiality-Incoherence-Illogicality-Circumstantiality-Pressure of speech-Distractible speech ) 
              • Negative Symptoms:  Cognitive Disorders Association of thoughts Disorder Emotional Blunting Small or MISSING Hallucinations and delusions Alogia(Poverty of speech) Affective flattening Avolition (lack of performing self-directed activities) Apathy(lack of concern) Anhedonia  Asociality Attentional Impairment Catatonia(cerebral folate deficiency- autoimmune-paraneoplastic)
              1. Types

                Annotations:

                • Type 1: positive symptoms Biochemical abnormalities Type 2:Negative Symptoms Brain Structures abnormalities
              2. Hallucinations and Delusions

                Annotations:

                • Both affect reality testing Hallucinations:  Altered perceptions Types: Auditory 70%: Voices commenting-conversing-arguing-own thoughts spoken by another voice Visual 20%-Olfactory-Gustatory- Somatic/Tactile
                • Delusions: Altered thoughts Persecutory-Jealousy-Guilt(Sin-based)-Grandiose-Religious-Somatic-Reference(Center of Attention)-Mind Reading-Control(Thoughts/Behavior/Feelings BIW)
                1. Levels of Intensity of Hallucinations

                  Annotations:

                  • Stage 1: Comforting moderate level of anxiety Non-psychotic Stage 2: Condemning severe level of anxiety Mildly Psychotic Stage 3: Controlling severe level of anxiety Psychotic Stage 4: Conquering panic level of anxiety Severely Psychotic
                2. Diagnostic Criteria

                  Annotations:

                  • Two or more-6 months 123 must be like schizophrniform
                  1. Demographics

                    Annotations:

                    • 1% worldwide 2.5 billion people in US 100 billion dollars annually 15% suicide 50% attempt suicide25% recover
                    • Relative Risk: 1% people 5.6 parents 10.1 siblings 12.8 children
                    1. Etiology
                      1. Dopamine Hypothesis

                        Annotations:

                        • Increased sensitivity and density of dopamine D2 receptors in different parts of the brain leading to its hyperactivity.
                        1. Contemporary Models

                          Annotations:

                          • Norepinephrin-Serotonine-Glutamate-Peptidergic Systems NCDNancy: Arises from Cognitive DysmetriaDaniel: Neurodevelopmental Disorder
                          1. Neurodevelopmental Model

                            Annotations:

                            • Silent lesion in Frontal, Parietal, Temporal
                        2. Schizoaffective Disorder
                          1. Diagnostic Criteria

                            Annotations:

                            • Major Depression or manic attack - 1 month less than 6 months Like schizophrenia for 2 or more weeks without mood disorder
                          2. Not specified
                            1. Mood Induced Psychosis
                              1. Substance Induced Psychosis
                                1. Diagnostic Criteria

                                  Annotations:

                                  • Delusions and Hallucinations after taking a specific substance that can be known upon verbal or physical examination
                                  • 1 month after withdrawal
                                  • Not during delirium
                                2. Brief Psychotic Disorder
                                  1. Diagnostic Criteria

                                    Annotations:

                                    • One or more of the following symptoms (first 3 must be): Hallucinations-Delusions-Disorganized speech(Derailment/Incoherence)-Catatonia)
                                    • At least 1 day but less than 1 month
                                    1. Stressors

                                      Annotations:

                                      • With marked stressors Without marked stressors With postpartum onset With catatonia
                                    2. Psychotic Disorder due to a medical condition
                                      1. Diagnostic Criteria

                                        Annotations:

                                        • Delusions or hallucinations and which one is prominent
                                        • Not during Delirium
                                      2. Schizophreniform
                                        1. Diagnostic Criteria

                                          Annotations:

                                          • Two or more-1 months but less than 6 months 1,2,3 must be Hallucinations Delusions Disorganized speech Catatonia Negative Symptoms
                                        2. Delusional Disorder
                                          1. Diagnostic Criteria

                                            Annotations:

                                            • The presence of one or more delusions in a period of one month or longer.
                                            1. Types

                                              Annotations:

                                              • Erotomatic-Grandiose-Jealousy-Persecutory-Somatic
                                            2. Clinical Picture (12)

                                              Annotations:

                                              • Stupor-Catalepsy-Waxy Flexibility-Mutism-Negativism-Mannerism-posturing-Stereotypy-Agitation-Grimacing-Echolalia-Echopraxia)
                                              1. Nursing Process
                                                1. Assessment

                                                  Annotations:

                                                  • Neuropsychological Testing
                                                2. Treatment

                                                  Annotations:

                                                  • Antipsychotics Adjunctive Pharmacotherapies ECT Psychological/Family Interventions Vocational Rehabilitation Cognitive Behavioral Therapy Milieu Therapy Token Economy System Assertive Community Treatment
                                                  Show full summary Hide full summary

                                                  Similar

                                                  Neuro-Cognitive Disorders
                                                  SaraJaarour
                                                  Introduction to pharmacology
                                                  Ifeoma Ezepue
                                                  Exam 1 Medications
                                                  tera_alise
                                                  Erythrocytes
                                                  Mark George
                                                  Chapter 1
                                                  nursing fairy
                                                  Patient Health History
                                                  Brittany Gunn
                                                  Transitioning children with complex needs
                                                  katherinethelma
                                                  History of Psychology
                                                  mia.rigby
                                                  Biological Psychology - Stress
                                                  Gurdev Manchanda
                                                  Psychology A1
                                                  Ellie Hughes
                                                  Bowlby's Theory of Attachment
                                                  Jessica Phillips