Psychotic Disorders: Tiered Model of Community Mental Health
Treatment - ANSWER All individuals should receive Early Intervention in
Psychosis (EPI) services to reduce the duration of untreated psychosis
and reduce the probability of relapse
Not a lot of funding given to this
Many individuals should receive community-based Intensive Case
Management (ICM) services to promote optimal social & occupational
functioning
Individuals with the most functional disability should receive m
community-based Assertive Community Treatment (ACT) or Flexible
Assertive Community Treatment (FACT) services provided by
interprofessional teams
Main focus - lots of funding from tax payers
Expensive, long waitlist
Is psychosis a disorder? - ANSWER No, it's an umbrella term.
Psychosis disorders are a group of serious illnesses that affect the mind.
Can the symptoms of psychosis and schizophrenia be treated and
managed? - ANSWER Yes! Early detection and treatment results in
better outcomes
What are the 2 primary symptoms of psychosis? - ANSWER -
hallucinations (perceptual disturbances) - occur in the absence of any of
the 5 senses (auditory, visual, tactile, olfactory, gustatory)
-delusions (thinking) - false, fixed belief, inconsistent with an individual's
intelligence/cultural background, which can't be fixed by reasoning
What do delusions entail (4)? - ANSWER -persecutory/paranoid
-magical thinking
-grandiose
,-somatic
What are the positive (surplus) symptoms of psychosis? - ANSWER -
delusion-fixed false belief
-hallucination-perceptual disturbance - a sight, sound, smell, taste or
touch that a persona perceives but is not perceived by others
What are the 5 negative (deficit) symptoms of psychosis? - ANSWER
MJAWS
-MOTIVATION=avolition (reduced goal-directed activity due to
decreased motivation)
-JOY=anhedonia (reduced experience pleasure)
-AFFECT=affective flattening (blunted affect; gross lack of emotional
response)
-WORDS=alogia (reduction in the quantity of words spoken)
-SOCIAL=asociality
What are the 6 types of psychotic disorders (DSM-5)? - ANSWER 1.
Brief Psychotic Disorder
E.g lack of sleep or increased stress
2. Substance-Induced Psychosis
E.g crystal meth
3. Delusional Disorder
-Characterized by non-bizarre, LOGICAL, stable, and well-systematized
delusions that occur in the ABSENCE of other psychiatric symptoms
4. Schizophrenia
5. Schizo-affective Disorder
6. Schizophreniform Disorder
What are the primary symptoms of Delusional Disorder? - ANSWER
Primary symptoms: delusional thinking
E.g being followed, poisoned (persecutory), infected (somatic), intensely
loved (erotomanic), deceived by a spouse or lover (jealous)
What is the onset of schizophrenia? - ANSWER young
-Misunderstood and Stigmatized Condition not often talked about openly
, What are the 4 symptoms of schizophrenia? - ANSWER -disorganized
symptoms
-negative symptoms
-neurocognitive impairment
-positive symptoms
Define first-episode psychosis - ANSWER first time someone
experiences psychotic symptoms, with the length of the phases varying
from person to person
Describe the 3 phases of a psychotic episode. - ANSWER 1. Prodrome -
hardly noticeable; changes in the way one describes their feelings,
thoughts, and perceptions
*starts in late adolescence
*can be confused with anxiety/moodiness of teens
2. Acute - clear psychotic symptoms; ex. hallucinations, delusions,
confused thinking
3. Recovery - psychosis is treatable; recovery from the first episode of
psychosis is more probable than not; not always linear
When is a critical period for intervention that will lead to more favourable
recovery outcomes? - ANSWER early stages of illness = first 2-5 years
following the onset of symptoms
What are the core symptom categories of schizophrenia? - ANSWER -
Positive (1st rank symptoms) = something that is added on; includes
delusions, hallucinations, thought disturbances
-Negative (2nd rank symptoms) = lessening or loss of normal functions;
affective flattening/blunting, ambivalence (impossible to make a
decision), alogia, avolition, anhedonia
-Neuro-cognitive = affects memory
-Disorganized = lack of coherence in speech, behaviour, unable to
attend ADLs
T/F: Positive symptoms are thought to be caused by dopamine
hyperactivity in the mesolimbic tract, which regulates memory and
emotion - ANSWER True
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller luzlinkuz. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.