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Psychosis

Psychosis. Early , non specific changes ( signs ). Social withdrawal or isolation Decline in functioning (at school or work, in self-care) Depressed mood Anxiety Decreased motivation Reduced concentration Sleep disturbance Reduced emotional expression

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Psychosis

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  1. Psychosis

  2. Early, non specific changes (signs) • Social withdrawal or isolation • Decline in functioning (at school or work, in self-care) • Depressed mood • Anxiety • Decreased motivation • Reduced concentration • Sleep disturbance • Reduced emotional expression • Problems with handling everyday stress • Impairment in personal hygiene

  3. What do you say whensomebodyasksyou ‘ what is psychosis’? • Problems in meaningand thinking • Problems in sensoryperception • Problemswithcognitivefunctioning • Problems in emotional life

  4. Problems in the meaningand thinking • The meaning: interpretation of himself or the surroundings: delusions f.e. socialinteraction: canyou trust that person? He looks angrywith me. • A person withpsychosis is attractedby a specificsort of interpretation. f.e. megalomania: he is loving me. f.e. suspiciousness • Lots of associations

  5. Problems in sensoryperception • Hallucinations (hearing, seeing, tasting, smelling, feeling)

  6. Problems in cognitivefunctioning • Problemswithrecognising the tone of a conversation • Problems in recognisingmimicexpressionsandgestures • Problems in flexibility (switchingfromone subject toanother is hard) • Problems in information processing (everything is important) • Problemswithabstraction

  7. Problems in emotionalfunctioning • Lessemotional drive • Flat emotions • Flat mimic

  8. Consequences • Lessemotionalexpressions • Depression • Isolation • Loss of skills • Loss of control • Anxiety, agitation

  9. Brain • Frontalbrain: lack of dopamin • Emotions, abstractionandlearning -> apathy • Central brain: tomuchdopamin • Marking of information: what is important -> everythingseemstobe important.

  10. Treatment • Medication • Psycho-education • Crisis-intervention • Earlyintervention

  11. Psychosis • documentary

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