Psychosis

9 important questions on Psychosis

What is striking about prevention and psychosis

early signs of psychosis long before onset

high relapse rates

prevention probably most effecacious

What is the aim of prognostic modelling and proactive care?

prognostic: detect risk of developing disorder at early stage

proactive: modify risk factors

What is the UHR group (ultra high risk)? (3)

subclincial symptoms (intensity & frequency)

familial risk

psychosis with recovery without treatment
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What are findings and in/decreased risks when UHR?

increase:
developing any disorder
transition to psychosis (specifically!)
bipoloar disorder


decrease:
developing other disorder
presonality disorder

When was the Sensitivity and Specificity of predicting psychosis?

Especially when UHR and help-seeking and 48 month follow-up

What are the goals in CBT in UHR? (3)

prevent catastrophising and delusional interpretations (education)

behavioral experiments

manage external risk factors

What are 3 risk managements?

no cannabis/ drugs

keep attending school/ work

share and discuss thought with others

What were the effects of CBT-add on compared to TAU?

Less transition to psychosis

less days to transition

less months in hospital

higher remission

cost-effective when implemented in routine care!

What were 5 successful prediction of psychosis in study (sing)?

blunted effect

complains about impaired motor function

experienced social marginalization

decline in social functioning   

distress with non-bizarre ideas

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