Discussion Psychology Schizophrenia Spectrum Disorders Discussion

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True Life Video Questions

Please draft your thoughts on the following questions:

• What psychotic symptoms does Josh report or exhibit?
• What evidence is there of hallucinations? Delusions?
• What do you learn from his mother?

Someone who develops psychosis will have their own unique set of symptoms and experiences, according to their particular circumstances.

But in general, 3 main symptoms are associated with a psychotic episode:

hallucinations
delusions
confused and disturbed thoughts
Hallucinations
Hallucinations are where someone sees, hears, smells, tastes or feels things that do not exist outside their mind.

sight – seeing colours, shapes or people
sounds – hearing voices or other sounds
touch – feeling touched when there is nobody there
smell – an odour that other people cannot smell
taste – a taste when there is nothing in the mouth
Delusions
A delusion is where a person has an unshakeable belief in something untrue.

A person with persecutory delusions may believe an individual or organisation is making plans to hurt or kill them.

A person with grandiose delusions may believe they have power or authority. For example, they may think they’re the president of a country or they have the power to bring people back from the dead.

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People who have psychotic episodes are often unaware that their delusions or hallucinations are not real, which may lead them to feel frightened or distressed.

Confused and disturbed thoughts
People with psychosis sometimes have disturbed, confused, and disrupted patterns of thought. Signs of this include:

rapid and constant speech
disturbed speech – for example, they may switch from one topic to another mid-sentence
a sudden loss in their train of thought, resulting in an abrupt pause in conversation or activity
Postnatal psychosis
Postnatal psychosis, also called puerperal psychosis, is a severe form of postnatal depression, a type of depression some women experience after having a baby.

It’s estimated postnatal psychosis affects around 1 in every 1,000 women who give birth. It most commonly occurs during the first few weeks after having a baby.

Postnatal psychosis is more likely to affect women who already have a mental health condition, such as bipolar disorder or schizophrenia.

As well as the symptoms of psychosis, symptoms of postnatal psychosis can also include changes in mood:

a high mood (mania) – for example, feeling elated, talking and thinking too much or too quickly
a low mood – for example, feeling sad, a lack of energy, loss of appetite, and trouble sleeping
Contact a GP immediately if you think you or someone you know may have developed postnatal psychosis as it is a medical emergency. If this is not possible, call NHS 111 or your local out-of-hours service.

If you think there’s an imminent danger of harm, call 999 and ask for an ambulance.