Which of the following best describes acute phase of psychotic symptoms?
Stabilization phase
Maintenance phase
Prodromal phase
Acute phase
The Correct Answer is D
A. Stabilization phase. The stabilization phase occurs after the acute phase, when psychotic symptoms begin to improve with treatment. During this phase, the focus is on reducing symptom severity, medication adjustment, and preventing relapse.
B. Maintenance phase. The maintenance phase follows stabilization and involves long-term management to prevent relapse. During this phase, symptoms are either in remission or significantly reduced, and the goal is to ensure medication adherence, therapy, and social reintegration.
C. Prodromal phase. The prodromal phase precedes the acute phase and is marked by early warning signs such as social withdrawal, decreased motivation, mild paranoia, and subtle cognitive changes. It may last weeks to years before full-blown psychotic symptoms appear.
D. Acute phase. The acute phase is the period of full-blown psychotic symptoms, including hallucinations, delusions, disorganized speech, and impaired functioning. This is the most severe phase, often requiring hospitalization and intensive treatment to stabilize the patient.
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Correct Answer is C
Explanation
A. Meaningless rhythm of words. This describes word salad, a disorganized speech pattern where words are strung together without logical connection, often seen in schizophrenia or severe psychosis.
B. Roundabout. This refers to circumstantial speech, where an individual provides excessive, unnecessary details before eventually arriving at the main point. This is commonly seen in mania, obsessive-compulsive disorder (OCD), or cognitive impairment.
C. Made-up words. Neologisms are newly invented words or phrases that have no meaning to others but may carry personal significance to the individual. This is frequently observed in schizophrenia, psychotic disorders, or neurological conditions like aphasia.
D. Repeating of another's words. This describes echolalia, a speech disturbance where a person repeats words or phrases spoken by others, often seen in autism spectrum disorder (ASD), schizophrenia, or catatonia.
Correct Answer is B
Explanation
A. Psychotherapy. Cognitive-behavioral therapy (CBT) is the first-line treatment for somatic symptom disorder (SSD). It helps patients recognize and modify maladaptive thoughts about their physical symptoms, reducing distress and improving coping mechanisms.
B. Antipsychotics. Antipsychotic medications are not typically recommended for SSD unless there is a comorbid psychotic disorder or severe delusional thinking. SSD is primarily driven by excessive health-related anxiety and preoccupation with physical symptoms, not psychosis.
C. Anti-anxiety medications. Short-term use of anxiolytics (e.g., benzodiazepines) may help with acute anxiety symptoms, but they are not the preferred treatment due to the risk of dependence. SSRIs and psychotherapy are more effective long-term for managing anxiety in SSD.
D. Antidepressants. SSRIs and SNRIs are commonly used to treat SSD, especially when there is underlying depression or anxiety. These medications help reduce excessive preoccupation with physical symptoms and improve overall emotional well-being.
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