NBME Step 2 CK Form 7 Brief psychotic disorder (NBME Answers)

+0 upvote downvote
submitted by ∗step_prep5(246)

get full access to all content ⋅ pick a username

Patient who experienced a stressful event 1 week ago who has experienced auditory hallucinations of a somebody who was not killed, most consistent with brief psychotic disorder
Key idea: Bereavement can lead to auditory hallucinations from the decesased, but should not lead to such a decline in functioning as is seen in this vignette
Symptoms of psychosis: Delusions, hallucinations, disorganized speech, disorganized/catatonic behavior, negative symptoms (flat affect, etc.)
Brief psychotic disorder: At least 1 positive symptom for less than 1 month (often associated with stress)
Schizophreniform disorder: At least 2 psychosis symptoms for 1 month with decline in functioning between 1 month to 6 months
Schizophrenia: At least 2 psychosis symptoms for 1 month with decline in functioning for at least 6 months

get full access to all content ⋅ pick a username