Section: Module 1: Lesson 5: Psychosis Spectrum Disorders | Psychiatric Clerkship for Medical Students

Required Learning Resources and Activities

Clinical Presentation URL

Read the entire page. (2 minutes)

Comorbidity Guidelines - 2022

The Clinical Characterization of the Patient with Primary Psychosis Aimed at Personalization of Management URL

Read the following sections: (24 minutes)
- positive dimension
- negative dimensions
- other psychopathological components

World Psychiatry - 2021

Evidence-Based Approach to Psychosis in the Emergency Department URL

Read section: "Differential Diagnosis" including the tables. (5 minutes)

Emergency Medicine Reports - 2019

Structure of the Psychotic Disorders Classification in DSM-5 URL

Read the entire article. (17 minutes)

Focus Psychiatry on Line - 2016

Canadian Guidelines for the Assessment and Diagnosis of Patients with Schizophrenia Spectrum and Other Psychotic Disorders URL

Read only Results ( 10 recommendations). (18 minutes)

Can J Psychiatry - 2017

Psychosis in Children and Adolescents URL

Read the entire article except for the following sections: (12 minutes)
-Treatment
-Summary

J Am Acad Child Adolesc Psychiatry - 2018

Subclinical Psychosis in Adult Migrants and Ethnic Minorities: Systematic Review and Meta-Analysis URL

Read the following sections: (11 minutes)
-Abstract
-Discussion

-Interpretation of findings

BJPsych Open - 2018

Psychotic Disorders in Late Life: A Narrative Review URL

Read the following sections: (15 minutes)
-Introduction
-Epidemiology
-Risk factors and pathophysiology

Therapeutic Advances in Psychopharmacology - 2019

Shamanism and the Psychosis Continuum URL

Read up until the acknowledgements. (12 minutes)

Behavioral and Brain Sciences - 2018

Rethinking the Course of Psychotic Disorders: Modelling Long-term Symptom Trajectories URL

Read the following sections: (17 minutes)
- Introduction
- Discussion
- Methodological considerations
- Rethinking course: implications
- Conclusion

Cambridge University Press - 2021

From Onset and Prodromal Stage to a Life-Long Course of Schizophrenia and Its Symptom Dimensions: How Sex, Age, and Other Risk Factors Influence Incidence and Course of Illness URL

Read the following sections: (31 minutes)
-Introduction
-Incidence and Symptoms
-Course of Schizophrenia
-Genetic Aspects, Age of Onset, and Symptom Severity
-Conclusions

Hindawi Psychiatry Journal - 2019

Clinical Practice Guidelines for the Management of Schizophrenia in Children and Adolescents URL

Read the following sections: (32 minutes)
-TREATMENT OPTIONS FOR THE MANAGEMENT OF EARLY-ONSET SCHIZOPHRENIA
-MANAGEMENT IN THE ACUTE PHASE OF TREATMENT
-MANAGEMENT IN THE STABLE PHASE
-MANAGEMENT IN SPECIAL SITUATIONS

Indian Journal of Psychiatry - 2019

Schizophrenia: Etiology, Pathophysiology and Management - A Review URL

Read the following sections: (9 minutes)
-Etiology
-Pathophysiology of Schizophrenia.

Egyptian Journal of Hospital Medicine - 2017

Towards a Public Health Approach to Psychotic Disorders URL

Read the entire article. (6 minutes)

The Lancet - 2019

Schizophrenia URL

Read section: Management and Impact. (2 minutes)

Article/factsheet - 2022

Activity : Discussion Forum 2 (100 minutes)

In this learning activity, you will explain why psychosis is classified as a syndrome and the importance of performing thorough medical evaluations for patients that present signs and symptoms of psychosis. Finally, you will reflect about the importance of accounting for a patient's cultural and religious experiences to provide a thorough analysis in psychosis diagnosis.

Instructions:

Step 1: Analyze

Review the required learning materials for this lesson.

Step 2: Respond

Prepare a 250-300 word piece of writing which reflects the following key points:

Explain why psychosis is considered a syndrome
Explain the importance of conducting thorough medical analysis/evaluations for patients presenting symptoms of psychosis
Explain the role of a patient’s cultural and religious experiences in providing a psychosis diagnosis

Step 3: Share

To share your work, click on the “Add a new discussion topic” button under this post and paste your work in the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).

Step 4: Interact

To complete the activity, you will need to reply to at least two posts made by your peers in a respectful and professional manner, using the items in this Rubric to guide you. Be sure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas on other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.” You may use the following as a guide:

Item A is .…. because…. My suggestions for improvement are….
Item B is .…. because…. My suggestions for improvement are….
Item C is .…. because…. My suggestions for improvement are….
Item D is .…. because…. My suggestions for improvement are….
Item E is .…. because…. My suggestions for improvement are….

OPTIONAL Step 5: Interact (10 minutes)

If you would like to, you can reply to your peers' posts in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”

Case Study 4: 35 y.o Patient with Psychotic Spectrum Disorder SCORM package

In this activity, you must pass the quiz to be marked as complete, and you will have unlimited attempts to complete it.

Introduction

Course Registration

Peer Corner

Pre-Test

Module 1: Lesson 1: Disorders in Childhood and Adolescence

Clinical Practice Guidelines for Assessment of Children and Adolescents

Culture and Psychopathology: New Perspectives on Research, Practice, and Clinical Training in a Globalized World.

Disruptive Behavior Disorders Child with Oppositional Patterns and/or Aggressive Patterns Interfering with Functioning in Home, School, or with Peers.

Clinical Practice Guidelines for the Management of Conduct Disorder.

School-Aged Children Who are not Progressing Academically: Considerations for Pediatricians.

Mental Health and Academic Performance: A Study on Selection and Causation Effects from Childhood to Early Adulthood.

Clinical Practice Guidelines for Assessment of Children and Adolescents.

Learning Disability

Diagnosis and Treatment of Developmental Dyslexia and Specific Learning Disabilities: Primum Non Nocere

GPs’ Suspicion of Child Abuse: How does it Arise and What is the Follow-up?

Case Study 1: 12. y.o. Boy demonstrating symptoms of behavioral disorder

Evaluation of the Child with Global Developmental Delay and Intellectual Disability

Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents

Module 1: Lesson 2: Geriatric Psychiatry

Helpful Approaches to Older People Experiencing Mental Health Problems: A Critical Review of Models of Mental Health Care

The Geropsychiatric Interview- Assessment and Diagnosis

Interface Between General Adult and Old Age Psychiatry

Mood Disorders in the Elderly: Prevalence, Functional Impact, and Management Challenges

Suicide in Older Adults

Elderly and Polypharmacy: Physiological and Cognitive Changes

Social Isolation and Loneliness in Older Adults: Review and Commentary of a National Academies Report

Diagnosis and Management of Elder Abuse by Family Physician

Case Study 2: Psychiatric Disorders in the elderly

Identified Mental Disorders in Older Adults in Primary Care: A Cross-Sectional Database Study

Geriatric Psychopharmacology: How Pharmacokinetic and Pharmacodynamic Changes Affect Prescribing

Module 1: Lesson 3: Cognitive Disorders

Clinical Aspects of Neurobehavioral Symptoms of Dementia

DSM-5

Cognitive Impairment Evaluation and Management

Developing Guidelines for the Translation and Cultural Adaptation of the Montreal Cognitive Assessment: Scoping Review and Qualitative Synthesis

DSM-5

Clinical Practice Guidelines for Management of Delirium in Elderly

Clinical Neurology and Epidemiology of the Major Neurodegenerative Diseases

Neuropsychiatric Symptoms in Mild Cognitive Impairment: An Update on Prevalence, Mechanisms, and Clinical Significance

Cognitive Impairment Evaluation and Management

Amnesia: Definition, Main Models, Classifi Cations, Neurobiological Profiles and Clinical Treatments

Chapter 5: Dementia &amp; Amnestic Disorder

Seven Reversible Causes of Dementia in Older Adults

Activity 1: Discussion Forum 1 (100 minutes)

Module 1: Lesson 4: Dissociative and Amnestic Disorders

What Are Dissociative Disorders?

Dissociation as a Trauma-Related Phenomenon

Transient Global Amnesia: Current Perspectives

Classic and Recent Advances in Understanding Amnesia

MODULE 6: DISSOCIATIVE DISORDERS

Case Study 3: Female patient presenting symptoms of amnesia

DSM 5

Trauma Related Dissociation: An Introduction

United States of amnesia: rescuing memory loss from diverse conditions

Amnesia

Module 1: Lesson 5: Psychosis Spectrum Disorders

Clinical Presentation

The Clinical Characterization of the Patient with Primary Psychosis Aimed at Personalization of Management

Evidence-Based Approach to Psychosis in the Emergency Department

Structure of the Psychotic Disorders Classification in DSM-5

Canadian Guidelines for the Assessment and Diagnosis of Patients with Schizophrenia Spectrum and Other Psychotic Disorders

Psychosis in Children and Adolescents

Subclinical Psychosis in Adult Migrants and Ethnic Minorities: Systematic Review and Meta-Analysis

Psychotic Disorders in Late Life: A Narrative Review

Shamanism and the Psychosis Continuum

Rethinking the Course of Psychotic Disorders: Modelling Long-term Symptom Trajectories

From Onset and Prodromal Stage to a Life-Long Course of Schizophrenia and Its Symptom Dimensions: How Sex, Age, and Other Risk Factors Influence Incidence and Course of Illness

Clinical Practice Guidelines for the Management of Schizophrenia in Children and Adolescents

Schizophrenia: Etiology, Pathophysiology and Management - A Review

Towards a Public Health Approach to Psychotic Disorders

Schizophrenia

Activity : Discussion Forum 2 (100 minutes)

Case Study 4: 35 y.o Patient with Psychotic Spectrum Disorder

Psychotic Spectrum Disorders: Definitions, Classifications, Neural Correlates and Clinical Profiles

The Clinical Course of Schizophrenia in Women and Men-a Nation-Wide Cohort Study

The Synaptic Pruning Hypothesis of Schizophrenia: Promises and Challenges

Psychosis

Module 1: Lesson 6: Personality Disorders

Understanding Patient Personality in Medical Care: Five-Factor Model

Diagnostic and Statistical Manual of Mental Disorders Fifth Edition DSM-5

Chapter 5: Dementia & Amnestic Disorder