2. Mental state examination Flashcards
MSE
Appearance Behaviour Speech Mood Thoughts Perceptions Cognition Capacity Insight
Extrapyramidal features caused by antipsychotics:
Akathisia
Parkisonism
Tardive dyskinesia
Akathisia
Unpleasant restlessness causing agitation
Parkinsonism
Shuffling gait, slow movement, rigidity
Tardive dyskinesia
Rhytmic involuntary movements of the face, limbs, trunk
Subjective mood
How the patient says they are feeling
Objective mood
What do you think about their emotional state
Variability of the mood
Labile (Changeable, unexpected), or flat/blunted (lack of normal variability)
Affect:
Outward feeling of emotion/thoughts
Primary delusions:
Arise out of the blue in someone with no prior symptoms
Secondary delusions:
Occur when delusions frow and build on each other into an elaborate system.
Systematized delusions:
Occur when delusions frow and build on each other into an elaborate system.
Partial delusions:
Not held quite as firmly, person acknowledges some doubt.
Grandiose delusions
Feeling you are extremely important, special, powerful
Persecutory delusions
Others are targeting or harming you
Hypochondriacal:
You have a specific illness
Nihilistic
Something vitally important is missing (organs rotting, being dead)
Hallucinations
Perception in the absence of a stimulus
Hallucination types
Auditory, visual, touch, olfactory, gustatory
Illusions:
Altered perception of a real object
Depersonalization:
Person feels unreal, detached, emotionally distant
Derealization:
World feels unreal (like a film set)
