Clinical assessment and understanding psychopathology Flashcards

1
Q

What is psychopathology?

A

The study of the origins, development, and symptoms associated with mental disorders

Psychopathology encompasses various theories and frameworks to understand mental illness in a clinical context.

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2
Q

What does descriptive psychopathology focus on?

A

The individual experiences of illness that patients undergo

It requires the clinician’s ability to effectively elicit, identify, and interpret psychiatric symptoms.

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3
Q

Why is it important to acknowledge lived experience in psychiatric assessment?

A

Every patient has a unique narrative concerning their mental health challenges

This perspective shapes their understanding and response to their symptoms.

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4
Q

What is a key consideration when discussing sensitive content with patients?

A

Approaching potentially triggering topics with great care

This ensures a safe and supportive environment for patients.

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5
Q

What are the three primary goals of a psychiatric assessment?

A
  • Make a Diagnosis
  • Understand the Context
  • Establish a Therapeutic Relationship

These goals guide the clinician in providing effective treatment.

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6
Q

What is the importance of psychiatric terminology in assessments?

A

Facilitates effective communication during assessments

Understanding both clinical language and the patient’s language regarding their experience is essential.

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7
Q

What is included in the psychiatric history components?

A
  • Presenting Complaint
  • History of Presenting Complaint
  • Past Psychiatric History
  • Personal History
  • Family History
  • Physical Health
  • Social History
  • Forensic History
  • Pre-Morbid Personality
  • Ideas, Concerns, and Expectations

Addressing these components provides a comprehensive understanding of the patient’s condition.

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8
Q

What is the purpose of the Mental State Examination (MSE)?

A

To systematically assess the patient’s current mental state

This is essential for both diagnosis and treatment planning.

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9
Q

What areas are assessed in the MSE?

A
  • Appearance and Behavior
  • Speech
  • Thoughts
  • Perception
  • Cognition
  • Insight
  • Risk Assessment

Each area provides critical information about the patient’s mental health.

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10
Q

What are bizarre delusions?

A

Delusions that lack any basis in reality

Examples include believing one has superhuman abilities.

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11
Q

What should clinicians assess regarding a patient’s perception?

A

The presence of hallucinations, particularly auditory hallucinations

Clinicians must determine the nature and content of these hallucinations.

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12
Q

What does insight refer to in a psychiatric context?

A

The patient’s awareness of their illness and its impact on their life

Insight can be assessed through questions about the patient’s understanding of their symptoms.

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13
Q

What is the risk assessment in psychiatric evaluation?

A

Evaluating risk to self and others

This includes considering the patient’s history of self-harm or suicidal ideation.

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14
Q

Fill in the blank: The presenting complaint is vital to clearly identify the patient’s __________.

A

[main issue]

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15
Q

What diagnosis aligns with Lara Gonzalez’s presentation?

A

Adjustment Disorder with Depressed Mood

This diagnosis arose in response to her mother’s death.

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16
Q

What therapeutic approaches may be beneficial for Lara Gonzalez?

A
  • Cognitive Behavioral Therapy (CBT)
  • Possible pharmacotherapy

These approaches can support her mental health recovery.

17
Q

True or False: Lara Gonzalez has a history of psychiatric treatment.

A

False

She denies any previous psychiatric diagnoses or treatments.

18
Q

What does the family history component assess?

A

Identifying any mental health or physical conditions in relatives

This can provide valuable insight into the patient’s risk factors.

19
Q

What is the significance of social history in psychiatric assessment?

A

Assessing the patient’s living situation, employment status, benefits, and substance use habits

This context is critical for understanding their overall well-being.