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Year 4 - Psych > Conventions and Skills > Flashcards

Conventions and Skills Flashcards

1
Q

Formulation thinking

  • Framework
  • Facets/factors (4Ps)
A

Forumulation thinking

  • Framework
    1. Biological
    2. Psychological
    3. Social
  • Facets/factors
    1. Predisposing
    2. Precipitating
    3. Perpetuating
    4. Protective
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2
Q

Mental state exam
- Sections

A

Mental state exam
- Sections

  1. Appearance and behaviour
  2. Speech and mood
    -Obj/Subj
  3. Thought and Perception
    - Form/Content
  4. Cognition and Insight
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3
Q

Mental health history
- Essential question

A

Mental health history
- Essential question

  1. Current suicidal thoughts
  2. Past suicidal thoughts
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4
Q

Personality history
- distinguishing question

A

Personality history
- Helpful question

  1. How do you deal with stress
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5
Q

Euthymia
Alexithymia
- meaning

A

Meanings

Alexithymia
1. Unable to describe mood

Euthymia
1. Normal mood

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6
Q

Questions about thought
- Harm to self
- Harm to others
- Delusions

A

Questions about thought

  • Harm to self
    1. Facing the future
    2. Steps to ending life
  • Harm to others
    1. Any steps to defend yourself?
  • Delusions
    1. What’s on your mind?
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7
Q

Formal thought disorder vs flight of ideas

A

Formal thought disorder vs flight of ideas

  1. Flight of ideas - ideas are connected (explainable by patient)
  2. Disorder
    - No connection
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8
Q

Perception
- Sensory experience symptoms

A

Perception
- Sensory experience symptoms

  1. Hallucinations
  2. Illusions
    - eg. dog bark sounds like speech
  3. Distortions
    - eg. looks bigger than reality
  4. Pseudo-hallucinations
    - Patient knows they aren’t real
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9
Q

MSE
- Cognitive function

A

MSE
- Cognitive function

  1. Oriented to time, place, person
  2. Further testing
    - MMSE
    - ACE etc.
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10
Q

MSE - Insight
- Two questions

A

MSE - Insight
- Two questions

  1. Belief in illness
  2. Acceptance of treatment
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11
Q

Psych History
- Structure

A

Psych History
- Structure

  1. HPC
  2. Past psych
  3. Sociodemographic
  4. PMH
  5. DHx
  6. FHx
  7. Personal Hx
    - Childhood, education, occupation
    - Sexual development, relationships
    - Substances
    - Forensic
  8. Pre-morbid personality
  9. MSE
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12
Q

Psych Hx
- Personal History

A

Psych Hx
- Personal History

  1. Infancy and early childhood
  2. Adolescence and education
  3. Occupational record
  4. Sexual development/relationships
  5. Alcohol/drugs
  6. Forensic Hx
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13
Q

Psych Hx PC
- Low Mood

A

Psych Hx PC
- Low Mood

  1. Open - how are your feeling in your mood?
  2. Tell me more about that
  3. SQuITARS
  4. Specific
    - Concerns
    - Blame
    - What people think?
    - Anhedonia
    - Future?
    - Mania screen
    - Delusions/hallucinations screen
  5. Risk
    - Life worth living
    - Thought about harm
    - Protective factors
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14
Q

Hallucination
- Modalities

A

Hallucination
- Modalities

  1. Auditory
  2. Visual
  3. Olfactory
  4. Tactile
  5. Gustatory
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15
Q

Delusion
- Types

A

Delusion
- Types

  1. Persecutory
  2. Nihilistic
  3. Guilt
  4. Grandiose
  5. Reference
    - external world relates to them
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16
Q

Delusion
- History taking

A

Delusion
- History taking

  1. Open questions
    - Anything on mind
    - Tell me more
  2. Clarify
    - How do you know?
    - How long have you known?
  3. Risk assess
    - Have you taken any steps to protect yourself
17
Q

Thought possession
- History taking

A

Thought possession
- History taking

  1. Open
    - Do you feel in control of your thoughts?
    - Is anyone interfering?
    - Tell me more
  2. Clarify
    - Why do you say that?
    - Describe it
18
Q

Hallucinations
- History taking

A

Hallucinations
- History taking

  1. Open questions
    - Anything you cannot explain
    - Voices when no one around
    - Tell me more
  2. Clarify
    - Describe it
    - What is your explanation
  3. Risk assess
    - Tell you to do things
    - Able to resist them
19
Q

MSE
- Appearance and behaviour

A

MSE
- Appearance and behaviour

  1. Clothing/kemptness
  2. Eye contact
    - Appropriate
    - Sustained, intense
    - Reduced, avoidant
  3. Rapport
  4. Psychomotor
    - Agitation/retardation
  5. Distraction
20
Q

MSE
- Speech

A

MSE

  • Speech form
    1. Rate/rhythm
    2. Volume/tone
21
Q

MSE
- Mood and affect

A

MSE

  1. Objective mood
    - Low
    - Expansive
    - Euphoric
  2. Affect
    - Blunted
    - Flat
    - Inappropriate
    - Labile
22
Q

MSE
- Thought

A

MSE
- Thought

  1. Form
    - Flow and coherence
  2. Content
    - Delusions
    - Obsessions
    - Compulsions
    - Overvalued ideas
    - Suicidal
    - Homicidal
23
Q

MSE
- Perception

A

MSE
- Perception

  1. Hallucination
  2. Illusion
  3. Dissociation
    - Depersonalisation
    - Derealisation
24
Q

MSE
- Cognition

A

MSE
- Cognition

  1. Orientation
    - Time, place, person
  2. Testing
25
Q

Para suicide
- RA

A

Para suicide
- RA

  • Before
    1. Planning/impulsiveness
    2. Intent
  • During
    1. Method
    2. Combination methods
  • After
    1. Mood
    2. Thoughts
26
Q

Over valued idea Vs obsession

A

Over valued idea Vs obsession

  • Obsession
    1. Intrusive thoughts
    2. Not in patients control
    3. Aware of irrationality
  • Over valued idea
    1. Solitary abnormal thought
    2. Dominates person’s life

Year 4 - Psych (11 decks)

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