DDx of psychiatric symptoms

Question 1

What is flight of ideas?

Answer 1

Words associated together because of meaning or rhyme, so that speech loses its aim and patients wanders from original theme

Question 2

What is knights move thinking/Loosening of associations?

Answer 2

Links between thoughts are illogical or speech may wander between trains of thought

Question 3

What is tangential thinking?

Answer 3

Wandering from the topic and never returning to it or providing the info requested

Question 4

What is circumstantiality?

Answer 4

Inability to answer a question without giving excessive unnecessary detail, does eventually return to initial point

Question 5

What are self referential experiences?

Answer 5

The belief that external events are related to oneself

Think TV transmitting messages for you, car numberplates code etc

Question 6

What is significant about psychosis in depression?

Answer 6

It is a marker of severity

Question 7

What is psychosis?

Answer 7

Psychosis is a mental health problem that causes people to perceive or interpret things differently from those around them

Question 8

What is meant by mood congruent?

Answer 8

features that are consistent with patients mood

Question 9

What is meant by mood incongruent?

Answer 9

Delusions or hallucinations that are inconsistent or contradict prevailing emotions

Question 10

Features of schizoaffective disorder?

Answer 10

Presence of both symptoms typical of schizophrenia and affective disorder (Any specific episode may be schizo-manic or schizo-depressed

Question 11

features of delirium?

Answer 11

Clouding of conciousness
Impaired concn/memory
Hallucinations
Delusion
Irritable
Insomnia

Question 12

treatment for delirium?

Answer 12

Correct cause
Environmental factors
Drugs ie low dose antipsychotics