DSM, MMSE Flashcards
the majority of patietns diagnosed with ADHD initially presented to
- primary care
- pediatrics
What is the mental status exam
- initial psychiatric assessment
- used to describe patient’s current state of mind
- 12 domains
list the 12 domains of the mental status exam
- appearance
- alerteness and orientation
- speech
- motor behavior
- mood and affect
- attention
- memory
- perception
- insight
- judgement
- thought content
- thought processess
What does the domain alertness and orientations assess
- level of consciousness
- A&O to
- person
- time
- place
What does the domain speech assess
- observe speech production
- sponatneous speech and language tests
- consider
- rate, volume, quantity, type
What does the domain mood assess
- patients subjective description of his or her emotional state in his or her own words
- sustained emotion that affects a persons view of the world
What does the domain affect assess
- emotion conveyed via non-verbals
- an observable feeling or tone expressed through voice, facial expression and demeanor
- described by clinician, not patient
what are the 4 categories of memory
- remote memory: childhood
- recent remote memory: current events within the past few months
- recent memory: breakfast
- immediate retention and recall: 6 digit test
What does the domain perception assess
- sensory awareness of objects in the environment and their interrelationships
- also refers to internal stimuli
hallucinations
false sensory perception not associated with real external stimuli
misperception or misinterpretation of a real external stimuli
illusion
a persons subjective sense of being unreal, strange, or unfamiliar
depersonalization
a subjective sense that the environment is strange or unreal
derealization
formication
the feeling of bugs crawling on or under the skin
What does the domain insight assess
- awareness that symptoms or disturbed behaviors are normal or abnormal
process of comparing and evaluating alternatives when deciding on a course of action
- judgement
- pt makes sounds, reasonable, responsible decisions
What does the domain thought content assess
- when the patient thinks about and the focus of thier concerns
- extent to which they believe their thoughts/conviction
fixed, false, personal beliefs that are not shared by other members of the person’s culture
- delusions
- cant be corrected by reasoning
recurrent, uncontrolable thoughts, images, or impulses. prominant, not false thoughts
obsessions
repetitive behaviors or mental acts that a person feels driven to perform
compulsions
persistent, irrational, exaggerated fear of a specific stimulus or situation
phobias
What does the domain thought processes assess
- quantity, tempo, and coherence of thought
- how a patient’s thinks
what is the basis to formulate any psychiatric diagnosis
Mental status examination
what is a brief neuropsychological test to screen for dementia
mini mental state examination
