Intro To Psych Flashcards
What is the difference between mania and hypomania?
Mania (BAD1) is criteria met for 7 days
Hypomania (BAD2) is criteria met for less than 7 days
What does SIG E CAPS stand for?
SI- suicidal ideation G = Guilt E= Change of energy C = concentration difficulty A = Appetite P = psychomotor agitation or depression subjective report) S = Sleep problems
When the SIG E CAPS criteria is met for 7 day or more
Mania (BAD1)
When the SIG E CAPS criteria is met for less than 7 days
Hypomania (BAD2)
Alternating episodes of minor depression
Cyclothymia
Include the patient’s psychiatric history under PMH when chief complaint is
Not psych related
If patient’s chief complaint is psych related, than we want to add a separate
Past psychiatric history heading
Functioning is a score of 1-100, often referred to as global assessment of functioning. What is
- ) Superior function
- ) Imminent danger to yourself or others
- ) 100
2. ) 1
What are the three P’s for evaluating the factors contributing to mental illness?
Predisposing, Precipitating, Perpetuating
What are the aspects of social functioning for your patients?
SHOVEL and Axes
Social support, housing, occupations, value (economic), education, legal issues, and access to healthcare
Has one overall goal: keep the friction/ anxiety between what you want to do and what you are allowed to do at a sub threshold level
The ego
Defined when deficits in 2 or more of cognitive, impulse control, affective, or interpersonal domains results in impairment in social, occupation, or interpersonal functioning
A Personality disorder
Is NOT a screening tool for major neurological disorder (dementia) or a serial assessment for delerium
Mental Status Examination
We only use the mini-mental state examination for
Dementia (Major neurocognitive disorder)
In psychiatry, ABC’s stand for
Appearance, Behavior, Cooperation
Marked psycho-motor (behavioral) disturbance
Catatonia
To break down psycho-motor, we would say
Psycho = Decreased engagement
Motor = Abnormal motor activity
Psychologically, with psycho motor, we want to focus on
Decreased engagement
Moderate motoric immobility
Catalepsy
Severe motoric impairment
Stupor
Tested by asking patient. Please read ad obey the following: “close your eyes”
Comprehension
When a patient veers off topic and they never get back to their point
Tangential
Derailment is a disturbance of association that contains
Flight of Ideas (FoI) and Looseness of Associations (LoA, aka word salad)
If the sentences make sense, but when the individual puts them together, the paragraph makes no sense
-Single sentence in a vacuum makes sense
Flight of Ideas
If neither the sentences or the paragraphs made from them make sense, we have a
Looseness of Association
One example of the Clang association is
Looseness of Association (LoA)
Themes are comprised of
Delusions and non-delusional thoughts
Fixed beliefs, that have no basis in reality
Delusional Thoughts
Thoughts such as obsessions and preoccupations (e.g. somatic symptom and eating disorders)
Non-delusions thoughts
The difference between delusional and non-delusional is that
The patient knows they are not rational and does it anyway if they are non-delusional. Delusional patients believe they are rational
Asking, “if you could describe how you feel in one word, what word would you choose?” Gives us the patient’s
Mood
When you report intensity of affect to your attending, you are presenting the
Average intensity
Looks at the peaks and troughs of the patients affect intensity
Range
If the range of affect intensity is too broad, I.e. and expansive range, we call it
Mania
If the difference between peaks and troughs of the affect intensity curve are very small, we have a
Constricted range
If we want to know how quickly they change from peak to trough in intensity, we want to know the slope. What do we call it if
- ) Patient gets there too quickly?
- ) Too slowly?
- ) Over-controlled
2. ) Labile
Relation to thought content or situation
Appropriateness of affect
A clinical term for the inappropriate affect seen with conversion disorder
La Belle Indifferenceq
Illusions and hallucinations are forms of
Perceptual disturbance
Perceptual disturbances that are cued by an environmental stimulus
Illusions
Perceptual disturbances that are NOT cued by an environmental stimulus
Hallucination
A misinterpretation of a REAL environmental stimulus
Illusion
The level of consciousness is measured by being
Awake, alert, and oriented
When the patients alertness is preventing them from interacting with their environment despite painful stimuli
Comatose
Estimate of current level of functioning as measured by the tasks required by the test
Intelligence quotations (IQ)
We test immediate recall by asking the patient to
Name 3 things that are not visually present in the room
Of the three objects you ask about, one of the three should be an
Abstract concept
Working memory and attention is tested using the
Digit span test
The digit span test tests the
Frontal lobe
Observe if any deficits are not better accounted for by
Concentration
A person with normal concentration should be able to do the serial 7’s test (subtract 7 over and over again from 100) and get
5 responses in a row correct without getting 2 in a row incorrect
Ability to discuss emotions and see their connectivity with content of thought
Abstract thought
Abstract thought is assessed formally via the
Similarities sub scale
A more accurate test for abstract thought in the low educated population
Abstract thought
Part of the comprehension subscale
-I.e. don’t cry over spilled milk
Proverbs
Manifestations of behavior that are contrary to acceptable behaviors in the culture
Formal judgement
Formal judgement is assessed via the
Comprehension scale
Asking, what should a person do if he/she sees smoke or fire in a grocery store? Is testing
Formal Judgement
We close our MSE by stating if the findings are
Reliable
If what the patient says is NOT reliable, then we want to present that information in the
Introductory sentence
