Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Physiology & Science: Psychiatry > Introduction to Psychiatric Interview and MSE > Flashcards

Introduction to Psychiatric Interview and MSE Flashcards

You may prefer our related Brainscape-certified flashcards:
Biology 101 flashcards
1
Q

What are the components of a psychiatric interview?

A
  • Presenting complaint
  • History of presenting complaint
  • Past psychiatric history
  • Past medical history
  • Current medication/drug history
  • Family history
  • Personal and social history
  • Substance use history (drugs/alc)
  • Pre morbid history
  • Forensic history
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What can you ask in ‘past psychiatric history’?

A
  • Ever previously seen a psychiatrist?
  • Past hospital admissions?
  • Medications / side effects?
  • Any previous psychological therapies?
    *
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What can be asked in the family history?

A
  • Significant illnesses in family (physical or mental)
  • Are you in contact with family?
  • What was it like growing up in the family?
  • Who were you closer to: mother or father?
  • What was the relationship between your parents like?

Looks at genetic and environmental factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What can you ask in personal and social history?

A
  • Birth and pregnancy
  • Early development - were milestones achieved?
  • Childhood abuse
  • School - academic achievements, friendships, bullying
  • Who is at home to support?
  • Affect of illness on relationships?
  • Do they have children?
  • Finances
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does the ‘pre morbid personality’ part of the interview mean?

A
  • How were they before they became unwell?
  • Collateral history from others
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does ‘forensic history’ consist of?

A
  • Offences
  • Arrests
  • Cautions
  • Charges
  • Court appearances
  • Convictions
  • Sentences
  • Probation officer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does the Mental State Examination consist of?

A
  • Appearance and behaviour
  • Speech
  • Mood
  • Thoughts
  • Perceptions
  • Cognition
  • Insight
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What should we look for in appearance and behaviour?

A
  • Appropriateness of dress
  • Unkempt?
  • Ethnicity, age, sex, eye/hair colour
  • Eye contact - intense, withdrawn?
  • Restlessness, agitation, abnormal movements
  • Alert / confused?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What do we need to look for in terms of establishing rapport with patients in a MSE?

A
  • Cooperative?
  • Guarded?
  • Suspicious? Overly friendly?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What do we look for in speech?

A
  • Rate
  • Tone
  • Volume
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the difference between mood and affect?

A

Mood is like the climate, affect is the weather.

Mood is the sustained emotional state, it can be objective or subjective (1-10 scale, euphoric, depressed etc).

The affect is how you perceive the patient’s emotional state by their nonverbal behaviour - the affect may be incongruent with mood.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What 3 things do we look for in a patient when assessing their affect?

A
  • Type
  • Stability
  • Congruity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the two components we look at when dealing with a patient’s thoughts?

A
  • FORM - stream of thought
  • CONTENT - thought posession
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is clanging?

A

The use of alliteration and punning, noticed for when looking at flight of ideas in patient thoughts.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What features are we looking for when observing continuity in form?

A
  • Derailment, loosening of associations
  • Tangentially
  • Perseveration
  • Thought blocking
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What do we look for in the thought content of a patient?

A
  • Delusions
  • Possession
  • Obsessions
  • Over-valued ideas
  • Pre-occupations and ruminations
  • Suicidal and homicidal ideation
17
Q

What are delusions? Examples?

A
  • “false, unshakable, belief that is out of keeping with the patient’s social and cultural background”
  • control, persecution, jealousy, religious, love, infestation etc
18
Q

How can you ask about delusions?

A
  • “Do you feel under the control of some force or power other than yourself?” … [how, who, why]
  • “Do people seem to do things in a special way so as to convey a meaning to you?”
  • “Do things seem to be specially arranged?”
  • “Is anyone deliberately trying to harm you?”
  • “Are you very important or prominent person?”
  • “Do you have any special powers/abilities?”
19
Q

What are the 4 things you can ask about in terms of thought possession?

A
  1. Thought insertion
    - “Are thoughts put into your head that aren’t your’s?”
  2. Thought withdrawal
    - “Do your thoughts ever seem to be taken out of your head as though someone external was removing them?”
  3. Thought broadcasting
    - “Are your thoughts broadcast so that others know what you are thinking?”
  4. Thought blocking
    - “Do you ever experience your thoughts stopping quite unexpectedly / left empty-minded?”
20
Q

What things should you explore with a patient about their suicidal ideas and plans?

A
  • Is there hope/plans for the future?
  • What stops them from acting on thoughts?
  • Protective factors? (religion, social, children, pets)
  • What are they planning
  • Final acts?
  • Triggers?
21
Q

What should be looked for in perceptual abnormalities?

A
  • Hallucinations
  • Illusions
  • Depersonalisation
  • Derealisation
22
Q

How can you ask a patient about hallucinations?

A
  • Have you heard noises or perhaps voices when nobody else has been around?
  • How many voices are there?
  • Do you recognise them?
  • Can you make out what they say?
  • What did you see?
  • Do they speak to you or about you?
  • Do they tell you to do things?
  • Are you able to resist?
23
Q

What is depersonalisation?

A

The feeling that you are no longer yourself. Subjectively unpleasant experience.

  • “Have you yourself felt unreal, that you were not a person, not living in a world?”
  • “Or that you were outside yourself looking at yourself?”
24
Q

What is derealisation?

A

The feeling that the world around you is somehow unreal

  • “Have you had the feeling recently that things around you were unreal?”
  • “As if everything was an imitation of reality?”
25
Q

How do you test for cognition in a MSE?

A
  • Orientation (time/place/person)
  • Concentration + attention
  • Memory (mini mental state exam)
26
Q

What is meant by looking for ‘insight’?

A
  • What does the patient think is happening?
  • Do they think they are unwell?
  • What do they think will help?
  • Do they think medical or psychological treatment will be useful?

Physiology & Science: Psychiatry (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions