Lecture 4 Schizophrenia Spectrum and Other Psychotic Disorders Flashcards
What are the two things to look for on a MSE
The content and the process
What do we look for in an MSE (Mental Status Exam)?
Appearance, Motor Behavior, Speech, Attitudes
What is Thought Blocking?
Responding to internal stimuli
What to watch for with Motor Behavior for MSE?
-Freedom of movement
-Any involuntary or abnormal movements
- Degrees of agitation
-Purposefulness of movements
What to look for with Speech for MSE?
- Rate
-Spontaneity
-Intonation
-Volume
-Defects
What do we look for with Appearance for MSE
- Eye contact
-Dress and grooming
-Age/Appearance
-Prominent features
What is Attitude for MSE
what is the difference between mood and affect
Affect is the way we interpret the patient’s mood, but mood is what the patient reports.
What is Affect?
Emotion or feeling displayed through facial expressions, hand gestures, posture, voice characteristics, and other physical manifestation
Difference between Thought and Content
How thoughts are arranged and coordinated. Content is what they are saying
What is linear thinking
Told in the sequence of events accurately
what is circumstantial thought
conversation starts on a tangent but is able to circle back to the original thought.
What is thought Derailment?
When the thought is all over the place and doesn’t make sense
What are the aspects of content?
-Perceptual disturbances
-Delusions
-Other (bizarre content)
What is Insight
Patient’s capacity to:
-Acknowledge/ Appreciate illness
-Associated implications
-Consequences
What is Judgement
How does a person solve problems?
Requires:
- Insight
-Cognitive functioning
-Other abstract abilities
-Conceptualization
-Forward thinking
What is Psychosis?
a state of confusion, where mental and emotional chaos
What are delusions?
- Fixed beliefs are not amenable to change in light of conflicting evidence.
-Persecutory
-Referential- (they’re talking about me)
-Somatic
-religious
-Grandiose
-Erotomanic
-Nihilistic
Can Delusions be bizarre or nonbizarre?
Both!
What are Hallucinations?
Perception-like experiences that occur without an external stimulus:
-Auditory- Most common (feel like what you hear outside)
-Visual- defined sort of illusions
-Tactile- Tend to shift into organic processes, where some part of the brain isn’t working
-Olfactory- most rare (e.g., I can smell death)
Disorganized Thinking
We have a lost tangential thought process
-Derailment
-Loose Associations
-Tangentiality
-Incoherence or Word Salad
What is Disorganized Behavior or Abnormal Motor Behavior for Psychotic Disorders
-Childlike silliness
-Unpredictable agitation
-Difficulty performing ADLs
-Catatonic Behavior
What are Negative Symptoms?
-Diminished emotional expression
