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Psych > Mental State > Flashcards

Mental State Flashcards

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1
Q

what are the areas of mental state exam

A

appearance, speech, thought form, mood and affect, disorders of thought content, perception, cognition, insight

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2
Q

what are you looking for in appearance

A

general health, posture, tattoos, piercings, injection sites, well kempt?, mannerisms, eye contact, rapport, abnormal movements- result of antipsychotics or tics, stereotypy, mannerisms, motor activity

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3
Q

what are you looking at in speech

A

tone, rate, volume

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4
Q

what is normal speech

A

spontaneous, relevant, logical, coherent

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5
Q

what is circumstantial speech

A

takes a long time to get to the point

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6
Q

what is perseveration (speech)

A

repeating of words or topics suggests frontal lobe dysfunction, schizophrenia, OCD

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7
Q

what is neologisms (speech)

A

made up words- can occur in schizophrenia

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8
Q

what are some abnormal forms of thought

A

flight of ideas (abnormal connection), loosening of associations (no discernible link, Knights move), thought block (subjective experience of thought is abnormal)

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9
Q

what happens in pressured speech (can occur in mania)

A

incr rate and volume

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10
Q

what happens to speech in depression

A

poverty of speech and thought block- decr tone, rate, vol

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11
Q

what is mood

A

patients underlying emotion report subjective mood and objective- euthymic, dysthymic, hyperthymic

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12
Q

what is affect

A

observed external manifestation of emotion. blunted (schizophrenia), labile, irritable, suspicious

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13
Q

what is labile

A

excessively changeable

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14
Q

what is incongruous (affect)

A

grossly out of tune with subjects being discussed eg laughing about bereavement

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15
Q

what is the affect described as if it is normal and no abnormality

A

reactive

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16
Q

what are some disorders of thought content

A

negative, ruminations, beliefs, delusions, phobias, obsessions, depersonalisation, derealisation, ideas of reference

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17
Q

what are ruminations

A

persistent, disabling preoccupations

18
Q

what is depersonalisation

A

feeling detached, unreal

19
Q

what is derealisation

A

feel like the world and people are lifeless

20
Q

what are delusions

A

disorders of thought content. fixed, false beliefs out of keeping with culture

21
Q

examples of delusions

A

grandiose, persecutory, of reference, thought insertion/withdrawal/broadcast, passivity

22
Q

what are grandiose delusions

A

being famous, having supernatural powers, enormous wealth

23
Q

what are persecutory delusions

A

someone interfering in a malicious way

24
Q

what are delusions of reference

A

other people, media etc talking about you or communicating to you

25
Q

thought withdrawal/insertion/broadcast

A

external someone controlling thoughts

26
Q

passivity

A

actions, feelings being controlled by external

27
Q

what can be abnormal perceptions

A

illusions, hallucinations, psuedohallucinations

28
Q

what is an illusion

A

misintepretation of normal perception can occur in healthy people

29
Q

what is a hallucination

A

perception in the absence of external stimulus

30
Q

what is a pseudohallucination

A

internal perception with preserved insight

31
Q

what are you testing in cognition

A

conciousness, memory, orientation, concentration, attention

32
Q

what test can you do for cognition

A

Mini mental state examination (MMSE)

33
Q

insight

A

understanding of condition, cause and willingness to accept treatment

34
Q

what is echolalia

A

repeating another persons words

35
Q

what is cotard delusion

A

believe dead already or dying, losing blood, organs etc

36
Q

what is capgras delusion

A

delusion that friend, spouse etc have been replaced by identical looking imposter

37
Q

what is couvade delusion

A

sympathetic pregnancy- husband gets symptoms of mothers pregnancy

38
Q

what is Fregoli delusion

A

belief that friend, spouse is replaced by a twin imposter

39
Q

what is Ekbom delusion

A

delusional parasitosis- psychosis

40
Q

difference between primary and secondary delusion

A

primary- not understandable, fixed- capgras, cotard, etc etc. secondary can be understandable in mood context- persecution, grandiose etc

41
Q

what is echo de la pensee

A

thought echo-voices heard within mind

42
Q

in auditory hallucinations what should you differentiate

A

if it is a second person or a 2nd person talking to 3rd person

Psych (15 decks)

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