Mental State Examination Flashcards
what are the parts to a mental state examination
ABS-MAT-PCI
what does ABSMATPCI stand for
appearance behaviour speech mood affect thoughts perception cognition insight
what is a disorder of form of thought
evidence from the patients speech or writing that there is an abnormality in the way their thoughts are linked together
what is flight of ideas
when words are associated together inappropriately and the patient wanders far from the original theme so speech loses its aim
- the patient jumps from one topic to the next but there is a link for example rhyme, environmental trigger or punning
what is loosening of associations
speech will be muddled, illogical, difficult to follow and cannot be clarified. The patient may speak freely but also vaguely so no information is given despite no. of words used.
what is knights move thinking
may be seen with loosening of associations
- when patient moves from topic to topic with no logical connection between them
what is a word salad
severe form of loosening of associations
what is a neologism
patient makes up a new word or phrase or uses existing word or phrase in a bizarre way which have no generally acceptable meaning but which have idiosyncratic meaning to the patient
what is circumstantiality
conversation drifts but comes back to point
what is tangentality
conversation drifts and doesnt come back to point
what is preservation
involuntary repetition of ideas and thoughts when subject has been changed
how do mood and affect differ
mood is a prolonged prevailing state or disposition and is what the patient describes
affect is the mood applied to things - how the patients feelings change in relation to surroundings
____ is what the patient describes
_____ is what you observe
mood is what the patient describes (subjective)
affect is what you observe (objective)
what is passivity phenomena
behaviour is experienced as being controlled by an external agency rather than by the individual
what is a delusion
false belief
that is inappropriate to the patients socio-cultural background
that is firmly held in the face of logical argument or evidence to the contrary
what delusions are typical in depression
nihilism guilt poverty sin disease
what delusions are typical in schizophrenia
religion love persecution reference control
what delusions are typical in mania
grandiosity
persecution
religion
what are preoccupations
thoughts in an individuals mind but not fixed, false or intrusive
what are over valued ideas
nature of thought is unreasonable but patient is able to stop thinking about them
what is an illusion
normal sensory stimuli is misinterpreted
what is a hallucination
perception which occurs in the absence of external stimuli - an experience, a delusion is a belief
describe the experience of a hallucination
experienced as originating in real space, not just in thoughts
same qualities as a normal perception
not subject to conscious manipulation
what is 2nd person auditory hallucinations
voices speaking to the patient
what is 3rd person auditory hallucinations
voices speaking about the patient
what is thought echo
patient experiences own thoughts spoken or repeated out loud
what are visual hallucinations associated with
organic cause/altered consciousness
what is Formication
somatic hallucination - feeling of insets crawling under the skin
what is depersonalisation
body is strange or unreal
what is derealisation
objects in external world are strange or unreal
what 3 things should you think about in cognition
orientation to time place and person
concentration
memory
what is the difference between retrograde and anterograde memory
retrograde is past events
anterograde is new memories
what is thought broadcasting
everyone knows what you are thinking
what is thought insertion
someone is putting thoughts into my head
what would be deemed full insight
presents with symptoms, considers symptoms to be due to mental illness, accepts diagnosis and treatment
give 4 types of thought interference
thought blocking
thought withdrawal
thought broadcasting
thought insertion
give 4 types of passivity experience other than thought
volition - made action
affect - made feelings
impulse - made urges
somatic - influence on body
what is busiprone
5HT1A agonist - anxiolytic effect
takes a long time to work
