Mental state examination / cognitive assessments Flashcards
What is the difference between mood and affect
- mood = what the patient feels, unconscious feeling
- affect = how they appear to you, observational, visual
What does insight mean in a mental state examination?
- what does the patient feel is wrong
- what is the cause
What is a hallucination
-A perception which occurs in the absence of an external stimulus
What is an auditory hallucination?
- Like inner speech - Supplementary motor area hippocampus – parahippocampal gyrus
Types of auditory hallucinations?
- third person
- second person
- echo of inner thought
When assessing a patients speech what are you considering?
- rate
- amount
- tone
- volume
flight of ideas?
- patient jumping from thought to thought
- connected in ideas
loosening of associations vs flight of ideas?
- flight of ideas you can see the connection between jumping of thoughts
- loosening of associations you can’t see the connection between topics
neologism?
- new words or phrases
What is disruptive mood dysregulation disorder?
- young person with severe recurrent temper outbursts
- inconsistent with developmental level
- 3 or times per week
- for a year
- age 6-18
Categorical vs dimensional?
- categorical = absent or present
- dimensional = certain point on a continuum
What classification system is used in USA?
- DSM classificaiton
- names disorders and describes them in specific terms
What classification is used in rest of world?
- ICD 10 classificiation
- identifies symptoms that indicate the presence of a disorder
What code is psychiatric disorders given in the ICD10?
- F code
Subjective mood?
- how individual describes their mood
What is objective mood?
- how the health professional assesses patient’s mood
2 categories of form of thought?
- flight of ideas
- loosening of associations
In the MOCA test what score is considered normal?
- greater than 26/30
First line pharmacological treatment for dementia?
- acetylcholinesterase inhibitors (donepezil)
- Memantine (2nd line)
What is explicit memory?
- conscious memory
What is episodic memory
- events and experiences
What is semantic memory
- facts and concepts
What is implicit memory
- unconscious
What is anterograde amnesia?
- difficulty in acquiring new material and remembering events since onset of illness
