MHA, MCA + definitions Flashcards
Dysthymia
Chronic low mood
Euthymia
Contented mood
Mood vs affect
Mood = sustained emotions Affect = short observable behaviour that expresses emotional state
Alexithymia
Inability to express your emotions
Illusion
False perception of a real stimulus
Depersonalisation vs derealisation
Depersonalisation = patient feels unreal or detached Derealisation = patient thinks the world isn't real
Pseudo-hallucination vs hallucination
Pseudo = perceptual experience but recognised by patient as not real Hallucination = perception in the absence of a stimulus
Thought echo
Patient experiences own thoughts as if they were spoken aloud
Delusional perception
Sensory stimulus is real but there is a delusional thought attached - primary delusion
Negative symptoms
Occur in chronic schizophrenia
Poverty of speech, flat affect, poor motivation, poor attention
Lability
Affect is rapidly changing
Delusion
Fixed, firmly held belief despite evidence to the contrary
Concrete thinking
Inability to understand abstract ideas - everything is taken literally
Ideas of reference
Delusional belief that innocuous events are directly linked/ have some significance
Perserveration
Repetition of particular response with absence of stimulus
Word salad
Confused mix of random words
Clanging
Words that are put together due to the way they sound ie rhyming
Echolalia
Repetition of phrases that someone else has said
What is a designated facility?
Inpatient MH, psych or observation unit
Non designated facilities can only care for pt in transit
How does a voluntary admission work?
> 16 - use form 1, request for admission
+ form 2, consent for treatment
How are children under 16 admitted?
Admit under MHA, use form 1 + 2, signed by guardian
What is section 28?
Police can apprehend someone
What is a form 4?
Admits person for 48 hrs
Can be done within 14 days of seeing someone/ lasts 14 days
What is section 22?
Second medical cert needed to extend beyond initial 48 hrs
Lasts 1 month
What is form 6?
Renewal cert - to extend admission for 1 month
What are the 3 methods of involuntary admission?
Medical certification
Police intervention
Judge order
What are the criteria for an involuntary admission?
Pt must meet 4 criteria:
- suffering from mental disorder that impairs person’s ability to react to environment or associate with others
- requires psychiatric treatment in a facility
- requires care, supervision + control to prevent mental or physical deterioration or for person own protection or protection of others
- not a suitable voluntary pt
