MHA, MCA + definitions

Question 1

Dysthymia

Answer 1

Chronic low mood

Question 2

Euthymia

Answer 2

Contented mood

Question 3

Mood vs affect

Answer 3

Mood = sustained emotions 
Affect = short observable behaviour that expresses emotional state

Question 4

Alexithymia

Answer 4

Inability to express your emotions

Question 5

Illusion

Answer 5

False perception of a real stimulus

Question 6

Depersonalisation vs derealisation

Answer 6

Depersonalisation = patient feels unreal or detached
Derealisation = patient thinks the world isn't real

Question 7

Pseudo-hallucination vs hallucination

Answer 7

Pseudo = perceptual experience but recognised by patient as not real 
Hallucination = perception in the absence of a stimulus

Question 8

Thought echo

Answer 8

Patient experiences own thoughts as if they were spoken aloud

Question 9

Delusional perception

Answer 9

Sensory stimulus is real but there is a delusional thought attached - primary delusion

Question 10

Negative symptoms

Answer 10

Occur in chronic schizophrenia

Poverty of speech, flat affect, poor motivation, poor attention

Question 11

Lability

Answer 11

Affect is rapidly changing

Question 12

Delusion

Answer 12

Fixed, firmly held belief despite evidence to the contrary

Question 13

Concrete thinking

Answer 13

Inability to understand abstract ideas - everything is taken literally

Question 14

Ideas of reference

Answer 14

Delusional belief that innocuous events are directly linked/ have some significance

Question 15

Perserveration

Answer 15

Repetition of particular response with absence of stimulus

Question 16

Word salad

Answer 16

Confused mix of random words

Question 17

Clanging

Answer 17

Words that are put together due to the way they sound ie rhyming

Question 18

Echolalia

Answer 18

Repetition of phrases that someone else has said

Question 19

What is a designated facility?

Answer 19

Inpatient MH, psych or observation unit

Non designated facilities can only care for pt in transit

Question 20

How does a voluntary admission work?

Answer 20

> 16 - use form 1, request for admission

+ form 2, consent for treatment

Question 21

How are children under 16 admitted?

Answer 21

Admit under MHA, use form 1 + 2, signed by guardian

Question 22

What is section 28?

Answer 22

Police can apprehend someone

Question 23

What is a form 4?

Answer 23

Admits person for 48 hrs

Can be done within 14 days of seeing someone/ lasts 14 days

Question 24

What is section 22?

Answer 24

Second medical cert needed to extend beyond initial 48 hrs

Lasts 1 month

Question 25

What is form 6?

Answer 25

Renewal cert - to extend admission for 1 month

Question 26

What are the 3 methods of involuntary admission?

Answer 26

Medical certification
Police intervention
Judge order

Question 27

What are the criteria for an involuntary admission?

Answer 27

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