MSE Flashcards
Full/Broad
Blunted/Flat
Congruent
Incongruent
Affect (Observable Emotional Expression)
Full, Broad range of expression. Considered typical or normal
Full/Broad Expression
Dulled range of expression. Associated with depression
Blunted/Flat expression
Appropriate emotional expression. Considered authentic/genuine
Congruent
Inappropriate emotion expression. Considered inauthentic, “superficial”
Inconguent
Euthymic Depressed/Dysphoric Elated/Euphoric Labile Anhedonia
Moods (Emotional State)
Normal or typical mood, upbeat, “happy”
Euthymic
Down, “blue” mood, Depression or Bipolar common
Depressed/Dysphoric
“Up” on top of the world - often with increased energy. Common to manic state of bipolar
Elated/Euphoric
Capricious, unstable, quickly changing mood. Common to rapid cycling forms of bipolar
Labile
Lack of interest and withdrawal from regular and pleasurable activities - Depression
Anhedonia
Logical/Coherent Circumstantial Tangential Loose Associations Flight of Ideas
Thought Process (form, attention, speed)
Distractible Preoccupied Rumination Latent Racing Thoughts
Attention and Speed
Clear, direct connections between content. One idea flows into another
Logical/Coherent
Digressions to unnecessary details in thought and speech before communicating the central idea
Circumstantial
Oblique, digressive, irrelevant speech. the central idea is not communicated
Tangential
Little or vague connection is made between concepts, continuous tangential “rabbit-holing”. Can be symptom of schizophrenia
Loose Associations
Multiple thoughts and ideas are generated spontaneously, without obvious connection. Manic states and bipolar
Flight of Ideas
Focus can shift quickly onto the external environment. ADHD
Distractible
Inattentive to the external environment, internally focused. Depression, schizophrenia
Preoccupied
Preoccupation with a single idea or theme. Anxiety
Rumination
A prolonged period of time between a thought and its verbal expression. Depression, Anxiety, Schizophrenia
Latent
Multiple thoughts occurring in a seamless fashion. Often in list form. Anxiety, Manic states
Racing Thoughts
Intact Memory
Orientation
Dissociation
Regression
Memory and Consciousness
Appropriate short and long term recall
Intact Memory
To time, place, person, situation
Orientation
Altered consciousness, a trance-like state, disconnected from emotions. Associated with trauma
Dissociation
Return to a childlike state. the person is unconscious and unaware of their regression
Regression
Relaxed, Normal Psychomotor Retardation, Hypoactive Catatonic Apathetic Restless, Hyperactive Agitated Sterotypy
Motor (body movement, nonverbal communication)
Within typical range of motor movement
Relaxed, normal
Decreased activity, slow response to environment, sluggish. Depression, brain injury
Psychomotor Retardation, Hypoactive
Severe immobility, associated with schizophrenia
Catatonic
Indifference. Laissez-faire attitude. Brain Injury, Depression, Antisocial Behavior
Apathetic
A compelling need to be in constant movement. Difficult to sit still. ADHD or trauma
Restless, hyperactive
Severe anxiety and/or irritation. Can be anger outburst or panic attacks. Pacing or hyperventilating can occur
Aggitated
Continuous mechanical repetition of speech or physical activity, such as flapping hands or rocking. Autism Spectrum Disorders
Stereotypy
Regular Rate/Rhythm
Pressured Speech
Laconic Speech
Echolalia
Speech (Verbal Communication)
Controlled, even paced, cadenced verbal communication
Regular Rate and Rhythm
Uncontrollable, accelerated, excessive talking, rapid rate and rhythm
Pressured Speech
Terse, brief responses provided without elaboration
Laconic Speech
Repeating or mirroring the speech of another person - Autism
Echolalia
Aloof Avoidant Contempt Defensie Dismissive Oppositional/Defiant Guarded Hypervigilant Suggestible
Interpersonal (Relationally-driven behavior)
Disengagement and lack of connection with others
Aloof
Disengagement due to anxiety and desire to escape contact
Avoidant
A passive-aggressive style of relating to others. Rolling eyes, imitating vocal tone in a mocking manner
Contempt
Reacting to the input of others in a hostile manner. the person usually feels threatened
Defensive
Reacting to the input of others by disregarding, rejecting, and thinking no more about it
Dismissive
Irrational attempts to elicit a power struggle or argument with another person
Oppositional/Defiant
Overly careful about sharing information
Guarded
Excessive attention to external environment, stemming from heightened anxiety
Hypervigilant
Uncritical acceptance and compliance with another person’s proposal or recommendation, easily influenced
Suggestible
Ego Dystonic Ego Syntonic Conceited Grandiose, Expansive Catastrophizing
Intrapersonal (Internally-driven attitudes and behavior)
The individual does not consider their behavior to be consistent with their core personality
Ego dystonic
The individual considers their behavior to be consistent with their core personality. Blaming others for their behavior.
Ego syntonic
Egocentric, self-important, arrogant, proud, Narcissistic personality
Conceited
Ego inflation. Belief that a person can accomplish anything, even outrageous tasks
Grandiose, expansive
Dramatically predicting that the worst even is most likely to occur
Catastrophizing
Delusions Bizarre Delusion Control Delusion Grandeur Delusion Persecution Delusion Reference Delusion
Psychosis (beliefs, perceptions, and sensory experiences outside the realm of realistic possibility)
A fixed belief that is experienced as odd, strange, or eccentric
Delusions
A fixed belief outside the realm of realistic possibility
Bizarre delusion
An individual’s fixed belif that their will/thoughts/feelings are being controlled by somone or something else.
control delusion
An individual’s fixed belief in their elevated importance, power, “specialness”
Grandeur Delusion
An individual’s fixed belief that they are being harassed or persecuted by others
Persecution Delusion
An individual’s fixed belief that unrelated events in the external environment are special messages that have a direct, personal significance, and relevance to them
Reference Delusion
A perceptual experience that is not experienced by others.
Hallucination
How a person is groomed and dressed
appearance
Appropriate grooming
Well groomed
Excessive detail is given to appearance and makeup
Immaculate grooming
Unbrushed hair, uncleaned teeth, unbathed
Disheveled/Unkempt Grooming
Person is wearing appropriate clothing for the occassion
Appropriate dress
Person is wearing too little clothing for the context
Underdressed
Person is wearing too much clothing for the context
Overdressed
