MSE MMSE Flashcards
10 components of MSE
ABS AMT PCIJ (ABS MAT PCIJ)
Appearance
Behaviour
Speech
Affect
Mood
Thought
Perception
Cognition
Insight
Judgment
A way of describing how you think the patient is feeling right now
Affect
6 things to look for in Affect?
QIRMRC
Quality Intensity Range Mobility Reactivity Congruence
3 things in Thought
Stream
Form
Content
Types of formal thought disorders
Loosening of associations (Tangentiality, Derailment) Clang associations Flight of ideas Circumstantiality Perseveration
When the point is gradually lost as the patient speaks
Tangentiality
Sentences make sense but are not connected between them.
Derailment
Sentences are linked to the next one but the point rapidly shifts each time. Seen in mania
Flight of ideas
Providing way too much irrelvant detail but eventually returning to the point
Anxiety
Keeps returning to same theme
Perseveration
Blunted affect with restricted range
schizophrenia
Flat affect with restricted range
Severe depression
Thoughts associated by the sound of words rather than by their meaning e.g. rhyming or assonance
Clang associations
Flight of ideas, pressured speech
Mania
An object is there to trigger this visual thing but it is ALWAYS correctable
Illusion
An actual perception is misinterpreted as something else AND not easily corrected
Misinterpretation/Misidentification
A sense that a feeling, thought or action is being forced upon by the person
Passivity phenomenon
A person’s sense that something is “not” right with themselves
Depersonalisation
A person’s sense that something is “not” right with their surroundings
Derealisation
All the characteristics of a normal perception but it’s NOT ACTUALLY THERE
Hallucination
types of hallucinations
auditory visual olfactory tactile gustatory somatic
Thoughts not perceived to be the person’s own that have been inserted, removed etc
Thought alienation
Abhorrent (ego-dystonic) and inescapable thoughts
Obsessions
Actions performed in response to obsessions, generally temporarily reducing the associated anxiety
Compulsions
Thoughts held with absolute conviction, that are fixed, poorly substantiated, not understandable from the person’s background
Delusions
Delusions that are inconsistent with the patient’s mood
Mood incongruent delusion
the false belief that irrelevant occurrences or details directly relate to oneself
Ideas of reference
