MSE Questions Flashcards
Mood (emotional state): Euthymic
Normal or typical mood. Upbeat, “happy.”
Mood (emotional state): Depressed/dysphoric
Down, “blue” mood. Often with decreased energy. Irritability or anxiety occurs in some people. Common to depression, anxiety, and depressed states of bipolar disorder.
Mood (emotional state): Elated/euphoric
“Up,” “on top of the world.” Often with increased energy.
Common to manic states of bipolar disorder.
Mood (emotional state): Labile
“An experiment using coke and mentos in the lab”
Capricious, unstable, quickly changing mood.
Common to rapid cycling forms of bipolar disorder in adults.
Mood (emotional state): Anhedonia
Lack of interest and withdrawal from regular and pleasurable activities that one used to enjoy. An associated symptom of depression.
Mood (emotional state): Vegetative symptoms
Almost catatonic, barely responsive
Sleep and appetite changes are most pronounced
Three types of Thought Processes
Form
Attention
Speed
Thought Processes - Form: Logical, coherent
Clear, direct connections between content. One idea flows directly into another.
Thought Processes - Form: Circumstantial
Digressions to unnecessary details in thought and speech before communicating the central idea.
Thought Processes - Form: Tangential
Oblique, digressive, irrelevant speech. The central idea is not communicated.
Thought Processes - Form: Loose associations
Little or vague connection is made between concepts; continuous tangential “rabbit-holing.” Can be a symptom of schizophrenia.
Thought Processes - Form: Flight of ideas
Each bird flies a different direction
Multiple thoughts and ideas are generated spontaneously, without obvious connection.
Thought Processes - Attention and Speed: Distractible
Squirrel!
Focus can shift quickly onto the external environment. This awareness interrupts the present dialogue. Associated symptom of anxiety, attention-deficit (ADHD).
Thought Processes - Attention and Speed: Preoccupied
Inattentive to the external environment, internally focused, seems to be thinking deeply.
Thought Processes - Attention and Speed: Rumination
Preoccupation with a single idea or theme.
Thought Processes - Attention and Speed: Latent
‘Late Response’
A prolonged period of time between a thought and its verbal expression.
Thought Processes - Attention and Speed: Racing thoughts
“Go to a Nascar race, then buy a new car, then get a new outfit, then take lessons …”
Multiple thoughts occurring in a seamless fashion. Often in list form. These thoughts have a pressured quality.
Memory: Intact memory
Normal or typical.
Appropriate short- and long-term recall.
Memory: Anterograde amnesia
Memory loss for events after the onset of amnesia
Assess confabulation (attempts to justify false response)
Memory: Retrograde amnesia
Memory loss for events before the onset of amnesia
Assess confabulation (attempts to justify false response)
Motor: Relaxed, normal
Within typical range of motor movement.
Motor: Psychomotor retardation, hypoactive
Decreased activity, slow response to environment, sluggish. For some individuals, this is typical for their personality.
Motor: Catatonic
Severe immobility
Motor: Apathetic
Indifference. Laissez-faire attitude accompanied by lack of motor impetus and dulled emotional tone.
Motor: Restless, hyperactive
A compelling need to be in constant movement.
Difficult to sit still.
Motor: Agitated
Severe anxiety and/or irritation, adrenaline response, preparation for action.
Can precipitate anger outbursts or panic attacks. Pacing or hyperventilating can occur.
Motor: Stereotypy
Continuous mechanical repetition of speech or physical activity, such as flapping hands and rocking. Associated with autism spectrum disorders.