MSE, Schizophrenia Spectrum & Other Psychotic Disorders, Depressive Disorders Flashcards
Mental status examination includes assessment of:
appearance & behavior
relationship to the interviewer
affect & mood
cognition & memory
language
disorders or thoughts
physiologic function
insight & judgement
refers to a feeling or emotion, experienced typically in response to an external event or a thought
affect
refers to an inner state that persists for some time, w/ a disposition to exhibit a particular emotion or affect
mood
amnesia
memory loss
dysmensia
distortion of memory
retrograde amnesia
loss of memory of past events
anterograde amnesia
inability to form new memories
confabulation
false memory that the patient believes is true
commonly fill memory gaps
aphasia
dysfunction in the patient’s ability to express himself
broca aphasia
comprehension is relatively intact but expression dysfluent, sparse, telegraphic, full of circumlocution
wernicke aphasia
comprehension is affected, expression, thought fluent, rambles, lacks meaning, full of errors
Can sleep deprivation precipitate or accentuate psychiatric disorders?
yes
the use of verbal means to influence beneficially another person’s mental & emotional state
psychotherapy
Which disorder involves delusions about plausible events, such as being persecuted, having a serious illness, or having a secrete relationship with another person?
delusional disorder
In delusional disorder, is the patient’s function markedly impaired?
no
patients are not overly bizarre & thought process is generally organized
What is the time frame for brief psychotic disorder?
1 day to 1 month
What is the time frame for schizophreniform disorder?
1 month to 6 months
What is the time frame for schizophrenia?
> 6 months
What is schizophrenia characterized by?
psychosis
disintegration of abilities to think logically & maintain normal social behavior
What are some positive symptoms of schizophrenia?
delusions
hallucinations
disorganized speech
grossly disorganized or catatonic behavior
What are some negative symptoms of schizophrenia?
diminished emotional state
avolition
Which disorder is characterized by a baseline of psychosis with inter-episode mood symptoms, with at least a 2 week period with the absence of mood symptoms & just psychotic symptoms?
schizoaffective disorder
What are some mood symptoms seen in schizoaffective disorder?
depression
mania
hypomania
mized states
What may range from marked unresponsiveness to marked agitation?
catatonia
5 or more of the following are need to diagnose what?
depressed mood most of the day, nearly every day
markedly diminished interesting or pleasure
significant weight loss (> 5%)
insomnia or hypersomnia
psychomotor agitation or retardation
fatigue or loss of energy nearly every day
feelings of worthless
excessive/inappropriate guilt
dimished ability to think or concentration
reccurent thoughts of death/suicide
major depressive disorder
How long do symptoms need to be present to diagnose major depressive disorder?
during the same 2 week period & represent a change from previous functioning
In major depressive disorder, at least one of the symptoms is either _______ or ______.
depressed mood
or
loss of interest or pleasure
What is the time frame for persistent depressive disorder?
symptoms for most of the days (more days than not) for at least 2 years
What are some symptoms of persistent depressive disorder?
poor appetite or overeating
insomnia or hypersomnia
low energy or fatigue
low self-esteem
poor concentration or difficulty making decisions
feelings of hopelessness
Do the symptoms of persistent depressive disorder cause clinically significant distress or impair social/occupational areas of functioning?
yes
Which disorder included, in the majority of menstrual cycles, at least 5 symptoms must be present in the final week before the onset of menses, starte to improve within a few days after the onset, and become minimal or absent in the week post menses?
premenstrual dysphoric disorder
