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PACES Flashcards

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1
Q

What is CBT

A

Based on idea that all thoughts feelings and sensations are interconnected which can cause people to become bogged down on negative thoughts
CBT is used to break these problems down into larger ones which helps state of mind

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2
Q

What is family therapy

A

Family therapy aims to improve communication and resolve conflicts within relationships
Its like counselling where sit down and therapist will aim to examine your problems and help you sort these together

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3
Q

What is interpersonal therapy

A

If peoples problems like depression are built from the way they interact with people then these sessions are useful in helping people interact more effectively with other people
Sessions will involve assessing you, what you problems are and what want to get out of it
After that helping people make adjustments and apply these

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4
Q

What is psychoeducation

A

Takes many forms and involves educating patients about their condition in depth whether that be talking about medications and side effects or living with the condition

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5
Q

What goes into a mental state exam

A

Appearance and behaviour
Speech
Mood
Thought content
Perception
Congition
Insight

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6
Q

What looking for in appearance and behavior of the patient

A

Self care
Dress is it appropriate
Mannerism
Movements- including activity
Eye contact
Engagement

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7
Q

What thinking of in speech of patient

A

Rate
Loudness
Tone
Flow- does it make sense and can you follow it

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8
Q

What is seen in poverty of thought

A

Very vague and simple speech
Meaningless repetitions and stereotyped phrases

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9
Q

What is seen in pressure of speech

A

Speak very rapidly and frenzied
Very urgent and erratic

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10
Q

What is a circumstanital thought disorder

A

When you are talking about something but add lots of details or go off topic but return to the right topic

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11
Q

What is tangeital speech

A

When answer questions with absolutely nothing related to what was asked

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12
Q

What is thought block often seen in

A

Schizophrenia as may believe the thoughts have beent taken from them or broadcast

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13
Q

What is thought block

A

When you are talking about something but then suddenly stop for a few seconds-minutes and may not return to the right topic

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14
Q

What is thought withdrawal

A

A delusion when thoughts have been taken away from someone- seen with thought block

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15
Q

What is flight of ideas

A

When someone talks quickly and jumps between ideas erratically

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16
Q

What to think about with regards to mood in MSE

A

Subjective described mood
Objective affect
- is it variable/restricted
- the intensity
- congruency (does it match with mood)

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17
Q

How to broach mania

A

You seem so happy, how are you feeling? Is this usual for you?
You seem to have a lot of energy today, is this usual for you?
Sounds like you’ve been incredibly busy recently, do you have time to eat/sleep? How much sleep are you actually getting?
Do you feel special? Better than other people?
Can you do things that other people can’t do? Do you have special powers?
How are you getting on with other people these days?

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18
Q

When doing thought content what are main things to document

A

What are main themes of patients thoughts
- depressive
- anxious
- obsessions
- overvalued ideas
- delusions

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19
Q

Questions for delusions

A

Is there anything unusual thats been troubling you?
Have you had any odd experiences you cant explain?
Then once establish if the patient believes them
- why do you think is happening?
- how do you explain whats been happening?

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20
Q

Questions for hallucinations

A

Do you ever hear people talking when no ones around
Do you hear things that no one else seems to hear
Have you seen anything unusual that no one else can see

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21
Q

What can slurred speech suggest

A

Major depression
Psychomotor retardation

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22
Q

What is labile affect

A

When drastic exaggerated change in emotions- schizophrenia

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23
Q

Parts to psych history

A

PC
HPC- do MSE
PMH
- psych conditions
- admissions
- under MHA
Drugs
- prescribed
- psych
- side effects
- illegal
Forensic
- prior convictions
Family history
- relationships in family
- history of psych illness
Personal
- how was childhood
- job
- relationship
- previous traumatic experiences
- personal beliefs

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24
Q

Difference between flight of ideas and knights move thinking

A

Flight of ideas- jump quickly between ideas but is a link
Knights move thinking- jump quickly from idea to idea with no link

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25
Q

Difference between tangentiality and circumstantiality

A

Circumstantiality is giving an answer with excessive detail but you do return to the point
Tangentiality is wandering form topic to topic without returning to it

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26
Q

What is repetition of speech back to someone called and what is it seen in

A

Echolalia
ADHD and autism

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27
Q

What is word salad

A

Disorganised sentences which make no sense

28
Q

What is DBT

A

Teach patient to accept who they are

29
Q

Parts of psych history

A

PC
HPC with MSE
Psych history
Medications
Substance misuse
Family history
Forensic history
Social
Premorbib history

30
Q

Questions for eating disorder

A

SCOFF
Do you make yourself sick
Do you think lost control over how much eat
Have you recently lost more than one stone
Do you believe yourself to be fat when others say you are too thin
Would you say food dominates your life

31
Q

What is psychodynamic psychotherapy

A

Based on principle that there is an unconscious element to someones presentation, allowing patients to see this can be very alleviating

32
Q

What are techniques used in psychodynamic therapy

A

Free association
Transferance
Recognising resistance

33
Q

What is free association

A

Ask patient just to say everything that comes to mind

34
Q

What is transferance

A

Where one applies all emotions and thoughts they have for someone else to the psychiatrist

35
Q

What is recognising resistance

A

Demonstrating to patient things they are doing which is preventing the therapy from carrying on

36
Q

What does self help refer to in depression

A

Worksheets online which allow you to understand more about why been feeling way have been, more about depression and ways that making small lifestyle changes may help alleviate feelings

37
Q

What happens in group CBT for depression

A

This is a community based therapy method which involves a therapist discussing different strategies with people going through similar things to yourself. Good to have that sense of community and that youre not going through this alone, as sharing same experiences good way of people sharing their methods

38
Q

What is group based physical activity

A

This is where people suffering from social isolation are able to partake in a variety of activites ranging from board games to playing football allowing people to get not only physical benefits but mental ones as well

39
Q

How to deal with functional syndrome

A

Do physical exam- share results
Explain diagnosis
- functional syndrome where certain psychological events can change the way the brain functions which can present as real life experience symptoms- link to life events
- common and well established condition
Will self resolve if perpetuating factors dealt with- no need for medicine etc

40
Q

With CAMHS, what think about in social side to management

A

School- talking to head of year, educational psychologist, welfare officer
Social services- finances, housing etc

41
Q

What are indications for family therapy in CAMHS

A

Behavioural disorders
Psychosis
Substance misuse
Eating disorders
Depression

42
Q

What is topographical memory

A

In dementia when fail to remember how to orientate yourself to somewhere

43
Q

What is it when forget names of children and own birthday

A

Autobiographical memory (explicit memory)

44
Q

What is procedural memory

A

Remembering how to do things (implicit memory)

45
Q

What is semantic memory

A

Your knowledge like capital cities etc

46
Q

What is jamais vu

A

When experience something have many times but think is new

47
Q

What is an affect illusion

A

When illusion is altered by your mood
Eg- a frightened person sees a shadow and believes its an intruder

48
Q

What is a completion illusion

A

When you misinterpret as have not paid proper attention to it

49
Q

What hallucinations caused when falling asleep

A

Hypnopompic

50
Q

What is it when you see yourself

A

Autoscopy

51
Q

What is derailment

A

Thought disorder where no meaningful connections between what talking about

52
Q

What is it when repeat last syllable of a word over and over

A

Logoclonia

53
Q

What is logoclonia seen in

A

Parkinsons

54
Q

What is a rumination

A

A self identified intrusive thought

55
Q

When have a thought that identify as not your own but isnt spoken what is it

A

Delusion

56
Q

What is when feel less connected to your friends and family

A

Detatchment

57
Q

What are night terrors

A

Different from nightmares- wake up in state of fear and often shouting

58
Q

What is it when ask a catatonic patient to do something and they do the complete opposite

A

Negativism

59
Q

What is systemic therapy

A

Another word for family therapy

60
Q

What is risk of suicide after an episode of self harm

A

1%

61
Q

What is an example of perseveration

A

Logoclonia

62
Q

What are somatic delusions

A

Where belief relates to own health and body

63
Q

What are persecutory delusions

A

Where believe someone trying to harm you

64
Q

What you like arranging objects in a particular order

A

Punding

65
Q

What is punding seen in

A

Parkinsons
Those taking metanephrine

Psych (9 decks)

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