Psych Defintions Flashcards
What is Psychiatry
◦ Psychiatry is the medical specialty of evaluating and treating conditions which are directly or indirectly affected by a patient’s mental condition
◦ Treatment may be pharmacologic, psychotherapeutic, or both
Chief Complaint
◦ Why did the patient come to see you
◦ Why did the patient REALLY come to see you
HxPI
History of present illness
Subjective criteria
◦ Patient’s description of their symptoms
◦ OPQRST
◦ SAMPLES
◦ Past personal, psychiatric, developmental, behavioral, social, military, substance use, sexuality and family history
◦ Can be very revealing and helpful, but not necessarily diagnostic
◦ Pertinent positives and negatives
OPQRST
Onset
Provocation
Quality
Radiation
Severity
Time/ duration
SAMPLE
Symptoms
Allergies
Medications
Past Med Hx
Last Oral Intake
Events Leading Upto
AMSIT
◦ Appearance and behavior ◦ Mood/Affect ◦ Sensorium (orientation, memory) ◦ Intelligence/cognition ◦ Thoughts, perceptions, judgment, insight
Circumstantialities
Circumstantialities: Speech characterized by indirection and delay in reaching the point because of unnecessary detail – common in patients with obsessions
Derailment
Derailment: Speech that shifts from one subject to another that is unrelated or minimally relatable – common in schizophrenia/mania/psychosis
Flight of Ideas
Flight of Ideas: Continuous flow of accelerated speech changing from topic to topic – common in mania
Neologisms
Neologisms: Invented or distorted words – Various psychotic disorders
Incoherence
Incoherence: Speech that is incomprehensible – schizophrenia, 24hr cable news channels
Blocking
Blocking: Sudden interruption of speech in midsentence or before completion of an idea – Sudden interruption in midsentence
Confabulation
Confabulation: Fabrication of facts in response to questions to fill in gaps in memory – commonly seen in amnesia
Perseveration
Perseveration: Persistent repetition of words or ideas – persistent repetition of words or ideas
