Psych into material Flashcards
Mental disorder definition
clinically significant disturbance in cognition, emotional regulation, or behaviors representing a dysfunction in psychological, biological, or developmental processes; associated with distress and disability
Advantages of using the DSM5
- Provides a common language with which all health professionals can communicate
- Provides a convenient format for organizing and communicating clinical information, and for describing the heterogeneity of individuals presenting with the same diagnosis
- Promotes application of biopsychosocial model in clinical, educational, and research settings
6 components of psychiatric history
chief complaint present illness premorbid adjustment past history of medical illnesses family history of psychiatric and medical illnesses developmental history of the patient
Common features of psychiatric and medical interviews
identifying data regarding the patient chief complaint history of present illness significant past history social history family medical history
Distinctive features of psychiatric interview
examining feelings about significant life events
identifying significant people and relationships
identify and trace the major influences on biological, social, and psychological development of the individual
mental status exam areas (10 areas)
general description emotions perception distortions thought process orientation memory impulse control judgment insight reliability
4 subcategories of general description
overall appearance
motor behavior
speech
attitude
3 subcategories of emotions
mood
affect
appropriateness
define mood
sustained feeling tone that prevails over time for a patient
define affect
range of expression of the predominant feeling tone
4 subcategories of perception distortions
hallucination
illusion
depersonalization
de-realization
define hallucination
perceptual disturbance in which a patient experiences with no external stimulus
define illusion
false impressions that result from a real stimulus
define depersonalization
patient is somehow not himself, estranged or detached from himself
define de-realization
patient feels the environment has changed but cannot account for changes
2 main subcategories of thought process
stream of thought
thought content
6 areas of stream of thought
flight of ideas looseness of associations circumstantiality tangentiality thought blocking perseveration
define flight of ideas
thoughts sped up to where clinician has difficulty keeping up. jumping quickly from one topic to another. still logical just too fast
looseness of associations
patient jumps from one unrelated topic to another with no connection and is unaware of disconnect
circumstantiality
lack of goal directedness, incorporates tedious and unnecessary details into conversation and has difficulty arriving at an end point
tangentiality
disorganized speech where answers are remotely or completely unrelated to questions
thought blocking
sudden cessation of speaking in the middle of a sentence and cannot recover what was said or complete thoughts
perseveration
repeating the same response to a variety of questions, inability to change a response or topic
5 items included under thought content
delusion ideas of reference abstract thinking education and intelligence concentration
define delusion
false fixed belief that has no raitonal basis in reality
define ideas of reference
incorrect interpretation of a casual incident or external event as having direct reference to oneself
deficits in orientation often indicate what
dementia or psychosis
3 components of memory
remote past
recent past
recent memory
define impulse control
ability to control expression of aggressive, hostile, fearful, guilty, affectionate, or sexual impulses in situations where their expression would be maladaptive
define judgement
ability to make appropriate decisions and act on them in social situations
define insight
patient awareness of problem or illness, ability to review causes, and arrive at a solution
4 things to consider with psych material/questions
major problem/diagnosis
childhood problems
medical conditions
psychosocial stressors
