Psychiatric Disorders and The MSE Flashcards
the source of psychiatric illness
the brain
how to know if it’s pathologic?
symptoms cause functional impairment
dx of psych disorders: psychiatric interview
current sx past psychiatric history/PMH in general developmental history meds/substances stressors and supports
dx of psych disorders: mental status exam
assessment of mental status
rating scales for quantification of sx
dx of psych disorders: ddx
primary psych dx
due to general medical condition
substance-induced (cocaine/alcohol w/d looks like depression)
dx of psych disorders: biopsychosocial formulation
biological factors
psychological factors
psycho-social factors
DSM diagnoses
biopsychosocial formulation
biological factors
psychosocial
social/cultural
biological factors
genetics in utero (neurodevelopmental; schizo) temperament head trauma use of drugs/alcohol cerebrovascular disease neurodegeneration
psychological factors
“view of the world”
childhood development personality traits coping style defense mechanisms self-image & identity psychological trauma relationships w others
social/cultural factors
current stressors
support systems (suicide)
spiritual beliefs
cultural influences
mental status exam
appearance behavior conversation (speech) demeanor (mood) effect (affect) fought processes (thought) guts of thought (contents) hognition (cognition) insight judgment
lots of pauses in speech
latency
def: subjective experience of emotion
mood
sad, mad, glad, scared
def: inability to express an emotional state
alexithymia
