Psychiatric H & P Flashcards
How well the thought goes from one to another - Association + Rate/ rhythm
Thought Form
Too much detail and not getting to the point
Circumstantiality
Thought Associated with the sound of the word instead of the meaning of the word
Clang Association
words make sense but sentences do not
Derailment
speaking rabidly with a lot of ideas
Flight of Ideas
Invention of new word or using old phase in a new weird way
Neologism
Repetition / Out of context
Perseveration
Reply to general topic but not the actual question
Tangentiality
sudden disruption of thought/ break in the flow of idea
Thought Blocking
A 79-year-old woman is describing her headaches to her doctor. “They start in the morning. I’ll wake up at 6 or 6:30, and then by the time I have my coffee…well sometimes I’ll have tea. I like it with lemon and just a bit of sugar…or honey. I always take milk with coffee. And like I was saying, after coffee I may turn on the TV for a half hour or so. Well, unless there’s something really good. If I’m watching the news, I many not even notice the headache, but by lunch they are so bad I have to lie down”
Circumstantiality
I watched TV but the newspaper didn’t come
Derailment
A 31-year-old male in the manic phase of bipolar d/o was asked if he had any trouble sleeping. He replied, “I never have trouble sleeping. I never have trouble peeping. I never have trouble pooping.”
Clang Association
A 37-yo-male who is in the middle of a manic episode is speaking with great rapidity: “I just got back from New York. Call it the Big Apple, but it’s rotten to the core. Nobody can take me. I could beat up my father. He was tough, a salesman. He sold his soul for a pig in a poke.”
Flight of Idea
A 25-yo-male with dx of chronic undifferentiated schizophrenia described his activities during a pass from a psychiatric hospital: “We went to the park. It was hot, but not too hot. It was burging.”
Neologism
A psychiatrist interviewing an 86-yo-female: “Do you know what day it is?”
Patient: “Yes, Tuesday”
Psychiatrist: “And, where are we now?”
Patient: “Tuesday”
Perseveration
A 40-yo-male with depression being evaluated by a psychiatrist–
Psychiatrist: “Have you had trouble sleeping through the night?”
Patient: “I usually sleep in my bed but now I’m sleeping on the sofa.”
tangentiality
Interview of a 55-y.o.-female
Psychiatrist: “Have you been drinking more than usual in the last couple of months?”
Patient: “ Not really. I’ve always been a pretty big drinker…could hold my liquor well.”
Psychiatrist: “How much would you drink on a normal day?”
Patient: ”Maybe a pint. Two pints sometimes…no (pause)”
Psychiatrist: “What?”
Patient: “I forgot. What were we talking about? What did you ask me?”
Thought Blocking
A fixed, false belief not explained by the patient’s culture; you cannot shake that belief
Delusions
False sensory perceptions. Hearing most commonly involved
Hallucination
Fear that isn’t directed at or caused by something the patient can pinpoint
Anxiety
Unreasonable, intense fear associated with a situation or object; Social phobia
phobia
Dominating thought/belief/idea (commonly involve money, dirt, or time)
Obsession
Acts performed repeatedly, often to combat and obsession: counting, heeding superstitions or following rituals
Compulsions
type of hallucination that has the sensation of burning, itching, bug crawling under skin
Tactile Hallucination
Proverbs, similarities and differences - relies on culture, inteligence and education
Abstract Thinking
inability to remember even prior to injury
Retrograde Amnesia
Inability to form new memories
Anterograde Amnesia
