Psychiatric Interviewing Flashcards
What are loose associations?
sequences of ideas that aren’t related to each other. may be totally nonsensical
What is circumstntial thought process?
responses to interviewer’s questions drift away with unnecedssary details but eventually return to the topic. common in many people.
What is thought blocking?
speech interrupted for several seconds. unanticipated complete emptying of the mind. implies psychosis- so careful about when you use it. may be brought on by discussions of emotionally charged topics.
flight of ideas
rapid fire speech with topic swithes that may be logically connected but so rapid that it is hard/impossible to keep up
typical of mania
In what diseases are auditory hallucinations most common? What about visual hallucinations?
auditory common with psychophrenia
visual common with psychosis
What is dissociation?
alterned state of consiousness where there is detachment from a particular aspect of awareness such as emotions, body, memory, or self
What is delusion?
fixed false belief that is not shared with anyone. may be bizarre or non-bizarre. often paranoid, grandiose, somatic, or ideas of reference (taking cues from the environment personally)
person doesn’t think these thoughts are irrational.
What is rumination?
repetitive, internal focus on negative thoughts,
these thoughts aren’t intrusive
What is obsession?
intrusive irrational and unwanted thoughts that are relieved by compulsions.
What is the difference between an impulse and a compulsion?
compulsions relieve obsession
impulses are enjoyed behaviors
What is sterotypy?
complex repetitive movement (hand flapping, rocking) that comforts the patient and is used to self-soothe. often seen in autism
What is catatonia?
robot behaviors associated with extreme anxiety. ay be catalepsy (wavy flexibility), posturing, resistance fo movement, mutism, echolalia (repeating what someone says) or echopraxia (repeating what someone does)
What is level of evidence?
validity of an individual study based on an assesment of its study design
What are the levels of evidence?
1,2,3. 1: validated decision rules, systemic review or meta anayslsis, high quality RCT
2: unvalidated decision rules, systemic reveiw or meta analysis with mixed findings, cohorts, case controls
Level 3: consensus guidelines, extrapolations from bench research
What does the strength of recommendation describe?
evaluates a body of evidence addressing a specific practice vial level of evidence of individual studies, number of studies, consistency and coherence of evidence, and relationships between benefits, harms and costs
What are characteristics of secondary point of care resources? Examples?
Good for answering clinical questions
use level of evidence to make recommendations
are transparent about how they gather evidence, how they choose which evidence to include or exclude, and any conflicts of interest.
Examples include National Guidelines Clearinghouse and Cochrane Library
What are foraging tools? Examples?
tools used to keep up with the literature.
info filtered for validity and relevence
ex. Daily POEMs
STEPS of drug usefulness
safety, tolerability, effectiveness, price, simplicity
What are strengths and weaknesses of Access Medicine?
source of online textbooks. Thus, may be outdated. But, does have video and audio content.
What should be my first source for patient education content? Disadvantages of this source?
MD consult. Info in both Spanish and English.
similar to Up-To-Date in terms of content but less user friendly
What are some pros and cons of Up-To-Date?
pros: user friendly
cons: sometimes not very up-to-date (updated every 4 months). Written by individual authors and partially subsidized by industry. May not be the best source for diagrams or visuals
What are pros and cons of Essential Evidence Plus?
direct feed from cochrane and POEMS etc. But, less user friendly and may be difficult to find answers to specific questions.
What is clinical evidence?
free souce that provides systematic reviews of important clinical conditions
How do you convert from lbs to kg?
DIVIDE BY 2.2
