Psychosis and the MSE Flashcards
Define delusion
A stubborn belief that cannot be shaken despite contradiction from reality
Define hallucination
Seeing things that don’t exist
What is the difference between a delusion and a hallucination?
Hallucinations involve external stimuli whereas delusions arise internally
Are delusions or hallucinations present in schizophrenia?
Both
What are the positive symptoms of schizophrenia?
Hallucinations
Delusions
What are the negative symptoms of schizophrenia?
Alogia
Avolition
Anhedonia
Affective flattering
What is alogia?
Poverty of speech
What is avolition?
Poor self care eg hygiene, lack of motivation etc
What is affective flattering?
Unchanged facial expressions and no expressive gestures
At what ages is psychosis most likely to develop?
Transition from childhood and adolescence
What are main components of a psych history?
History of presenting concern Past psych history Background history (family, personal, social) Past medical history Medications
Which medicine can be brought over the counter for depression and can interfere with other medication?
St John’s wort
What acronym is used to remember the mental state exam?
ASEPTIC Appearance and behaviour Speech Emotion/mood Perceptions Thoughts Insight Cognition
What is examined in the appearance and behaviour section of the MSE?
General appearance
Facial expressions (depression, anxiety)
Posture (hunched shoulders? head looking down? gripping the chair?)
Movements (overactive, restless, immobile, slow, mannerisms etc)
Social behaviour
Eye contact
What is examined in the speech section of the MSE?
Quantity
Rate
Spontaneity
Volume