Thought & Speech Disorder

Question 1

Circumstantiality

Answer 1

inability to answer a question without giving excessive, unnecessary detail, person DOES eventually return the original point.

Question 1

Summary table of thought and speech disorders

Answer 1

Question 2

Tangentiality

Answer 2

wandering from a topic WITHOUT returning to it

Question 3

Knight’s move thinking

Answer 3

severe type of loosening of associations, where there are unexpected and illogical leaps from one idea to another; schizophrenia

Question 4

When is knight’s move thinking seen?

Answer 4

Schizophrenia

Question 5

Flight of ideas

Answer 5

leaps from one topic to another but with discernible links between them.

Question 6

Perseveration

Answer 6

repetition of ideas or words despite an attempt to change the topic.

Question 7

thought interference

Answer 7

that somenoe is withdrawing/ inserting outside thoughts into the patient, or that that patients thoughts are being broadcasted

Question 8

Thought disorder in which person DOES eventually return to the original point

Answer 8

Circumstantiality

Question 9

Thought disorder in which person doesn’t return to orignal point

Answer 9

Tangentiality

Question 10

What is pressure of speech/thought? What is it seen in?

Answer 10

fast and difficult to interpret; mania

Question 11

What is poverty of speech/thought? What is it seen in?

Answer 11

much slower with little or nothing to say, depression

Question 12

Clang associations

Answer 12

rhyming connections to bridge thoughts (bang, sang etc)

Question 13

What is thougth block? Who is it seen in?

Answer 13

complete emptying of thoughts, sudden halt, schizophrenia

Question 14

Punning

Answer 14

play on words w homophones (tire, tyre)

Question 15

Neologism

Answer 15

made up words

Question 16

Word salad

Answer 16

completely incoherent speech where real words are strung together into nonsense sentences

Question 17

Difference between circumstantiality and tangentiality

Answer 17

Circumstantiality  think circle  return to the same pont
Tangentiality  tangent  never returns to the same point

Question 18

Difference between knight’s move thinking and flight of ideas

Answer 18

Knight’s move thinking  random movements like a knight on a chess board, seen in schizo

Flight of ideas  rapid topics but clear links between them

Question 19

Summary table showing subtypes of delusions

Answer 19

Question 20

Grandiose delusion

Answer 20

exaggerated beliefs about being special

Question 21

Persecutory/paranoid delusions

Answer 21

That others are trying to cause them harm

Question 22

Thought interference delusions

Answer 22

That somenoe is withdrawing/ inserting outside thoughts into the patient, or that that patients thoughts are being broadcasted

Question 23

Nilhistic delusions

Answer 23

The absence of something vitally important (that they’re dead, rotting, homeless)

Question 24

Delusions of reference

Answer 24

That certain items/events have special meaning about them

Question 25

Delusions of control

Answer 25

That outside forces are controlling them

Question 26

Depersonalisation delusions

Answer 26

The sensation of being outside of your body and observing your actions as a third party

Question 27

Derealisation delusions

Answer 27

The sensation or belief that the world is not real; things around you seem “foggy” or “lifeless”

Question 28

Summary table showing delusional syndromes

Answer 28

Question 29

Othello syndrome

Answer 29

Believing partner is unfaithful

THINK: Unfaithful like in Shakespeare

Question 30

Fregoli syndrome

Answer 30

Delusion that different people are in fact a single person who changes appearance or is in disguise

Question 31

Folie a deux

Answer 31

shared delusions/hallucinations between people

Question 32

De Clerambault’s Syndrome/erotomaniac

Answer 32

patient believes another person, usually a celeb, is in love with them

Question 33

Capgras syndrome

Answer 33

Delusion that a friend, spouse, parent another close family member or pet has been replaced by an identical impostor

NOTE: To remember it: CAPgras, impostor wears a cap to hide himself/herelf

Question 34

Ekbom syndrome

Answer 34

Aka delusional parasitosis

Delusion that they are infested with living or non-living pathogens such as parasites, insects or bugs when no manifestation is present

NOTE: Presents with tactile hallucinations known as fornications

Question 35

Factitious disorder/Munchausen’s syndrome

Answer 35

consciously pretending or exaggerating you have a medical illness (wanting to be seen as ill)

Question 36

Malingering

Answer 36

Pretending to be ill FOR A SPECIFIC EXTERNAL BENEFIT

Question 37

Cotard syndrome

Answer 37

Aka walking corpse syndrome
Delusion that the person is dead, does not exist, is putrefying and/or has lost blood and internal organs

Question 38

Big risk with cotard syndrome

Answer 38

Can refuse to eat due to belief of immortality and eventually pass away of starvation

Question 39

What delusional syndrome presents with formication?

Answer 39

Ekbom

NOTE: sensation of insects crawling under the skin

Question 40

What is morgellons syndrome?

Answer 40

Subtype of Ekbom syndrome in which individuals believe they have sores containing harmful strings/fibers