Week 5 - Neuropsychiatric Assessment Flashcards

1
Q

Define neuropsychiatric symptoms

A

-

-

  • irritability/ emotional outburst, loss of insight, mood symptoms, psychosis, obsessive behaviours, disinhibited behaviour, OCD, behavioural inflexibility/ rigidity, attention lapses, perseveration in behaviour our thoughts,
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2
Q

What is perseveration in behaviour our thoughts,

A

intrusive “sticky” thoughts, a type of behavioural inflexibility

two elements: can you disengagement, can you reengagement in something else

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3
Q

what do the distinctions between neuropsychiatric symptoms imply?

A
  • it fits across a broad range of clinical practice.

- impacts one’s adjustment

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4
Q

What is the impact of violent symptoms on the family/ carer?

A
  • caregiver burden

- one instance of violence impacts approach

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5
Q

How do we differentiate neuropsychology and neuropsychiatry

A

neuropsychiatrist have medical degrees, specialise after MD. Can prescribe medication. Can train in psychotherapy.

neuropsychology focuses on behaviour. Training in assessment & psychotherapy.

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6
Q

What are the professional roles associated with neuropsychiatry?

A
  • similar to psychologists: private practice, hospitals
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7
Q

Name the 5 Parallel Circuits (1986)

A

more odd dancing in LOs Angeles California

M

O

Lo

A. C

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8
Q

What does it mean for the thalamus to be a relay structure?

A

Convergence

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9
Q

What does it mean for the thalamus to be a relay structure?

A

Convergence

55 nuclei

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10
Q

What are the divisions of the Frontal Coretex

Which of the three will be taken out?

A

taken out: Motor

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11
Q

What are the divisions of the Frontal Coretex

Which of the three will be taken out?

What are the broad.. (numbers)

A

taken out: Motor

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12
Q

What are the divisions of the Frontal Coretex

Which of the three will be taken out?

What are the broadmann’s (numbers)

A

taken out: Motor

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13
Q

Name the areas involved in the 5 Parallel Circuits (1986)

A

BEHAVIOU

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14
Q

Similar behavioural syndromes occur with damage outside the frontal lobes

A

In HD they have frontal damage symptoms despite having damage in striatum

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15
Q

Similar behavioural syndromes occur with damage outside the frontal lobes

  • What are the key studies/ researchers related to this?
A

In HD they have frontal damage symptoms despite having damage in striatum

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16
Q

Similar behavioural syndromes occur with damage outside the frontal lobes

  • What are the key studies/ researchers related to this? (1989)
A

In HD they have frontal damage symptoms despite having damage in striatum

-you don’t need damage in cortex to have frontal syndrome (rewatch lecture and correct this)

17
Q

What scale is used to measure neuropsychiatric symptoms

FrSBE

A

Frontal Systems Behaviour Scale

18
Q

What scale is used to measure neuropsychiatric symptoms - FrSBE

  • items, formart, 3 categories, where available
A

Frontal Systems Behaviour Scale

19
Q

how was the FrSBe Developed?

A
  • not performance-based test but patient & observer reported outcome
20
Q

What scale is used to measure neuropsychiatric symptoms - FrSBE & Neuropsychiatric Inventory (nursing homes)

  • items, format, 3 categories, where available
A

Frontal Systems Behaviour Scale

21
Q

Challenges in neuropsychiatric assessment

A
  • raters
  • sampling frequency
  • severity vs frequency
  • positive & negative symptoms
22
Q

Challenges in neuropsychiatric assessment

A
  • raters
  • sampling frequency (e.g. doing an extreme behaviour once changes everything)
  • severity vs frequency
  • positive & negative symptoms
23
Q

Challenges in neuropsychiatric assessment

A
  • raters
  • sampling frequency (e.g. doing an extreme behaviour once changes everything; infrequent behaviour but can be quite severe)
  • severity vs frequency
  • positive & negative symptoms (added challenges of measuring negative symptoms)