Week 5 - Neuropsychiatric Assessment Flashcards
Define neuropsychiatric symptoms
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- irritability/ emotional outburst, loss of insight, mood symptoms, psychosis, obsessive behaviours, disinhibited behaviour, OCD, behavioural inflexibility/ rigidity, attention lapses, perseveration in behaviour our thoughts,
What is perseveration in behaviour our thoughts,
intrusive “sticky” thoughts, a type of behavioural inflexibility
two elements: can you disengagement, can you reengagement in something else
what do the distinctions between neuropsychiatric symptoms imply?
- it fits across a broad range of clinical practice.
- impacts one’s adjustment
What is the impact of violent symptoms on the family/ carer?
- caregiver burden
- one instance of violence impacts approach
How do we differentiate neuropsychology and neuropsychiatry
neuropsychiatrist have medical degrees, specialise after MD. Can prescribe medication. Can train in psychotherapy.
neuropsychology focuses on behaviour. Training in assessment & psychotherapy.
What are the professional roles associated with neuropsychiatry?
- similar to psychologists: private practice, hospitals
Name the 5 Parallel Circuits (1986)
more odd dancing in LOs Angeles California
M
O
Lo
A. C
What does it mean for the thalamus to be a relay structure?
Convergence
What does it mean for the thalamus to be a relay structure?
Convergence
55 nuclei
What are the divisions of the Frontal Coretex
Which of the three will be taken out?
taken out: Motor
What are the divisions of the Frontal Coretex
Which of the three will be taken out?
What are the broad.. (numbers)
taken out: Motor
What are the divisions of the Frontal Coretex
Which of the three will be taken out?
What are the broadmann’s (numbers)
taken out: Motor
Name the areas involved in the 5 Parallel Circuits (1986)
BEHAVIOU
Similar behavioural syndromes occur with damage outside the frontal lobes
In HD they have frontal damage symptoms despite having damage in striatum
Similar behavioural syndromes occur with damage outside the frontal lobes
- What are the key studies/ researchers related to this?
In HD they have frontal damage symptoms despite having damage in striatum
Similar behavioural syndromes occur with damage outside the frontal lobes
- What are the key studies/ researchers related to this? (1989)
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)
What scale is used to measure neuropsychiatric symptoms
FrSBE
Frontal Systems Behaviour Scale
What scale is used to measure neuropsychiatric symptoms - FrSBE
- items, formart, 3 categories, where available
Frontal Systems Behaviour Scale
how was the FrSBe Developed?
- not performance-based test but patient & observer reported outcome
What scale is used to measure neuropsychiatric symptoms - FrSBE & Neuropsychiatric Inventory (nursing homes)
- items, format, 3 categories, where available
Frontal Systems Behaviour Scale
Challenges in neuropsychiatric assessment
- raters
- sampling frequency
- severity vs frequency
- positive & negative symptoms
Challenges in neuropsychiatric assessment
- raters
- sampling frequency (e.g. doing an extreme behaviour once changes everything)
- severity vs frequency
- positive & negative symptoms
Challenges in neuropsychiatric assessment
- 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)
