Introduction

Question 1

Which of the following are disorders of thought form?
a. Neologisms
b. Thought insertion
c. Deja vu
d. Poverty of speech

Answer 1

Answer: a. Neologisms

Question 2

A persistent, pervasive belief in something that is not true is best described as a:
a. Illusion
b. Hallucination
c. Idea of reference
d. Delusion

Answer 2

Answer: d. Delusion

Question 3

List the 8 disturbances of THOUGHT FORM.

Answer 3

1. Circumstantiality (unnecessary detail)
2. Tangentiality (diverts from actual topic)
3. Derailment / loosening of associations (ideas / topics are unrelated)
4. Thought blocking (sudden stop in flow of thought / speech
5. Flight of ideas (thoughts / speech jump from one topic to another - often distracted by environmental stimuli
6. Incoherence (illogical, unclear, hard to follow)
7. Irrelevance (response unrelated to actual topic)
8. Neologisms (newly formed words / expression that have no clear prior establishment)

Question 4

List the 4 disturbances of THOUGHT CONTENT.

Answer 4

1. Delusions (fixed, false belief that is firmly held)
2. Poverty of thought content (lacking detail and richness)
3. Phobia (irrational intense fear)
4. Obsession (idea / thought that is intrusive and causes distress

Question 5

List and explain the 7 types of DELUSIONS.

Answer 5

1. Control (body / mind / actions being controlled by another)
2. Bizarre (outside of the realm of possibility)
3. Grandiose (involving fame, wealth, high status etc.)
4. Nihilistic (idea that individual / others / the world is non-existent, not alive, dead (organs rotting) etc.)
5. Religiose (involves religious concepts, God, prophetic powers etc.)
6. Persecutory (belief that others wish one harm / pain / death / are jealous)
7. Referential (external unrelated events that have special reference meaning to an individual)

Question 6

List the 4 words commonly used to describe MOOD and its disturbances.

Answer 6

1. Euthymic = normal
2. Depressed = sad and low
3. Irritable = easily triggered and short-tempered
4. Elevated = overly happy

Question 7

What is PSEUDO-DEMENTIA?

Answer 7

Pseudo-dementia is a type of memory / cognitive disturbance that occurs in patients with depression
* Pt. won’t answer questions or reply with ‘I don’t know’

Question 8

List the 4 types of abnormal behaviours related to MOTOR DISTURBANCE.

Answer 8

1. Tic (sudden short-lived involuntary movement / action or vocalisation)
2. Automatism (automatic, unconscious repetition of an act)
3. Akathisia (subjective desire to be in constant motion - often distressing to the pt.)
4. Mutism (absence of speech production / verbal engagement, no structural abnormality)