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Flashcards in Mental State Deck (42):
1

what are the areas of mental state exam

appearance, speech, thought form, mood and affect, disorders of thought content, perception, cognition, insight

2

what are you looking for in appearance

general health, posture, tattoos, piercings, injection sites, well kempt?, mannerisms, eye contact, rapport, abnormal movements- result of antipsychotics or tics, stereotypy, mannerisms, motor activity

3

what are you looking at in speech

tone, rate, volume

4

what is normal speech

spontaneous, relevant, logical, coherent

5

what is circumstantial speech

takes a long time to get to the point

6

what is perseveration (speech)

repeating of words or topics suggests frontal lobe dysfunction, schizophrenia, OCD

7

what is neologisms (speech)

made up words- can occur in schizophrenia

8

what are some abnormal forms of thought

flight of ideas (abnormal connection), loosening of associations (no discernible link, Knights move), thought block (subjective experience of thought is abnormal)

9

what happens in pressured speech (can occur in mania)

incr rate and volume

10

what happens to speech in depression

poverty of speech and thought block- decr tone, rate, vol

11

what is mood

patients underlying emotion report subjective mood and objective- euthymic, dysthymic, hyperthymic

12

what is affect

observed external manifestation of emotion. blunted (schizophrenia), labile, irritable, suspicious

13

what is labile

excessively changeable

14

what is incongruous (affect)

grossly out of tune with subjects being discussed eg laughing about bereavement

15

what is the affect described as if it is normal and no abnormality

reactive

16

what are some disorders of thought content

negative, ruminations, beliefs, delusions, phobias, obsessions, depersonalisation, derealisation, ideas of reference

17

what are ruminations

persistent, disabling preoccupations

18

what is depersonalisation

feeling detached, unreal

19

what is derealisation

feel like the world and people are lifeless

20

what are delusions

disorders of thought content. fixed, false beliefs out of keeping with culture

21

examples of delusions

grandiose, persecutory, of reference, thought insertion/withdrawal/broadcast, passivity

22

what are grandiose delusions

being famous, having supernatural powers, enormous wealth

23

what are persecutory delusions

someone interfering in a malicious way

24

what are delusions of reference

other people, media etc talking about you or communicating to you

25

thought withdrawal/insertion/broadcast

external someone controlling thoughts

26

passivity

actions, feelings being controlled by external

27

what can be abnormal perceptions

illusions, hallucinations, psuedohallucinations

28

what is an illusion

misintepretation of normal perception can occur in healthy people

29

what is a hallucination

perception in the absence of external stimulus

30

what is a pseudohallucination

internal perception with preserved insight

31

what are you testing in cognition

conciousness, memory, orientation, concentration, attention

32

what test can you do for cognition

Mini mental state examination (MMSE)

33

insight

understanding of condition, cause and willingness to accept treatment

34

what is echolalia

repeating another persons words

35

what is cotard delusion

believe dead already or dying, losing blood, organs etc

36

what is capgras delusion

delusion that friend, spouse etc have been replaced by identical looking imposter

37

what is couvade delusion

sympathetic pregnancy- husband gets symptoms of mothers pregnancy

38

what is Fregoli delusion

belief that friend, spouse is replaced by a twin imposter

39

what is Ekbom delusion

delusional parasitosis- psychosis

40

difference between primary and secondary delusion

primary- not understandable, fixed- capgras, cotard, etc etc. secondary can be understandable in mood context- persecution, grandiose etc

41

what is echo de la pensee

thought echo-voices heard within mind

42

in auditory hallucinations what should you differentiate

if it is a second person or a 2nd person talking to 3rd person