Flashcards in Mental State Examination Deck (14):
Normal - Well dressed and groomed
Abnormal - Unwell, poorly dressed, wasted, unwell, not appropriately dressed for environment or whether. State of self neglect, evidence of injury
Normal - Engaged with appropriate eye contact,
Abnormal - tremors, tics, and twitches. Suspiciousness, aggression or fear and catatonic features. EPSE. Retardation (slow, monotonous speech, slow or absent body movements). Agitation (inability to sit still, fidgeting, pacing or hand wringing, rubbing or scratching skin or clothes.
Attitude - toward you
Normal: Good eye contact and cooperative, cordial
Abnormal: uninterested, aggressive, defensive, guarded, suspicious, fearful, perplexed, preoccupied, dis inhibited eg being overly familiar or sexually inappropriate comments.
Rate of production - abn - pressure of speech in mania, long pauses and poverty of speech in depression
Quality and flow of speech - volume, dysarthria (articulation difficulties), dysprosody (unusual speech rhythm, melody, intonation or pitch) Stuttering.
Depressed, mania or emotional lability
Restricted, blunted, flat, I inappropriate, incongruous if mood and affect don't match.
Derived from pt posture, facial expression, emotional reactivity and speech.
Which organ sense?
Delusion - Primary or secondary, mood congruent or incongruent, Bizarre or non bizarre. Content.
Disorganised thinking - circumstantial and tangential thinking, Loosening of association(derailment/knight move thinking) neologisms, and idiosyncratic word use, flight of ideas, thought blocking, perseveration, echolalia and irrelevant answers
Orientation, registration, attention, calculation, language, executive functioning and visuospartial skill
Normal - understand nature and degree of illness.
Abn - varying level of inadequate insight. Describe the level.
Perceptions occurring in the absence of an external physical stimulus. They appear the same as a normal sensory experience to the pt and are one of the five sensory organs, and are not merely a distortion of an external stimulus
Misperceptions of real external stimuli. Eg the coat hanging up looks like a person in the dark.
Occur in normal people and are a result of inattention or strong emotion
Define pseudo hallucination
is a perceptual experience, which differs from hallucination in that t appears to arise in the subjective inner space of the mine not through on the external sensory organs. Eg seen though the inner eye. Distressing flashbacks in PTSD,
Somethings described as hallucinations that the patient recognises as false.