Circumstantiality
Trivial or irrelevant details
Clang association
Sound of words, rhyming or assonance
Derailment
No logical connection or goal-directness
Flight of Ideas
Rapid speech
Neologisms
Invention of new words/phrases
Perseveration
Repetition of words/ideas out of context
Tangentiality
Answer is appropriate to topic but doesn’t answer question
Thought blocking
Sudden break in ideas/disruption of thoughts
Akathisia
Pacing/fidgeting due to antipsychotics
Involuntary movement/Picking at clothing
Delirium
Fixed stare
Senile/Psychosis
6 Parts of MSE
- General appearance (LOC, Dress)
- Motor activity (Akathisia, shifting, posturing)
- Mood & Affect (Labile, Blunt, appropriate)
- Speech (prosody vs dull, pressure)
- Thinking/Perception (psychotic sx here)
Thought form & Thought content - Cognitive function (Memory, abstract thinking)
Retrograde vs Anterograde
Memory loss
R: events prior to disease
A: can’t form new memories
Delusions/Hallucinations
Delusions: fixed, false belief (not due to culture)
Hallucinations: false sensory perception (w/o ext stimuli)
Formication: itching/bugs under skin (from temporal lobe dysfxn or psychoses, schizo, delerium)
DIGFAST (mania)
Distractibility Insomnia Grandiosity Flight of idea Agitation Activities Sexual exploits Talkative
SIGECAPS (Depression)
Sleep Interest Guilt Energy Concentration Appetite/Wt Psychomotor Suicide
WARTS (GAD)
Wound up/worn out Absent minded Restless Touchy Sleepless
WATCHERS (GAD)
Worry Anxiety Tense Concentration Hyperarousal Energy loss Restless Sleepless
Vegetative symptoms
Bodily functions for health & energy
Sleep, appetite, energy, daily mood, sexual interest.
