PACES

Question 1

What is CBT

Answer 1

Based on idea that all thoughts feelings and sensations are interconnected which can cause people to become bogged down on negative thoughts
CBT is used to break these problems down into larger ones which helps state of mind

Question 2

What is family therapy

Answer 2

Family therapy aims to improve communication and resolve conflicts within relationships
Its like counselling where sit down and therapist will aim to examine your problems and help you sort these together

Question 3

What is interpersonal therapy

Answer 3

If peoples problems like depression are built from the way they interact with people then these sessions are useful in helping people interact more effectively with other people
Sessions will involve assessing you, what you problems are and what want to get out of it
After that helping people make adjustments and apply these

Question 4

What is psychoeducation

Answer 4

Takes many forms and involves educating patients about their condition in depth whether that be talking about medications and side effects or living with the condition

Question 5

What goes into a mental state exam

Answer 5

Appearance and behaviour
Speech
Mood
Thought content
Perception
Congition
Insight

Question 6

What looking for in appearance and behavior of the patient

Answer 6

Self care
Dress is it appropriate
Mannerism
Movements- including activity
Eye contact
Engagement

Question 7

What thinking of in speech of patient

Answer 7

Rate
Loudness
Tone
Flow- does it make sense and can you follow it

Question 8

What is seen in poverty of thought

Answer 8

Very vague and simple speech
Meaningless repetitions and stereotyped phrases

Question 9

What is seen in pressure of speech

Answer 9

Speak very rapidly and frenzied
Very urgent and erratic

Question 10

What is a circumstanital thought disorder

Answer 10

When you are talking about something but add lots of details or go off topic but return to the right topic

Question 11

What is tangeital speech

Answer 11

When answer questions with absolutely nothing related to what was asked

Question 12

What is thought block often seen in

Answer 12

Schizophrenia as may believe the thoughts have beent taken from them or broadcast

Question 13

What is thought block

Answer 13

When you are talking about something but then suddenly stop for a few seconds-minutes and may not return to the right topic

Question 14

What is thought withdrawal

Answer 14

A delusion when thoughts have been taken away from someone- seen with thought block

Question 15

What is flight of ideas

Answer 15

When someone talks quickly and jumps between ideas erratically

Question 16

What to think about with regards to mood in MSE

Answer 16

Subjective described mood
Objective affect
- is it variable/restricted
- the intensity
- congruency (does it match with mood)

Question 17

How to broach mania

Answer 17

You seem so happy, how are you feeling? Is this usual for you?
You seem to have a lot of energy today, is this usual for you?
Sounds like you’ve been incredibly busy recently, do you have time to eat/sleep? How much sleep are you actually getting?
Do you feel special? Better than other people?
Can you do things that other people can’t do? Do you have special powers?
How are you getting on with other people these days?

Question 18

When doing thought content what are main things to document

Answer 18

What are main themes of patients thoughts
- depressive
- anxious
- obsessions
- overvalued ideas
- delusions

Question 19

Questions for delusions

Answer 19

Is there anything unusual thats been troubling you?
Have you had any odd experiences you cant explain?
Then once establish if the patient believes them
- why do you think is happening?
- how do you explain whats been happening?

Question 20

Questions for hallucinations

Answer 20

Do you ever hear people talking when no ones around
Do you hear things that no one else seems to hear
Have you seen anything unusual that no one else can see

Question 21

What can slurred speech suggest

Answer 21

Major depression
Psychomotor retardation

Question 22

What is labile affect

Answer 22

When drastic exaggerated change in emotions- schizophrenia

Question 23

Parts to psych history

Answer 23

PC
HPC- do MSE
PMH
- psych conditions
- admissions
- under MHA
Drugs
- prescribed
- psych
- side effects
- illegal
Forensic
- prior convictions
Family history
- relationships in family
- history of psych illness
Personal
- how was childhood
- job
- relationship
- previous traumatic experiences
- personal beliefs

Question 24

Difference between flight of ideas and knights move thinking

Answer 24

Flight of ideas- jump quickly between ideas but is a link
Knights move thinking- jump quickly from idea to idea with no link

Question 25

Difference between tangentiality and circumstantiality

Answer 25

Circumstantiality is giving an answer with excessive detail but you do return to the point Tangentiality is wandering form topic to topic without returning to it

Question 26

What is repetition of speech back to someone called and what is it seen in

Answer 26

Echolalia ADHD and autism

Question 27

What is word salad

Answer 27

Disorganised sentences which make no sense

Question 28

What is DBT

Answer 28

Teach patient to accept who they are

Question 29

Parts of psych history

Answer 29

PC HPC with MSE Psych history Medications Substance misuse Family history Forensic history Social Premorbib history

Question 30

Questions for eating disorder

Answer 30

SCOFF Do you make yourself sick Do you think lost control over how much eat Have you recently lost more than one stone Do you believe yourself to be fat when others say you are too thin Would you say food dominates your life

Question 31

What is psychodynamic psychotherapy

Answer 31

Based on principle that there is an unconscious element to someones presentation, allowing patients to see this can be very alleviating

Question 32

What are techniques used in psychodynamic therapy

Answer 32

Free association Transferance Recognising resistance

Question 33

What is free association

Answer 33

Ask patient just to say everything that comes to mind

Question 34

What is transferance

Answer 34

Where one applies all emotions and thoughts they have for someone else to the psychiatrist

Question 35

What is recognising resistance

Answer 35

Demonstrating to patient things they are doing which is preventing the therapy from carrying on

Question 36

What does self help refer to in depression

Answer 36

Worksheets online which allow you to understand more about why been feeling way have been, more about depression and ways that making small lifestyle changes may help alleviate feelings

Question 37

What happens in group CBT for depression

Answer 37

This is a community based therapy method which involves a therapist discussing different strategies with people going through similar things to yourself. Good to have that sense of community and that youre not going through this alone, as sharing same experiences good way of people sharing their methods

Question 38

What is group based physical activity

Answer 38

This is where people suffering from social isolation are able to partake in a variety of activites ranging from board games to playing football allowing people to get not only physical benefits but mental ones as well

Question 39

How to deal with functional syndrome

Answer 39

Do physical exam- share results Explain diagnosis - functional syndrome where certain psychological events can change the way the brain functions which can present as real life experience symptoms- link to life events - common and well established condition Will self resolve if perpetuating factors dealt with- no need for medicine etc

Question 40

With CAMHS, what think about in social side to management

Answer 40

School- talking to head of year, educational psychologist, welfare officer Social services- finances, housing etc

Question 41

What are indications for family therapy in CAMHS

Answer 41

Behavioural disorders Psychosis Substance misuse Eating disorders Depression

Question 42

What is topographical memory

Answer 42

In dementia when fail to remember how to orientate yourself to somewhere

Question 43

What is it when forget names of children and own birthday

Answer 43

Autobiographical memory (explicit memory)

Question 44

What is procedural memory

Answer 44

Remembering how to do things (implicit memory)

Question 45

What is semantic memory

Answer 45

Your knowledge like capital cities etc

Question 46

What is jamais vu

Answer 46

When experience something have many times but think is new

Question 47

What is an affect illusion

Answer 47

When illusion is altered by your mood Eg- a frightened person sees a shadow and believes its an intruder

Question 48

What is a completion illusion

Answer 48

When you misinterpret as have not paid proper attention to it

Question 49

What hallucinations caused when falling asleep

Answer 49

Hypnopompic

Question 50

What is it when you see yourself

Answer 50

Autoscopy

Question 51

What is derailment

Answer 51

Thought disorder where no meaningful connections between what talking about

Question 52

What is it when repeat last syllable of a word over and over

Answer 52

Logoclonia

Question 53

What is logoclonia seen in

Answer 53

Parkinsons

Question 54

What is a rumination

Answer 54

A self identified intrusive thought

Question 55

When have a thought that identify as not your own but isnt spoken what is it

Answer 55

Delusion

Question 56

What is when feel less connected to your friends and family

Answer 56

Detatchment

Question 57

What are night terrors

Answer 57

Different from nightmares- wake up in state of fear and often shouting

Question 58

What is it when ask a catatonic patient to do something and they do the complete opposite

Answer 58

Negativism

Question 59

What is systemic therapy

Answer 59

Another word for family therapy

Question 60

What is risk of suicide after an episode of self harm

Answer 60

1%

Question 61

What is an example of perseveration

Answer 61

Logoclonia

Question 62

What are somatic delusions

Answer 62

Where belief relates to own health and body

Question 63

What are persecutory delusions

Answer 63

Where believe someone trying to harm you

Question 64

What you like arranging objects in a particular order

Answer 64

Punding

Question 65

What is punding seen in

Answer 65

Parkinsons Those taking metanephrine