The Mental Status Exam

Question 1

What is Functional Neurologic symptom disorder?

Answer 1

• one or more sx or deficits affecting voluntary motor or sensory function that suggest a neuro or other general medical condition
• it’s weird

Question 2

What are some conversion disorder symptoms?

Answer 2

• paresthesias and anesthesias
• weakness
• paralysis
• pseudoseizures
• involuntary movements
• sensory disturbances: blindness, mutism

Question 3

Conversion disorder tx

Answer 3

• counseling
• PT
• treating related stress and other conditions: SSRI’s, Benzodiazepenes
• Transcranial magnetic stimulation

Question 4

Do ppl with conversion disorder get better?

Answer 4

-yes!

Question 5

What are Factitious disorders?

Answer 5

• factitious disorder imposed on self
• voluntary control of sx… to gain attention for being sick
• undergoes multiple medical and surgical procedures
• self injected feces or saliva….Muchausen’s
• Bizarre or unusual sx

Question 6

How do you treat Munchausen’s?

Answer 6

-don’t run a bunch of tests on them

Question 7

Dissociative disorders

Answer 7

-dissociative amnesia: inability to recall important personal info, usually info regarding traumatic experience

Question 8

What is dissociative fugue?

Answer 8

• sudden, unexpected travel away from home

- inability to recall one’s past/personal identity

Question 9

What is dissociative identity disorder?

Answer 9

• formerly known as “multiple personality disorder”
• Alters
• often survivors of sexual abuse

Question 10

What are adjustment disorders?

Answer 10

-occur within 3 months of a serious life stressor and lasting less than 6 months (can persist over 6 months in presence of chronic stressor

Question 11

How much does suicide cost?

Answer 11

• 93.5 BILLION $ in 2013

- #10 in rank on cause of death

Question 12

Where are suicide rates higher?

Answer 12

-in rural areas

Question 13

Suicide risk factors?

Answer 13

• family hx of suicide
• Family hx of child maltreatment
• Previous suicide attempts***, severity of previous attempts
• hx of mental disorders, particularly depression
• history of alcohol and substance abuse

Question 14

What do we have to make sure we do with risk factors for suicide?

Answer 14

-freaking DOCUMENT THEM