Week 5 - Neuropsychiatric Assessment

Question 1

Define neuropsychiatric symptoms

Answer 1

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• irritability/ emotional outburst, loss of insight, mood symptoms, psychosis, obsessive behaviours, disinhibited behaviour, OCD, behavioural inflexibility/ rigidity, attention lapses, perseveration in behaviour our thoughts,

Question 2

What is perseveration in behaviour our thoughts,

Answer 2

intrusive “sticky” thoughts, a type of behavioural inflexibility

two elements: can you disengagement, can you reengagement in something else

Question 3

what do the distinctions between neuropsychiatric symptoms imply?

Answer 3

• it fits across a broad range of clinical practice.

- impacts one’s adjustment

Question 4

What is the impact of violent symptoms on the family/ carer?

Answer 4

• caregiver burden

- one instance of violence impacts approach

Question 5

How do we differentiate neuropsychology and neuropsychiatry

Answer 5

neuropsychiatrist have medical degrees, specialise after MD. Can prescribe medication. Can train in psychotherapy.

neuropsychology focuses on behaviour. Training in assessment & psychotherapy.

Question 6

What are the professional roles associated with neuropsychiatry?

Answer 6

• similar to psychologists: private practice, hospitals

Question 7

Name the 5 Parallel Circuits (1986)

Answer 7

more odd dancing in LOs Angeles California

M

O

Lo

A. C

Question 8

What does it mean for the thalamus to be a relay structure?

Answer 8

Convergence

Question 9

What does it mean for the thalamus to be a relay structure?

Answer 9

Convergence

55 nuclei

Question 10

What are the divisions of the Frontal Coretex

Which of the three will be taken out?

Answer 10

taken out: Motor

Question 11

What are the divisions of the Frontal Coretex

Which of the three will be taken out?

What are the broad.. (numbers)

Answer 11

taken out: Motor

Question 12

What are the divisions of the Frontal Coretex

Which of the three will be taken out?

What are the broadmann’s (numbers)

Answer 12

taken out: Motor

Question 13

Name the areas involved in the 5 Parallel Circuits (1986)

Answer 13

BEHAVIOU

Question 14

Similar behavioural syndromes occur with damage outside the frontal lobes

Answer 14

In HD they have frontal damage symptoms despite having damage in striatum

Question 15

Similar behavioural syndromes occur with damage outside the frontal lobes

• What are the key studies/ researchers related to this?

Answer 15

In HD they have frontal damage symptoms despite having damage in striatum

Question 16

Similar behavioural syndromes occur with damage outside the frontal lobes

• What are the key studies/ researchers related to this? (1989)

Answer 16

In HD they have frontal damage symptoms despite having damage in striatum

-you don’t need damage in cortex to have frontal syndrome (rewatch lecture and correct this)

Question 17

What scale is used to measure neuropsychiatric symptoms

FrSBE

Answer 17

Frontal Systems Behaviour Scale

Question 18

What scale is used to measure neuropsychiatric symptoms - FrSBE

• items, formart, 3 categories, where available

Answer 18

Frontal Systems Behaviour Scale

Question 19

how was the FrSBe Developed?

Answer 19

• not performance-based test but patient & observer reported outcome

Question 20

What scale is used to measure neuropsychiatric symptoms - FrSBE & Neuropsychiatric Inventory (nursing homes)

• items, format, 3 categories, where available

Answer 20

Frontal Systems Behaviour Scale

Question 21

Challenges in neuropsychiatric assessment

Answer 21

• raters
• sampling frequency
• severity vs frequency
• positive & negative symptoms

Question 22

Challenges in neuropsychiatric assessment

Answer 22

• raters
• sampling frequency (e.g. doing an extreme behaviour once changes everything)
• severity vs frequency
• positive & negative symptoms

Question 23

Challenges in neuropsychiatric assessment

Answer 23

• raters
• sampling frequency (e.g. doing an extreme behaviour once changes everything; infrequent behaviour but can be quite severe)
• severity vs frequency
• positive & negative symptoms (added challenges of measuring negative symptoms)