Psychiatry - Mood, Affect, Thought Process
Terms in this set (38)
Mood: Feeling great, as if one just won the lottery.
Full range affect
Decrease in amplitude of emotional expression
Affect: Virtually complete absence of affective expression
Normal amplitude but restricted range
Affect: Emotions expressed are not congruent with content of patient's thoughts.
Affect: Unpreditable shifts in emotional state
Coherent and goal directed
Thought process: Normal thought process
Thought process: Organized but over inclusive, eventually gets to the point in a painstakingly slow manner.
Loosening of associations
Thought process: Frequent lapses in connections between thoughts; jump from idea to idea
Thought process: Incoprehensible speech due to lapses in connections even within a single sentence; incoherent
Thought process: Patient loses their train of thought; by definition, patient should confirm subjective expreience of being blocked (not just on interviewer's observation).
Thought process: Words created by patient that have own idiosyncratic meaning
Flight of ideas
Thought process: Flow of thoughts is extremely rapid but connections remain intact
Thought content: Example of a psychotic process; firmly held, false belief not share by members of the patient's culture. Reality testing not intact.
Reality testing not intact means:
patient is unable to consider the possibility that the belief is incorrect.
Reality testing intact means:
patient is able to consider the possibility that the belief is incorrect.
Thought content: Intrusive and egodystonic idea. Reality testing is preserved.
Thought content: False belief not shared by members of the patient's culture that is not fixed. E.g. anorexic who thinks she is thin.
Thought content: Suspiciousness of other's motives and ideas of reference (misinterpretation of real event as self-referential).
Thought content: specific fear that results in avoidance of situation or object despite patient's realization that fear is irrational.
Perception: Misinterpretation of sensory stimulus that can occur in any sensory modality.
Perception: Perceiving a sound, sight, taste, smell or touch in absence of external sensory stimulation that seems indistinguishabe from such an experience in reality.
Perception: The sense that one is outside of themselves.
Perception: Vague sense of unreality of one's perception of the external world.
Assessment of patient's abilities with regard to attention and orientation as well as itellectual functions including memory, calculations, fund of knowledge, and capacity for abstract thought.
Reflects patient's own understanding of illness.
Plan of action based on insight.
All of the following desriptive elements should be included in a written mental status examinaton except:
A. Rate and modulation of speech
B. Organization of thoughts
C. Awareness of the location and date of the interview
D. Recent sleep patterns
E. Current mood
Intrusiveness is a characteristic behavior of patients with which of the following disorders or syndromes?
E. Amnestic disorder
"Martin salted the ocean under the circus tent." THis quotation is best described as an example of:
D. Loosening of associations
E. Flight of ideas
Which of the following disorders requires a history of psychosis in order to make the diagnosis according to the DSM criteria?
A. Dysthymic disorder
B. Cyclothymic disorder
C. Schizoaffetive disorder
D. Bipolar disorder I
E. Bipolar disorder II
The patient's ability to recall words taht the physician has sated about 5 min ago tests which of the following types of memory?
Put these orientations in order of loss:
All of the following are included in the mental status examination except:
D. Thought process
E. Pertinent negatives
Reality testing is, by definition, preserved in all of the following symptoms except:
A. Paranoid ideation
B. Paranoid delusion
C. Ideas of reference