Term
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Definition
-psychiatric equivalent of a physical exam
-confirms/clarifies the pathology presented int he evaluation interview
-describes and quantifies specific pathology
-employs specific items and terminology |
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Term
| administration techniques of the MSE |
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Definition
-requires PASSIVE and ACTIVE data gathering
-observation during the initial interview
-specific questions regarding suspected pathology
-standardized tests of specific functions |
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Term
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Definition
-appearance & behavior
-psychomotor behavior
-speech
-mood
-affect
-thought
-sensorium & intellectual functions
-insight
-judgement |
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Term
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Definition
-dress, grooming, hygiene
-eye contact (and relatedness to examiner)
-cooperation with exam
-how the patient makes you feel |
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Definition
-how much the patient is using their body/motor activity to communicate who they are
-posture and gait
-frequency and normality of gestures
-motor activity
-other mannerisms or behavior |
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Term
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Definition
-mechanic of speech (+/- language, account for lang either here or in cognitive section)
-rate
-quantity
-volume
-fluency
-clarity/articulation (mumbling, accent, impediment) |
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Term
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Definition
-pervasive and sustained emotional state
-patient's subjective experience (may be given in the pt's own words)
-part of a patient's emotion
-3 major components: 1)degree of happiness/sadness; 2) degree of anger; 3) degree of anxiety
-"euthymic" = "normal" or balanced |
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Term
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Definition
-outward manifestation of mood
-how the patient shows feelings
-manifested through facial expression, tone of voice, posture, gestures, etc
-part of a pt's emotional state
-2 components: 1) range; 2) content |
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Term
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Definition
-intensity and variability/reactivity
-how the patient expresses their emotional state moment to moment
-REACTIVE
-LABILE
-BLUNTED
-FLAT
-CONSTRICTED |
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Term
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Definition
| normal responsiveness and range of emotions |
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Term
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Definition
| highly variable range of affect |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
-predominant and secondary
-appropriateness |
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Term
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Definition
1. process or form: how thoughts are formed, fit togeher and flow
2. content: what is being thought
3. perceptions |
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Term
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Definition
-associations
-poverty of thought
-blocking
-racing thoughts
-loose associations
-circumstantiality
-tangentiality |
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Term
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Definition
-thought process or form
-associations: how things fit together, including rate and flow |
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Term
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Definition
-thought process or form
-poverty of thought: few thoughts |
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Term
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Definition
-thought process or form
-blocking: inability to form thoughts or losing track of thoughts |
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Term
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Definition
-thought process or form
-racing thoughts, flight of ideas: rapid thoughts |
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Term
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Definition
-thought process or form
-loose associations: disconnected thoughts |
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Term
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Definition
-thought process or form
-circumstantiality: lots of extra details but eventually gets to the point |
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Term
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Definition
-thought process or form
-tangentiality: connections between thoughts are apparent, but they drift away from the topic at hand |
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Term
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Definition
-what is being thought
delusions, ideas of reference, insertion/withdrawal, reading or broadcasting, obsessions, compulsions, phobias, suicidal or homicidal ideation |
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Term
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Definition
-thought content: what is being thought
-delusions = fixed, false beliefs |
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Term
| ideas (or delusions) of reference |
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Definition
-thought content: what is being thought
-ideas of reference = belief that some often unimportant event is related specifically to the patient |
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Term
| thought insertion or withdrawal |
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Definition
-thought content: what is being thought
-insertion/withdrawal = belief that thoughts are being taken out of or put into head |
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Term
| thought reading or broadcasting |
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Definition
-thought content: what is being thought
-reading/broadcasting = belief that others are hearing or sending thoughts |
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Term
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Definition
-thought content: what is being thought
-obsessions = distracting, persistent thoughts |
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Term
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Definition
-thought content: what is being thought
-compulsions = irresistible urges to perform meaningless tasks |
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Term
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Definition
-thought content: what is being thought
-phobias = irrational fears of specific things |
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Term
| suicidal or homicidal ideation |
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Definition
-thought content: what is being thought
-suicidal or homicidal ideation = want to hurt oneself or others |
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Term
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Definition
-illusions
-hallucinations
-dissociative states |
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Term
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Definition
| misinterpreted sensory inputs |
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Term
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Definition
| perceiving input in absence of external stimulation |
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Term
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Definition
-visual
-auditory
-olfactory
-gustatory (taste)
-tactile (haptic)
-hypnagogic/hypnapompic: hallucinations while falling asleep or waking |
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Term
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Definition
-depersonalization
-derealization |
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Term
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Definition
| dissociate state of feeling that one is not oneself |
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Term
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Definition
| dissociative state of feeling that the world, people, and things around are not real or don't make sense |
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Term
| sensorium and intellectual (cognitive) functions |
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Definition
-level of consciousness
-orientation
-concentration/attention
-memory
-use of language
-fund of knowledge
-abtraction |
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Term
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Definition
-sensorium
-is the patient awake and alert? |
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Term
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Definition
| orientation to person, time, and place |
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Term
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Definition
| can the patient pay attention to your questions and answer them |
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Term
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Definition
-immediate, new learning - remembering 3 things and recalling in 5 minutes
-recent
-remote, asking is they remember their own story/history |
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Term
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Definition
(tested here in cognition section or earlier during assessment of speech)
-comprehension, follow 2-step directions
-repetition
-naming
-reading
-writing |
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Term
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Definition
-general intellectual level
-ex: identifying past presidents, current events |
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Term
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Definition
-proverb interpretation
-similarities (what do apple and orange have in common) |
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Term
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Definition
| does the patient understand what they are in treatment |
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Term
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Definition
| ex: what would you do if you found a stamped addressed envelope on the ground |
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