Psychiatry – Mood, Affect, Thought Process – Flashcards
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Expansive
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Mood: Enthusiastic
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Euthymic
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Mood: Normal
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Euphoric
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Mood: Feeling great, as if one just won the lottery.
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Full range affect
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Affect: Normal
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Blunted
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Decrease in amplitude of emotional expression
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Flat
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Affect: Virtually complete absence of affective expression
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Constricted
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Normal amplitude but restricted range
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Inappropriate
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Affect: Emotions expressed are not congruent with content of patient's thoughts.
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Labile
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Affect: Unpreditable shifts in emotional state
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Coherent and goal directed
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Thought process: Normal thought process
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Circumstantial
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Thought process: Organized but over inclusive, eventually gets to the point in a painstakingly slow manner.
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Loosening of associations
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Thought process: Frequent lapses in connections between thoughts; jump from idea to idea
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Word salad
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Thought process: Incoprehensible speech due to lapses in connections even within a single sentence; incoherent
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Blocking
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Thought process: Patient loses their train of thought; by definition, patient should confirm subjective expreience of being blocked (not just on interviewer's observation).
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Neologisms
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Thought process: Words created by patient that have own idiosyncratic meaning
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Flight of ideas
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Thought process: Flow of thoughts is extremely rapid but connections remain intact
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Delusion
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Thought content: Example of a psychotic process; firmly held, false belief not share by members of the patient's culture. Reality testing not intact.
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Reality testing not intact means:
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patient is unable to consider the possibility that the belief is incorrect.
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Reality testing intact means:
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patient is able to consider the possibility that the belief is incorrect.
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Obsession
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Thought content: Intrusive and egodystonic idea. Reality testing is preserved.
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Overvalued idea
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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.
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Paranoid ideation
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Thought content: Suspiciousness of other's motives and ideas of reference (misinterpretation of real event as self-referential).
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Phobia
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Thought content: specific fear that results in avoidance of situation or object despite patient's realization that fear is irrational.
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Illusion
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Perception: Misinterpretation of sensory stimulus that can occur in any sensory modality.
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Hallucination
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Perception: Perceiving a sound, sight, taste, smell or touch in absence of external sensory stimulation that seems indistinguishabe from such an experience in reality.
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Depersonalization
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Perception: The sense that one is outside of themselves.
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Derealization
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Perception: Vague sense of unreality of one's perception of the external world.
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Cognitive
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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.
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Insight
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Reflects patient's own understanding of illness.
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Judgement
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Plan of action based on insight.
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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
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D.
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Intrusiveness is a characteristic behavior of patients with which of the following disorders or syndromes? A. Mania B. Psychosis C. Delirium D. Dementia E. Amnestic disorder
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A.
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"Martin salted the ocean under the circus tent." THis quotation is best described as an example of: A. Neologism B. Delusion C. Hallucination D. Loosening of associations E. Flight of ideas
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D.
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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
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C.
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The patient's ability to recall words taht the physician has sated about 5 min ago tests which of the following types of memory? A. Cognitive B. Immediate C. Short-term D. Intermediate E. Long-term
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C.
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Put these orientations in order of loss: Place Person Time
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Time Place Person
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All of the following are included in the mental status examination except: A. Age B. Judgement C. Orientation D. Thought process E. Pertinent negatives
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A
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Reality testing is, by definition, preserved in all of the following symptoms except: A. Paranoid ideation B. Paranoid delusion C. Ideas of reference D. Obsession E. Phobia
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B.
