question

DSM-5

answer

Single-axis system (I-III)

question

Multi-Axial Diagnoses: Axis I

answer

Psychiatric disorders (including rule-outs)

question

Multi-Axial Diagnoses: Axis II

answer

Personality disorders

question

Multi-Axial Diagnoses: Axis III

answer

Medical disorders

question

Multi-Axial Diagnoses: Axis IV

answer

Psychosocial stressors

question

Multi-Axial Diagnoses: Axis V

answer

GAF (Global Assessment of Functioning): >90 = normal <30 = hospitalization requirement (Most patients in the psych ward score between 60-70. This means they can function normally for the most part, but they still need a therapist to help them.)

question

Personality Disorder

answer

Personality traits are: -inflexible -maladaptive -cause significant functional impairment -cause subjective distress (Behavior that deviates markedly from the expectations of the individual's culture.)

question

Most common personality disorder

answer

Obesessive-compulsive personality disorder (Doesn't mean you have OCD, just means you have the personality. Example: someone who needs everything in a certain way.)

question

Cluster A personality disorders

answer

-Paranoid PD -Schizoid PD -Schizotypal PD

question

Cluster B personality disorders

answer

-Antisocial PD -Borderline PD -Histrionic PD -Narcissistic PD

question

Cluster C personality disorders

answer

-Avoidant PD -Dependent PD -Obsessive-Compulsive PD

question

Paranoid PD

answer

Pattern of distrust and suspiciousness, such that other peoples' motives are interpreted as malevolent.

question

Schizoid PD

answer

Pattern of detachment from social relationships, and a restricted range of emotional expression.

question

Schizotypal PD

answer

Pattern of acute discomfort in close relationships, cognitive or perceptual distortions, and eccentricities of behavior.

question

Antisocial PD

answer

Pattern of disregard for, and violation of, the rights of others.

question

Borderline PD

answer

Pattern of instability in interpersonal relationships, self-image, and effects, and marked impulsivity.

question

Histrionic PD

answer

Pattern of excessive emotionality and attention seeking.

question

Narcissistic PD

answer

Pattern of grandiosity, need for admiration, and lack of empathy.

question

Avoidant PD

answer

Pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.

question

Dependent PD

answer

Pattern of submissive and clinging behavior related to an excessive need to be taken care of.

question

Obsessive-compulsive PD

answer

Pattern of preoccupation with orderliness, perfectionism, and control.

question

Drugs used to treat symptoms of BPD

answer

-SSRIs -Lithium carbonate and anticonvulsant mood stabilizers

question

Transference

answer

Rediration of a patient's feelings for a significant person to the therapist. (Often manifested as an erotic attraction toward a therapist, but can also be seen in hatred, mistrust, etc.)

question

Countertransference

answer

Redirection of therapist's feelings toward a patient. (Re-evaluate personal training, or change therapist.)

question

Guideline I

answer

Review psych symptoms, trauma history, and psych tx history

question

Guideline II

answer

Substance use assessment

question

Guideline III

answer

Suicide risk assessment

question

Guideline IV

answer

Assess risk for aggressive behaviors

question

Guideline V

answer

Assess cultural factors

question

Guideline VI

answer

Assess medical health

question

Guideline VII

answer

Quantitative assessment

question

Guideline VIII

answer

Involve patient in treatment decision making

question

Guideline IX

answer

Document psych evaluation

question

4 Questions on SBQ-R

answer

1) Have you ever thought about or attempted to kill yourself? 2) How often have you thought about killing yourself in the past year? 3) Have you ever told someone that you were going to commit suicide, or that you might? 4) How likely is it that you will attempt suicide someday?

question

4 Questions on ASQ

answer

1) In the past few weeks, have you wished you were dead? 2) In the past few weeks, have you felt that you or your family would be better off if you were dead? 3) In the past week, have you been having thoughts about killing yourself? 4) Have you ever tried to kill yourself? If yes, how and when?

question

For Guideline VIII, what 4 things do you explain to the patient?

answer

-The differential diagnosis -Risks of untreated illness -Treatment options -Benefits and risks of treatment

question

Difference between MSE and MMSE

answer

-MSE: Mental Status Evaluation -MMSE: Mini-Mental State Examination --> used for dementia!

question

12 components of MSE

answer

-Appearance -Behavior -Impulse -Speech -Mood -Affect -Thought process -Thought content -Cognition -Perceptions -Insight -Judgment

question

MSE: Appearance

answer

-Age: appears older/younger than stated age -Gender: male, female, transgender -Ethnicity -Build: thin, overweight, obese -Grooming: wel, moderate, fair, clean shaven, note if poor dentition and missing teeth -Odor: malodorous -Disheveled or neatly dressed -Clothing: be descriptive (clothes on backwards, inside out, etc.) -Scars, tattoos, piercings, etc.

question

MSE: Behavior

answer

-Relationship to interviewer: pleasant, cooperative, engaged, hostile, aggressive, defensive, submissive, domineering, guarded, etc. -Eye contact: good, fair, poor, stares off, intense gaze -Posture -Orientation: person, place, time, situation -Psychomotor activity: normal, calm, slow, restless, agitation/ retardation, crying -Presence of body movements: tremors, involuntary muscle movement, tics, EPS -Alertness: drowsy, stupor, alert -Intrusive or withdrawn

question

MSE: Impulse

answer

Assess for impulsivity: -Impaired -Intact for n-minute session

question

MSE: Speech

answer

-Spontaneous vs. non-spontaneous -Rate: normal, decreased, rapid, slow -Tone: normal, monotone, soft, loud -Rhythm: normal, irregular -Other: pressured, slurred, poverty of speech, incoherent, dysarthria

question

MSE: Mood

answer

-Euphoric, elated, elevated, upbeat -Euthymic -Dysphoric, depressed -Angry, irritable, anxious (Never use the word "happy".)

question

MSE: Affect

answer

-Appropriate (matched mood) or inappropriate Range: -Full -Constricted (little emotion) -Restricted (only capable of expressing one type of emotion) -Blunted (less expression) -Flat (no expression) -Labile (emotions that are quickly altered; unstable) -Expansive (fills room with emotion)

question

What type of "affect" would be considered for someone who smiles all the time?

answer

Restricted

question

MSE: Thought Process

answer

-Goal oriented/linear: understandable and straight forward -Loose associations: unconnected thoughts -Tangential: goes off topic -Circumstantial: excessive use of details (talking in circles) -Flight of ideas: racing thoughts -Thought blocking: thoughts stop midstream -Concrete: responds literally and not abstractly -Perseveration: fixed on one thought and keeps returning to it

question

MSE: Thought Content

answer

-Delusions: fixed, false beliefs --> paranoia, persecutory, somatic, religious, grandiosity -Worries, obsessions, rumination -Ideas of reference: TV or radio is sending special message to patient -Thought broadcasting: others can hear their thoughts -Thought insertion: other peoples' thoughts are inserted into their mind. -Suicidal/homicidal ideation

question

MSE: Cognition

answer

A patient's level of: -Alertness -Orientation -Attention -Memory -Visuospatial functioning -Language functions -Executive functions

question

A&O x 4

answer

-Person -Place -Time -Situation (If they miss one, write down "A&O x3, and specify which one in parenthesis.)

question

MSE: Perceptions

answer

-Auditory hallucinations -Visual hallucinations -Tactile, olfactory, gustatory hallucinations (These are the 5 senses.)

question

Formication

answer

Tactile hallucination of bugs crawling on the skin. (Often associated with cocaine withdrawal.)

question

MSE: Insight

answer

-Recognition that one has a mental illness. -Compliance with treatment. -Ability to re-label unusual mental events (such as delusions and hallucinations) as pathological. (Describe: good, fair, poor, or unable to acess)

question

MSE: Judgment

answer

-Refers to patient's capacity to make sound, reasoned, and responsible decisions. -If a person's judgment is impaired due to mental illness, there might be implications for the person's safety or the safety of others. (Describe: good, fair, poor, or unable to access)

question

Importance of cultural sensitivity

answer

-The patient's culture might have different norms for appearance, behavior, and display of emotions. -Culturally normative spiritual and religious beliefs need to be distinguished from delusions and hallucinations.

Psychiatry MSE – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards