Term
| ___ ___ ___ __ ___ is a structured systemic interview designed specifically to apply to DSM criteria. It is available in several versions for different pathologies. It is most useful as a ___ __. |
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Definition
Structured Clinical Interview for Diagnosis (SCID)
- research tool |
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Term
| ___ ___ ___ _ __ ___ is a 2-stage system where the patient completes 26 item screen that assesses depression, anxiety, alcohol abuse, somatoform disorders, and eating disorders. During the 2nd stage the provider adminishes follow up. This takes 8-15 minutes. |
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Definition
| Primary Care Screen for Mental Disorders (PRIME-MD) |
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Term
| outline of psychiatric evaluation: |
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Definition
Identification of patient and informants
Chief Complaint
History of Current Illness
Past History
Family History
Social History
General Medical History
Mental Status Exam
Physical Examination
Neurological examination |
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Term
| with suicidal thoughts need to ask about ___ , ___, __, and ___. __ per __ in the past ___ is considered high frequency. Persistence over time needs to be considered. |
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Definition
frequency
intrusiveness
plan
constraints
Once per day in the past week |
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Term
| Lack of suicidal ideation but thoughts of “Wish I wasn’t here”. Or “I want to get away from all this”. Can be considered equivalent to active ideation |
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Definition
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Term
| __ in __ bipolar people commit suicide. Suicide is more common with ___ and ___. |
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Definition
1 in 10
depression and bipolar disorder |
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Term
| MOST IMPORTANT TIME FRAME FOR SUICIDE THOUGHTS IS HOW MANY TIMES IN THE LAST WEEK. Suicide is a time limited behavior. It is considered to be a problem solving mechanism for a very short period of time. |
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Definition
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Term
| to assess intrusiveness of suicidal thoughts what could you ask? |
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Definition
“When you have these suicidal thoughts how do you feel?” “How do these thoughts effect your every day activities?”
Thoughts that produce discomfort or sense of peace are equally suggestive of increased potential
Thoughts that interfere with every day activities are suggestive of increased potential |
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Term
| when assessing plan ask and consider: |
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Definition
“How do you intend to kill yourself?” “How available are the means to kill yourself?”
Presence of a plan may increase risk assessment but with adolescents, people with alcohol or drug abuse or disorders with disinhibition may not have a plan but be at high risk
Assess availability of means - Are they present? What would the patient need to do to access means?
Assess lethality of the method- the more lethal the means the higher the risk |
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Term
Assess Saliency of Constraints - “How important is your religion to you?” “How important is what your family would think if you kill yourself?” Constraints that of of minimal importance indicate increased risk
Assess Permanency of Constraints - “How long are your children going to be visiting you?” Constraints that are time limited indicate increased risk |
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Definition
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Term
| demographics at increased risk of suicide: |
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Definition
- single or widowed
- males 45-60 or 65 and above |
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Term
| Slight lifting of severity of depression with antidepressants especially if presentation includes anergia could increase risk of suicide b/c now have energy to do so. |
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Definition
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Term
| screening test done with psychological patients: |
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Definition
CBC with differential
Complete Blood Chemistries
Thyroid Function Tests
RPR/VDRL: check for syphilis
UA
Urine Tox Screen
EEG
Chest X-ray for those over 35 b/c lung, stomach, and breast cancer often metastacize to brain
Plasma Levels for Medications |
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Term
| common medical problems included in differential diagnosis of psych. patients: |
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Definition
Multi-infarct Dementia
Subdural Hematoma
Normal Pressure Hydrocephalus
Tumors
HIV-related Dementia
Temporal Lobe Epilepsy
Toxic Exposure
Vitamin Deficiency
CNS infections e.g. syphilis
Substance induced Symptoms
Neuropsychiatric Effects of Medical Treatment |
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Term
| common medical problems included in differential diagnosis of psych. patients: |
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Definition
Multi-infarct Dementia
Subdural Hematoma
Normal Pressure Hydrocephalus
Tumors
HIV-related Dementia
Temporal Lobe Epilepsy
Toxic Exposure
Vitamin Deficiency
CNS infections e.g. syphilis
Substance induced Symptoms
Neuropsychiatric Effects of Medical Treatment |
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Term
| Psychosis is a severe mental illness with impaired ___ testing, bizarre __ and ___ and inappropriate ___. |
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Definition
- impaired reality testing
- bizarre hallucinations and delusions
- inappropriate affect |
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Term
| psychosis positive symptoms: |
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Definition
Positive symptoms- exaggeration or distortion of functions of normal activities such as perception or thinking
delusions- fixed false belief
hallucinations- false perceptions in the absence of stimuli
disorganized speech- speech that does not communicate
bizarre behavior
inappropriate affect |
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Term
| Psychosis negative symptoms: |
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Definition
Negative Symptoms- diminution or loss of functions normally present such as speech or emotional expression
Alogia- impoverished thinking shown by non fluent empty speech (poverty of speech) and fluent empty speech (poverty of content)
Affective blunting- limited emotional responding
Avolitional-apathy - loss of motivation
Anhedonia-asociality - loss of pleasure
Attentional Impairment |
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Term
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Definition
| impoverished thinking shown by nonfluent empty speech and empty fluent speech |
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Term
| avolitional apathy defintion: |
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Definition
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Term
| Anhedonia asocially defintion: |
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Definition
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Term
| common types of delusions: |
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Definition
- persecutory
- jealousy
- sin or guilt
- grandiose
- religious
- somatic
- reference
- controlled
- mind-reading
- thought broadcasting
- thought insertion
- thought withdrawal |
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Term
| example of persecutory delusion: |
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Definition
| feelings like someone is going to harm you |
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Term
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Definition
| constantly worried spouse is cheating |
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Term
| delusion of sin or guilt: |
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Definition
| feel you have done something terrible and need punishment |
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Term
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Definition
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Term
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Definition
| body functioning differently |
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Term
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Definition
| TV/magazines are talking to you/sending you messages |
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Term
| thought broadcasting delusion: |
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Definition
| feel thoughts are being broadcast to others |
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Term
Bizarre or Disorganized Behavior - Observe and Ask
Clothing and Appearance- “Does anyone say anything to you about the way you dress?”
Social or Sexual Behavior- “Have you done anything that others may think is unusual?”
Aggressive and Agitated- “Have you been unusually angry or irritable lately?”
Ritualistic/Stereotyped Behavior- “Are there things you have to do over and over or in a certain way or order?” |
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Definition
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Term
| examples of disorganized speech: |
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Definition
- loose associations
- tangentiality
- schizophasia
- illogicality
- circumstantiality
- pressured speech
- clang speech |
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Term
| define loose associations: |
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Definition
| disjointed speech that gets speaker more and more off track as they continue |
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Term
| tangentiality definition: |
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Definition
| unrelated or minimally related response to a question |
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Term
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Definition
| word salad: incoherent nonsensical speech |
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Term
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Definition
| reaching conclusion wihtout logical relationship |
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Term
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Definition
| sounds rather than meaning govern speech |
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Term
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Definition
Poverty of speech
Poverty of content
Thought blocking- train of thought that becomes interrupted and can not be continued
Increased response latency
Perseveration- repeated ideas, words or phrases |
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Term
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Definition
Unchanging facial expression
Decreased spontaneous movement
Paucity of Gestures
Poor eye contact
Affective nonresponsivity
Lack of Prosody- lack of normal vocal inflections |
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Term
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Definition
Grooming and hygiene
Impersistence at work or school
Physical anergia |
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Term
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Definition
“What do you do for enjoyment?”
“How would you describe your sex drive?”
“Do you have friends or feel close to anyone?” |
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Term
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Definition
- euphoric mood
- irritability
- increased activity
- racing thoughts
- inflated sense of self/grandiosity
- decreased need for sleep
- distractibility
- poor judgement |
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Term
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Definition
- dysphoric mood
- change in appetite or weight
- sleep disturbances
- psychomotor agitation (restless or agitated )
- anhedonia
- anergia/fatigue
- suicidal thoughts
- psychomotor retardation
- feeling of worthlessness
- helplessness
- hopelessness
- attention/concentration
- diurnal variation |
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Term
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Definition
- panic attacks
- agoraphobia- afraid to leave house
- social phobia
- specific phobia
- obsessions
- compulsions |
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Term
| types of psychological testing: |
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Definition
- personality measures
- developomental assessment
- intellectual assessment
- achievement testing
- aptitude/vocational
- neuropsychological testing |
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Term
| Objective Personality Tests: (structured, standardized self-report measures) |
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Definition
- Minnesota Multiphasic Personality Inventory
- Personality Assessment Inventory |
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Term
| Projective-unstructured or semi-structured with vague or ambiguous stimuli Personaly Tests: |
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Definition
- Rorschach
- Thematic Apperception Test |
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Term
| Developmental Assessments: |
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Definition
- Bayley Scales of Infant Development
- Denver Developmental Screening Test |
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Term
| Intellectual Assessments: |
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Definition
- Stanford-Binet Intelligence Scale
- Wechsler Intelligence Scales |
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Term
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Definition
- Wide-Range Achievement Test
- Peabody Individual Achievement Test |
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Term
| Clinical Neuropsychology is a specialty in psychology that examines the relationship between __ and the __ functioning in the areas of ___, ___, ___, and ___ functioning. |
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Definition
- behavior and the brain
- cognitive
- sensory
- motor
- emotional |
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Term
| Neurpsychological assessment is indicated to identify ___ deficits, to help determine the course of an illness that effects brain function, to assess ___ effects, to assess ___ ___ and to evaluate the effects of treatment. |
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Definition
- cognitive
- neurotoxic
- learning disorders |
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Term
| Specific tests and batteries have been developed to assess executive functions, memory, attention & concentration, orientation, perceptual &perceptual motor functions, sensory-motor functions, language functions and constructional processes. |
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Definition
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Term
| Depression specific assessment: |
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Definition
- Beck Depression Inventory
- Geriatric Depression Scale
- Zung Self-assessment Depression Scale |
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Term
| Anxiety Specific Assessment: |
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Definition
- Beck Anxiety Inventory
- State-Trait Anxiety Inventory |
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Term
| Medical Specific Assessment: |
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Definition
| Million Behavioral Medicine Diagnostic |
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