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Psych interview
clinical skills 3 psych terminology MUA Med3
| Question | Answer |
|---|---|
| Abstract thinking | the ability to think symbolically and to think about your thinking |
| Affect | experienced emotion attached to ideas |
| Agorophobia | fear of being outside of circumscribed safe places |
| Ambivalence | inability to choose between two impulses |
| Anhedonia | loss of pleasure or interest in all things that were formally interesting |
| Apathy | dulled motional tone, detachment, indifference |
| Appropriate Affect | emotional tone in harmony with what is happening |
| Autistic thinking | thinking in concrete, self-serving way with disregard for reality |
| Bereavement | experience of sadness following loss of another |
| Bizzare delusion | false belief that is absurd or impossible |
| Blunted affect | dull emotional feeling and appearance |
| Catelepsy | Catatonic waxy-flexibility |
| Cataplexy | temporary loss of muscle tone (narcolepsy) – swooning |
| Compulsion | pathological need to act on impulse |
| Constricted Affect | affect is reduced in range |
| Decompensation | breakdown of psychic functioning caused by stress overwhelming coping mechanisms |
| Delirium tremens | acute reaction to alcohol withdrawal |
| Delusion | false belief based on incorrect inference: Control, Grandeur, Infidelity, Persecution, reference |
| Derealization | sensation that the world is altered or changed |
| Detachment | dealing with others in a distant interpersonal style |
| Elation | mood of joy and euphoria |
| Emotional lability | excessive emotional reactivity and instability of mood |
| Flat Affect | absence of emotional expression |
| Grandiosity | exaggerated feelings of importance |
| Hyperactivity | increased muscular activity, motor restlessness |
| Hypoactivity | decreased motor and cognitive activity, slowing of thought and action |
| Ideas of reference | misinterpretation of events of world to have personal meaning to self |
| Inappropriate affect | emotional expression out of harmony with the idea or situation |
| Insight | recognition of own condition |
| Irritability | Abnormally easily triggered to rage or annoyance |
| Labile Affect | rapid emotional response |
| Melancholia | deep sadness or gloom |
| Echolalia | meaningless repetition of another person’s spoken words |
| Mood | pervasive and sustained feeling tone |
| Poverty of speech | using few words to talk |
| Rumination | can’t let go |
| Somnolence | pathological sleepiness or drowsiness |
| Thought broadcasting | belief that others can hear or are aware of an individual’s thoughts |
| Thought Insertion | feeling as if one’s thoughts are not one’s own, but belong to someone else and have been inserted into one’s mind |
| Thought withdrawal | thoughts have been taken out of the patient’s mind and patient has no power over this, often accompanies thought blocking |
| Vegetative signs | physical signs of depression: Sleep disturbances: (insomnia), decreased appetite (anorexia), constipation, weight loss, loss of sexual response, |
| Positive Symptoms | Hallucinations, delusions, disorganized speech, catatonic, behavior (diminish over time) |
| Negative Symptoms | Anhedonia, Avolition, Alogia, affective flattening, asociality |
| Aborted suicide attempt | potentially self-injurious behavior with explicit or implicit evidence that the person intended to die but stopped the attempt before physical damage occurred |
| Deliberate self-harm | willful self-inflicting, destructive or injurious acts without intent to die |
| Lethality of suicidal behavior | objective danger to life associated with a suicide method or action |
| Suicidal ideation | thought of serving as the agent of one’s own death – seriousness may vary depending on specificity of suicidal plans and degree of suicidal intent |
| Suicidal intent | subjective expectation and desire for a self-destructive act to end in death |
| Suicide attempt | self-injurious behavior with a nonfatal outcome accompanied by explicit or implicit evidence that the person intended to die |
| Suicide | self-inflicted death with explicit or implicit evidence that the person intended to die |
| Circumstantiality | Trivial or irrelevant details that impede the sense of getting to the point |
| Clang Association | Thoughts associated by sound of words rather than by meaning = rhyming |
| Derailment | “LOOSE ASSOCIATION” Breakdown in both logical connection between ideas and overall sense of goal directedness = the words make sentences but the sentences do not make sense to the context |
| Flight of Ideas | Succession of multiple associations so that thought seem to move abruptly from idea to idea = expressed through rapid, pressured speech |
| Neologism | Invention of new words or phrases or the use of conventional words “Supercalifragilisticexpialidocious” |
| Perservation | Repetition of out of context words, phrases, or ideas |
| Tangentiality | In response to a question, pt gives a reply that is appropriate to the general topic without actually answering the question “Have you had any sleep? I usually sleep on my bed |
| Thought Blocking | Sudden disruption of thought or a break in the flow of ideas |
| Compromised Patient: | one who may not be able to meaningfully participate in his/her medical/psychiatric treatment |
| Interviews with compromised patients have two significant purposes: | 1) clinician documents evidence about the pts condition and explain treatment 2) clinician to differentially diagnose the underlying cause of the compromise and to direct treatment and predict the course and outcome |
| How to assess a compromised patient | MSE (Mental Status Exam) |
| When a patient says they “hear voices in their heads” this is a sign or symptom ? | Symptom b/c they are saying it it’s a sign |
| dealing with Suspicious patients : | 1.Give time to review paperwork – even if this means letting them think about it for an extended period of time, 2.Reinforce right to walk away and to refuse treatment 3.Keep your emotions and affect to minimum |
| dealing with Flirtatious Patients: | 1. Keep personal boundaries solid – dress nicely but don’t try to be sexy 2. When patients flirt – acknowledge what they have done |
| dealing with Dealing with Rage/Anger: | 1. Safety is a priority Give the person as much space as you can – DO NOT RUN AWAY 2. Do not interrupt the flow, ride it out 3. Don’t dump the patient on a nurse |
| dealing with Drug Seeking patients: | 1. Never prescribe drugs to patients that are not clinically indicated, expect them to be upset 2. Discover the nature of the person’s request 3. Inquire about dependence and offer treatment, Expect to be hassled |
| Generalized anxiety | Where, When, Who, How long, How frequent |
| Panic Disorder | Agorophobia, sense of doom, racing heart, sweating , SOB |
| Obsessive compulsive | checking, cleaning, rituals, obsessive thinking |
| PTSD | Nightmares, flashcards, avoidance |
| Psychosis | Hallucinations: Auditory, visual, olfactory, tactile / Delusions |
| Mania: | DIGFAST = DISTRACTIBILITY, IRRESPONSIBILITY, GRANDIOSITY, FLIGHT OF IDEAS, ACTIVITY INCREASED WITH WEIGHT LOSS AND INCREASED LIBIDO, SLEEP DECREASED, TALKATIVENESS |
| Depression: | SIGECAPS= SLEEP, INTEREST, GUILT, ENERGY, CONCENTRATION, APPETITE, PSYCHOMOTOR, SUICIDE |
| avoid in psych interview: | - Why questions - Judgmental questions - Abrupt transition - Premature advice |
| parts of interview: | 1 Identifying data 2 source/reliability 3 Complaint 4 Present Illness 5 PastPsych H 6 substance H 7 PMH 8 Fam H 9 Develomental/socialH 10 ROS 11 MME 12 Physical 13 Formulation 14 DSM5 diganosis 15 Treatment plan |
| important in Childhood/family history | Separation anxiety and school phobia are associated with adult depression |
Created by:
splashgreen
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