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Management of PICA (Swallowing Behaviors)
Management of PICA (Swallowing Behaviors)

... personality disorders, including borderline, antisocial, histrionic features (4). PICA may also occur as a response to distressing symptoms produced by other psychiatric problems (See Table 1). A few individuals with borderline intellect or mild retardation enjoy the masochistic experience of surgic ...
Chapter 20: Mental health and mental illness
Chapter 20: Mental health and mental illness

... Identify seven characteristics of mental illness Identify four causes of mental illness Distinguish between fact and fallacy concerning mental illness Explain the connection between mental and physical wellness ...
Comorbidity - The University of Sydney
Comorbidity - The University of Sydney

... • Traditionally exposure therapy was considered inappropriate for those with SUDs – The emotions experienced may be overwhelming and could lead to more substance use – Cognitive impairment associated with SUD could impair the patient’s ability to do imaginal tasks ...
CRIME & MENTAL DISORDER
CRIME & MENTAL DISORDER

... Felt your mind was dominated by forces beyond your control? Felt that thoughts were put into your head that were not your own? Felt that there were people who wished you harm? ...
Mood disorders ( affective disorders )
Mood disorders ( affective disorders )

... Diagnosis: major depressive disorder Minim. 5 symptoms, change from functioning:  depressed mood  diminished interest or pleasure  significant weight loss, or decrease or appetite  insomnia ( or hypersomnia)  psychomotor agitation or retardation  fatigue or loss of energy  feelings of worthl ...
Subskill #11 Construct Meaning/Supporting Evidence – Posttest
Subskill #11 Construct Meaning/Supporting Evidence – Posttest

... Drugs in psychiatry are drugs that are used either alone or in conjunction with psychotherapy to treat psychiatric illnesses. The medical treatment of psychiatric illness is based on a firm conviction that the patient's behavior is in fact a symptom of an illness and not simply a variant of acceptab ...
*To sleep, perchance to dream** -
*To sleep, perchance to dream** -

... • Phobia: irrational, disruptive fears of objects or situations (see pg. 537) • OCD: obsessive-compulsive disorder: unwanted, repetitive thoughts or actions • PTSD: post-traumatic stress disorder: memories/dreams of severely upsetting event ...
Aims and Objectives/Purpose
Aims and Objectives/Purpose

... 6 It also places a substantial burden on family caregivers as well as health and social services. Recent studies have reported that untreated depression is related to the increase of illness and disability, suicide and mortality. 6 It also places a substantial burden on family caregivers as well as ...
An Overview of Mood Disorders Major Depression: An Overview
An Overview of Mood Disorders Major Depression: An Overview

... – Vegetative or somatic symptoms – Central to the disorder! ...
Bipolar Disorder In Children: Why Are The Rates Rising
Bipolar Disorder In Children: Why Are The Rates Rising

... relationship with the child and parents. This means the physician should provide information and educate the family about mental illness, be open to questions and concerns, and share decision-making. Benefits, risks and side-effects of any treatment must be offered in a clear and understandable mann ...
I. Introduction: Understanding Psychological Disorders
I. Introduction: Understanding Psychological Disorders

... b. People with panic disorder are unusually sensitive to the signs of physical arousal. c. According to the cognitive-behavioral theory of panic disorder, people with panic disorder tend to misinterpret the physical signs of arousal as catastrophic and dangerous. After their first panic attack, they ...
Treatment Guidelines for Cognitive Disorders
Treatment Guidelines for Cognitive Disorders

... Cognitive Disorders can be broadly categorized as problems with information processing and memory. Although many psychiatric syndromes are associated with changes in cognitive processing, there are some in which this is the primary problem or deficit. For purposes of this guideline, we have followed ...
Managing Difficult Behaviors in the Home and LTC Facility
Managing Difficult Behaviors in the Home and LTC Facility

... Consider dose reduction for antipsychotic as soon as there is clear therapeutic response to prevent development of side effects  Review anti-psychotic medication for possible discontinuation Q 6 months  Maintain full dose of antidepressant but review if still needed after 1-2 years? Only if no pri ...
Adolescent Mood Disorders
Adolescent Mood Disorders

... depression Major depression may precede the onset of mania Depression may be the initial presentation of their bipolar d/o Important to probe for a history of mania in adolescents presenting with depression ...
Mental Illness - WordPress.com
Mental Illness - WordPress.com

... On a piece of chart paper list all the words and phrases that come to mind when you think of mental illness or a person with mental illness. ...
Memory - Psychological Associates of South Florida
Memory - Psychological Associates of South Florida

... didn't want to do it any more, but I couldn’t stop … The clothes hung … two fingers apart …I touched my bedroom wall before leaving the house … I had constant anxiety … I thought I might be nuts. Marc, diagnosed with obsessive-compulsive disorder (from Summers, 1996) ...
Management of treatment- resistant depression
Management of treatment- resistant depression

... is also vital to educate and give appropriate information about the treatment options available, such as electroconvulsive therapy (ECT), if a patient requires inpatient care and treatment. Important considerations When making a diagnosis of treatment-resistant depression, it is important, firstly, ...
Mood Disorders - Austin Community College
Mood Disorders - Austin Community College

... Approach is firm and direct  “It is time for our 1-1 or Art Class or Coping Skills Group”  Listen and Acknowledge negative feelings ...
Protecting our most vulnerable patients
Protecting our most vulnerable patients

... Myth: Once people develop mental illnesses, they will  never recover. Fact: Studies show that most people with mental  illnesses get better, and many recover completely.  Recovery refers to the process in which people are  able to live, work, learn, and participate fully in their  communities. For s ...
Driving Me Crazy! The Sane Approach to the Older Adult Driver
Driving Me Crazy! The Sane Approach to the Older Adult Driver

... Eventually patients with dementia cannot eat or swallow on their own; feeding tubes do not prolong life or improve quality of life Hospice eligibility in dementia: Patient can no longer perform own ADLs, plus can speak no more than 6 words at a time, plus have another dementia related comorbidity (a ...
Narcissistic Personality Disorder
Narcissistic Personality Disorder

...  Specific personality disorders are diagnosed based on DSM-IV-TR criteria. The general criteria in DSM-IV-TR emphasize the need to consider whether other mental or physical disorders (eg, depression, substance abuse, hyperthyroidism) can account for the patient's patterns of behavior.  Patients' e ...
Depression and Anxiety Difficult to Diagnose in
Depression and Anxiety Difficult to Diagnose in

... challenge for the physician becomes determining which symptoms are appropriate to the situation and which are pathologic and require treatment, Susan J. Stagno, MD, said at a conference on palliative medicine at the Cleveland Clinic Foundation. The clinician must also keep in mind that psychiatric s ...
underlying treatment philosophies: advantages and disadvantages
underlying treatment philosophies: advantages and disadvantages

... many patients that are languishing in a maintenance model approach who would thrive in a recovery model. Today, the availability of the newer antipsychotic medications makes recovery much more attainable in clinical practice. The newer medicines offer much more in terms of treating symptoms, managin ...
Bipolar Disorder: Medications
Bipolar Disorder: Medications

... depression of bipolar disorder. Antidepressants need to be used with caution as they can trigger a manic episode. If prescribed, they may be tapered and discontinued after the mood has been stabilized. Caution: If used alone, an antidepressant can push a person with bipolar disorder into a manic sta ...
DSM-5`s Integrated Approach to Diagnosis and Classifications
DSM-5`s Integrated Approach to Diagnosis and Classifications

... and restricted, repetitive behaviors or interests. Under DSM-IV, patients with such symptoms could be diagnosed with autistic disorder, Asperger’s disorder, childhood disintegrative disorder, or the catch-all diagnosis of pervasive developmental disorder not otherwise specified. But the diagnoses we ...
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Mental status examination



The mental status examination or mental state examination, abbreviated MSE, is an important part of the clinical assessment process in psychiatric practice. It is a structured way of observing and describing a patient's current state of mind, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight and judgment. There are some minor variations in the subdivision of the MSE and the sequence and names of MSE domains.The purpose of the MSE is to obtain a comprehensive cross-sectional description of the patient's mental state, which, when combined with the biographical and historical information of the psychiatric history, allows the clinician to make an accurate diagnosis and formulation, which are required for coherent treatment planning.The data are collected through a combination of direct and indirect means: unstructured observation while obtaining the biographical and social information, focused questions about current symptoms, and formalised psychological tests.The MSE is not to be confused with the mini-mental state examination (MMSE), which is a brief neuro-psychological screening test for dementia.
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