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Trauma Informed Care - Florida Alcohol and Drug Abuse Association
Trauma Informed Care - Florida Alcohol and Drug Abuse Association

... • Alice is a 36 year old African American woman that presents for care at an outpatient substance use disorder program for pregnant and parenting women. She’s been referred by child protective services who have cited her ongoing use of cocaine as problematic for her ability to maintain custody and c ...
EXPLORING PSYCHOLOGY (7th Edition in
EXPLORING PSYCHOLOGY (7th Edition in

... 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) ...
Bipolar Disorder
Bipolar Disorder

... where one becomes irritable or euphoric. During this mood change there can be important changes in the nature and content of one’s thoughts, emotions and behaviors. For example, when someone is experiencing an elevation in his mood, his perceptions could become distorted enabling him to believe that ...
Social Worker Interventions for Patients Post-Stroke
Social Worker Interventions for Patients Post-Stroke

... post-stroke depression (Klinedinst, 2012). Post-stroke depression is generally considered to be a lay term; post-stroke depression is classified by the Diagnostic Statistical Manual of Mental Disorders (America Psychiatric Association, 2013) as a mood disorder due to a general medical condition, as ...
Chapter Fifteen Psychological Disorders
Chapter Fifteen Psychological Disorders

... Models of abnormality consider statistical infrequency, norm violation, and personal suffering as criteria for distinguishing between normal and abnormal behavior. Each of these criteria alone, however, would not necessarily be sufficient to label an individual’s behavior as “abnormal.” (Chapter 15, ...
Figure 6-2 Multipath Model for Somatic Symptom Disorders
Figure 6-2 Multipath Model for Somatic Symptom Disorders

... • Some symptoms are easily diagnosed, while others require extensive neurological and physical examination ...
PaedCH14-Psychiatry_4C-March 2017
PaedCH14-Psychiatry_4C-March 2017

... inappropriate places. This occurs at least once each month for 3 months. The chronological or mental age of the child is at least 4 years. Substances, medications and medical illnesses need to be excluded. Encopresis is specified as either with or without constipation and overflow incontinence. ...
Cognition as an outcome measure in schizophrenia
Cognition as an outcome measure in schizophrenia

... was co-normed with 300 community controls across five academic sites, an individual’s results can be normalised against this same control group for all seven domain scores as well as a composite score. The MCCB has a computerised scoring system that produces t-scores and percentiles corrected for ag ...
“Depression and Anxiety Meeting report: Spectrum disorders: from basic science to the ”
“Depression and Anxiety Meeting report: Spectrum disorders: from basic science to the ”

... the brains of patients who had died when severely depressed compared to non-depressed controls. Using broad genetic and gene expression strategies, they identify molecules in specific brain regions that differentiate the severely depressed brains. Then, they return to the animal models to examine th ...
Screening, Referral and Treatment for Attention Deficit and Hyperactivity
Screening, Referral and Treatment for Attention Deficit and Hyperactivity

... B. Adults may present with distractibility, impulsiveness and poor executive functioning. A variety of psychiatric or lifestyle conditions need to be considered when these symptoms are present. ...
What is Specific Phobia
What is Specific Phobia

... specific phobia in community samples range from 4% to 8%. Over the course of a lifetime, the prevalence estimates in community samples range from 7.2% to ...
Patient Handbook - Esper Treatment Center
Patient Handbook - Esper Treatment Center

... FACT: Methadone has no adverse effects on intelligence, mental capability, or employability. Stabilized methadone patients cannot be distinguished from non-methadone patients in terms of their ability to think, experience emotions or engage in physical activity. Study of the long-term effects of met ...
PARTICIPANT HANDOUT Introduction The term "comorbidity" refers
PARTICIPANT HANDOUT Introduction The term "comorbidity" refers

... be used as a comparative reference point. If the individual did not have the present symptoms at that earlier time, the chances are increased for the onset of an independent psychiatric disorder. The longer the symptoms persist after abstinence begins, the greater this likelihood, as well. Becoming ...
Rieger Chapter Summaries PowerPoint 03
Rieger Chapter Summaries PowerPoint 03

... DSM-IV-TR also includes the controversial construct of a mixed episode, in which both symptoms of a manic and major depressive episode present for > 1 week ...
Personality disorders Case Series: VMSIII 2013
Personality disorders Case Series: VMSIII 2013

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eating disorders presentation
eating disorders presentation

...  17% felt they could talk to a doctor or nurse  92% felt that they couldn’t talk to anyone ...
Key Considerations For All Clinicians
Key Considerations For All Clinicians

... impossible for you.” “While you are here, the rules and meals that are set by the nurses are there to stop the Eating Disorder from bossing you around anymore.” “It looks like the Anorexia is really giving you a hard time at the moment for having eaten all of your dinner.” “We’ve spoken about the wa ...
Dissociative Disorders - People Server at UNCW
Dissociative Disorders - People Server at UNCW

... 2 or more distinct identities or personalities (alters), each with its own pattern of perceiving, relating, and thinking, as well as unique behaviors, memories, relationships, and personal Hx Alters are often unaware of each other Transitions between alters (switches) are usually abrupt & are often ...
Mood Stabilizers and Mood Swings: In Search of a Definition
Mood Stabilizers and Mood Swings: In Search of a Definition

... quite freely, especially with patients who have labile affect, and are basically making the diagnosis on a hunch. Although the considerations above regarding risk/benefit ratio still apply, ordinarily I would have no difficulty with a clinician following a clinical intuition and diagnosing atypical ...
Minnesota Multiphasic Personality Inventory (MMPI)
Minnesota Multiphasic Personality Inventory (MMPI)

... help get to the heart of many difficulties people are trying to improve in therapy by helping refine treatment goals. By using an MMPI, Dr. Fletcher is better able to help people get relief quicker instead of wasting time and energy “beating around the bush.” Dr. Fletcher typically uses the MMPI whe ...
The 2-item Generalized Anxiety Disorder scale had high sensitivity
The 2-item Generalized Anxiety Disorder scale had high sensitivity

... A 2-item form of the GAD-7 was as informative as the 7-item form for GAD and other anxiety disorders. The authors’ conclusion that the 2-item scale could be used as a brief screening tool is well justified by the data, especially for generalised anxiety and possibly for panic disorder. Should genera ...
Role of Medications, Therapy and Education in the Treatment of
Role of Medications, Therapy and Education in the Treatment of

...  Psychotherapy may be extremely helpful  Staff approach depends on understanding UNIQUE ...
Mood Stabilizers in the Treatment of Bipolar Disorder: High Yield
Mood Stabilizers in the Treatment of Bipolar Disorder: High Yield

... ◦ Can cause a life-threatening thrombocytopenia, agranulocytosis, and aplastic anemia in 0.0005%. ◦ Signs of bleeding abnl +/- infx?  CBC immediately! ◦ D/c if WBC < 3,000, ANC <1500, or platelets <100,000. ...
Obsessive-Compulsive Disorder When Unwanted Thoughts Take Over: National Institute of Mental Health
Obsessive-Compulsive Disorder When Unwanted Thoughts Take Over: National Institute of Mental Health

... situations that help them feel less anxious and fearful without having obsessive thoughts or acting compulsively. Doctors also may prescribe medication to help treat OCD. It’s important to know that some of these medicines may take several weeks to start working.The kinds of medicines used to treat ...
Anxiety Disorders and Depression Dr H Grandy
Anxiety Disorders and Depression Dr H Grandy

... During or after the distressing event the individual has at least three of the following dissociative symptoms: 1. A subjective sense of numbing, detachment or absence of emotional responsiveness. 2. A reduction in awareness of surroundings. 3. Derealization. 4. ...
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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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