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Depressive and Bipolar Disorders
Depressive and Bipolar Disorders

... • Typically lose interest in activities & relationships and take pleasure in nothing • Despite best efforts, everything from conversation to bathing is an unbearable, exhausting effort • Often exaggerated feelings of inadequacy, worthlessness, hopelessness, or guilt ...
On Being Sane in Insane Places - Self
On Being Sane in Insane Places - Self

... more dangerous to misdiagnose illness than health. Better to err on the side of caution, to suspect illness even among the healthy. But what holds for medicine does not hold equally well for psychiatry. Medical illnesses, while unfortunate, are not commonly pejorative. Psychiatric diagnoses, on the ...
What is DDx? - Dual Diagnosis
What is DDx? - Dual Diagnosis

... Wallace, Mullen and Burgess (2004). - persons with schizophrenia committed 8 x the # of offences as non-schizophrenia matched control group - much higher rates of criminal conviction for persons with schizophrenia with substance abuse than for those without substance abuse problems (68.1% versus ...
Treating Depression and Anxiety in the Geriatric Patient
Treating Depression and Anxiety in the Geriatric Patient

... CBT has been shown to be superior to treatment as usual in elderly with anxiety Elderly do not benefit from CBT as much as their younger counterparts Elderly more likely to drop out of CBT Learning new skills, coping mechanisms and adjusting one’s thoughts is challenging – consider different CBT ...
One Sky Center
One Sky Center

... Prevalence and Pattern in Youth Among adolescents entering substance abuse treatment, 62% of males and 83% of females had at least one emotional/behavioral disorder  Almost 90% of those with a lifetime co-occurring disorder had at least one mental health disorder prior to the onset of a substance ...
Life Span Mental Health Issues
Life Span Mental Health Issues

... Eating 1 or more non-nutritive substances for at least 1 month and inappropriate for developmental level Frequently associated with mental retardation (MR) and pervasive development disorder (PDD) ...
Associated Features
Associated Features

... significant impairment in social, academic, or occupational functioning developmental disorder, schizophrenia, or other psychotic disorder and are not better accounted for by another mental disorder ...
Completed Course Design Plan Example
Completed Course Design Plan Example

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Psychological Disorders
Psychological Disorders

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Bipolar I
Bipolar I

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disorder

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MHPO1 - The Justice Academy
MHPO1 - The Justice Academy

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Introduction to Psychology
Introduction to Psychology

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Disorders Usually Diagnosed in Infancy, Childhood, & Adolescence
Disorders Usually Diagnosed in Infancy, Childhood, & Adolescence

... Subtypes: • Conduct Disorder, Childhood Onset – onset of at least 1 criterion prior to age 10 • Conduct Disorder, Adolescent Onset – absence of any criteria prior to 10 • Conduct Disorder, Unspecified Onset – age of onset is ...
PSYCHIATRY MADE RIDICULOUSLY SIMPLE by William V. Good
PSYCHIATRY MADE RIDICULOUSLY SIMPLE by William V. Good

... and others. These are explained later in a clinical example. Delirium: This is often a reversible, acute alteration in brain function with disturbance of consciousness and thinking. See Chapter 2 for more details. Delusion: This is a false belief neither based on reality, nor culturally derived, and ...
AMITA Health Perinatal IOP Anxiety San Diego (90min)
AMITA Health Perinatal IOP Anxiety San Diego (90min)

... Disorders (PMAD) thus end up receiving too little care (outpatient or less) with poor results, or too high of a level of care (inpatient) that separates mom and baby, may negatively impact breastfeeding, disrupts attachment, and can be traumatic for the woman.  Great Britain has had successful moth ...
xxxxx - Hobbs Municipal Schools
xxxxx - Hobbs Municipal Schools

... Distinguishing Emotional Disturbance from Social Maladjustment Emotional Disturbance When one uses the term Emotional Disturbance, it refers to those psychiatric conditions that reflect a disorder in affect or emotion. That is, some type of dysfunction in emotional self-regulation must be at play in ...
The Unique Needs of Veterans at the End of Life
The Unique Needs of Veterans at the End of Life

... when they are ready  Avoid attempts to comfort that actually serve to stifle the topic (“It’s ok,” “Don’t cry,” “That was a long time ago,” etc.)  Inform them that it is very normal to have these memories and to feel distressed by them, especially near the EOL  “Is there anyone to whom you would ...
Drug Intoxication and Withdrawal
Drug Intoxication and Withdrawal

... • Clinically significant maladaptive behavior or psychomotor changes (e.g., paranoid ideation, fear of losing one’s mind). • Perceptual changes occurring in a state of full wakefulness and alertness (e.g., depersonalization, illusions, etc.). • Two or more of the following: ...
Chapter 2
Chapter 2

... the bio-psycho-social etiological base for the major psychological disorders (i.e. Axis I disorders- thought disorder, mood disorders, and anxiety disorders), as well as Axis II or personality disorders as well. Rigorous biological determinism has long been the cultural fashion in general medical an ...
Sample pages 2 PDF
Sample pages 2 PDF

... healthy children and adults who experience an acute medical problem (see vignette) allow for an also healthy loved one to reassure them, providing in an empathic manner their support to continue with the medical course recommended by the treatment team. On the flip side, when the patient has been a ...
Cognitive Behavioural Therapy (CBT)
Cognitive Behavioural Therapy (CBT)

... sleeping, not having sex..) • Changes in feelings are changes in thinking – “I feel sad” is the same as “I am having sad thoughts” ...
Anxiety disorders - landman
Anxiety disorders - landman

...  A student receives a bad grade on an exam. The ...
Durand and Barlow Chapter 13 - U
Durand and Barlow Chapter 13 - U

... – Multiple cognitive deficits that develop gradually and steadily – Predominant impairment in memory, orientation, judgment, and reasoning – Can include agitation, confusion, depression, anxiety, or combativeness – Symptoms are usually more pronounced at the end of the day ...
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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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