Psych Interviewing

Extreme fear of high places

maladaptive reaction to identifiable life events that is expected to remit when the stress ceases (usually resolves in 4 weeks)

the subjective experience of emotion attached to ideas or mental representations of people or things; affect has outward manifestations that may be classified as broad, restricted, blunted, flattened, labile, appropriate, or inappropriate.

External representation of emotion

Old term for MOOD DISORDER

anxiety associated with motor restlessness. (aka psychomotor agitation)

extreme fear of open places or of leaving familiar settings; may be associated with panic attacs

• motor resltlessness manifested by a strong need to be in movement; may be a side effect of antipsychotic medications or selective serotonin reuptake inhibitors
• "bugs crawling" or "electricity feeling"

inability or difficulty in describing or being aware of ones emotions

lack of physical movement, as seen in the immobility of catatonic schizophrenia (totally motionless, waxy flexibility), or as an extrapyramidal side effect of antipsychotic medication

• inability to experience pleasure
• often seen in people with significant depression

• unpleasant emotional state associated with psychophysiological changes in response to an intrapsychic conflict; in contrast to fear, the danger or threat in anxiety is unreal
• NB: fear is a normal response to a physically theatening situation

lack of feelings or interest in one's surroundings

emotional tone in harmony with the accompanying idea or thought

• involuntary cessation or interruption of thought process or speech because of unconscious emotional factors, such as because one is having auditory hallucinations
• patients describe this as their "thinking just stopped"
• patients will stop mid-sentence

• disturbance of affect manifested by a severe reduction in the intensity of externalized feeling tone
• Lack of ability to express full RANGE of emotions that are there
• Often seen in depression, schitzophrenia

• slowness of motor activity and a decrease in normal spontaneous movement
• often seen in Parkinson's or pseudo-Parkinson's

normal range of the expression of a subjectively experienced feeling state with variability in facial expression, pitch of voice, and body movement

• Condition in which persons maintain the body position in which they were placed
• Also called WAXY FLEXIBILITY, CEREA FLEXIBILITAS

• temporary sudden loss of muscle tone, causing immobilization; can be precipitated by a variety of emotional states; characteristically seen in narcolepsy.
• Ex: man gets so angry at wife he wants to hit her. This is so unacceptable to him, that he loses tone in his arm. These patients are notoriously unconcerned with the immobilization of a body part

• state of stupor; especially a type of schizophrenia characterized by muscle rigidity, stupor, and negativism
• lose all motivation

fixed and sustained motoric position that is resistant to change

Catalepsy

• disturbance in the associateive thought and speech process in which a patient digresses into unnecessary details and inappropriate thoughts before communicating a central idea
• communicating the central idea distinguishes tangentiality from circumstantiality, in which the goal idea is reached in a delayed or indirect manner

• association or speech directed by the sound of the word rather than by its meaning; punning and rhyming may occur
• answers reflect what youre saying, (you say hey, they way weigh)

abnormal fear of closed spaces

any distrubance of consciousness in which the person is not fully awake, alert, and orientated

• uncontrollable, repetitive, and unwanted performance of an act
• Often occur to deal with the anxiety caused by an obsession --> an idea that you can't get out of your mind

• thought characterized by actual and immediate things and events, rather than by abstractiond
• normal in small children
• only 50% of population goes on to abstract thinking
• Ex: apple and orange are both round = concrete
• Ex. apple and orange are both fruid = abstract

• unconscious filling of gaps of memory by imagining experiences or events that have no basis in fact
• seen in Wernicke-Korsakoff syndrome = thiamin deficiency

• reduction in intensity of feeling tone less, but more severe than that of blunted affect
• Often occurs in people who have a need for control, they choose what they express

• illusion of visual recognition in which a new situtaiton is incorreclty regarded as a repetition of a previous experience
• normal

FIXED, FALSE believe that is firmly held, despite objective and obvious contraindictory proof or evidence and despite the fact that other members of the culture do not hold the same believe

pt thinks a person's thoughts, feelings, or actions are not their own, but are being imposed by some external force

• Exaggerated concept of one's importance, power, knowledge or identity
• often seen in people who are manic

convinced that one's lover is being unfaithful

• One is being attacked, harassed, or conspired against
• Probably one of the most common

• convinced that events, objects, or the behaviors of others have a particular and unusual meaning specifially for oneself
• Ex: billboards mean something just for you

• Pertaining to the function of one's own body
• Believe something is physically wrong with them, when it isn't. Unlike a hypochondriac- you can NOT convince them that they are fine.

sensation of unreality concerning oneself or parts of oneself, that may occur under stress or fatigue

• extreme deviation in trian of thought; sometimes used synonymously with "loosening of association"
• Go way off on a tangent, totally unrelated thoughts, thoughts are totally unconnected.

sensation of changed reality or that one's surroundings have altered

• impairement of awareness of time, plase, situation or person
• seen in people who are going into a delerium
• the awareness of self is usually last to disapear

• any disturbance of movement, as in extrapyramidal dyskinesia
• often seen with antipsychotic mediations, often begin around the mouth

• feeling of unpleasantness or discomfort; a mood of general dissatisfaction; depression, and anxiety
• uncomfortable mood state

Loss of normal speech melody or prosody (normal inflection in the voice)

• repetiton of another person's words or phrases
• often seen in kids with autism

• affect consisting of feelings of joy, euphoria, or optimism
• Often seen in people who are manic

excessive emotional reponsiveness characterized by unstable and rapidly changing feelings

exaggerated feelings of well being that is inappropriate to apparent events

denoting normal mood

mood characterized by feelings of grandiosity

• absence or near absence of any sings of affective expression
• Not to the same degree as blunted affect

rapid succession of fragmentary thoughts or speech in which content changes abruptly and speech may be incoherent

• false sensory perception occurin in the absence of any relevant external stimulation of the sensory modality involved
• Hear voices, clicks, smells, see things, bugs crawling on them, also gustatory

misinterpretation of incidents and events in the outside world as having a direct personal reference to oneself; if persent with sufficient frequency or intensity or organized and systematized, they constitute delusions of reference.

• perceptual misinterpretation of a REAL external stimulus
• Ex: you see bugs crawling on a curtain instead of the pattern that is really there

• reproduction, recognition, or recall of perceived material within seconds after presentation
• Indicates the hippocampus is working

• emotional tone out of harmony with the idea,t hought, or speech accompanying it
• Often seen in psychosis

inappropriate lack of concern about one's disability; commonly seen in conversion disorder (individual experiences a very intense emotion, then develops symptoms to stop themselves from doing it)

affective expression characterized by abrupt shifts from one mood or affect to another

• Uncontrollable, excessive talking
• Often seen in manic disorder

reproduction, recognition, or recall of experience or information that was experienced in the distant past; aslo called remote memory

• thinking disturbance involving a disorcer in the logical progression of thoughts, manifested by unrelated and unconnected ideas shifting fron one subject to another
• AKA derailment

pervasive and sustained feeling tone that is experienced subjectively, distinguished from affect, the external expression of the internal feeling tone

New word or phrase whose derivation cannot be understood

• false or unreasonable belief or idea that is sustained with less intensity or duration than a delusion
• Attach too much significance to an idea

• thinking dominated by suspicious or persecutory content
• will often be suspicious and hypervigilant, but you can disuade them

persistent, intesne fear of an object or situation

• speech that is quantitatively adequate, but qualitatively inadequate because it consists of minimal, vague or repetitious information
• Seen in those who are severely depressed, their thinking has slowed down

• increase in the amount of spontaneous speech
• often seen in mania

• produced or caused by psychological factors with no organic basis
• Ex: conversion disorders

physical and mental over activity associated with a feeling of inner turmoil

slowing of mental and physical activity

disturbance in which the person replies to a question in an oblique, digressive manner and the central idea is not communicated;

failure to communicate the central idea distinguishes tangentiality from circumstantiality, in which the goal idea is reached in a delayed or indirect manner

delusion that one's thoughts are being broadcast or projected into the environment

delusion that ones thoughts are being implanted in one's mind by other people or forces

• delusion that one's thoughts are being removed from one's mind by other people or fources
• Seen in very serious forms of schizophrenia

Catalepsy

incoherent, essentially incomprehensible mixture of words and phrases.