Psychiatric Terms for Thought Process
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Neuropsychiatric Masquerades: Is It a Horse Or a Zebra NCPA Annual Conference Winston-Salem, NC October 3, 2015
Neuropsychiatric Masquerades: Is it a Horse or a Zebra NCPA Annual Conference Winston-Salem, NC October 3, 2015 Manish A. Fozdar, M.D. Triangle Forensic Neuropsychiatry, PLLC, Raleigh, NC www.BrainInjuryExpert.com Consulting Assistant Professor of Psychiatry, Duke University Medical Center, Durham, NC Adjunct Associate Professor of Psychiatry, Campbell University School of Osteopathic Medicine Disclosures • Neither I nor any member of my immediate family has a financial relationship or interest with any proprietary entity producing health care goods or services related to the content of this CME activity. • I am a non-conformist and a cynic of current medical establishment. • I am a polar opposite of being PC. No offense intended if one taken by you. Anatomy of the talk • Common types of diagnostic errors • Few case examples • Discussion of selected neuropsychiatric masquerades When you hear the hoof beats, think horses, not zebras • Most mental symptoms are caused by traditional psychiatric syndromes. • Majority of patients with medical and neurological problems will not develop psychiatric symptoms. Case • 20 y/o AA female with h/o Bipolar disorder and several psych hospitalizations. • Admitted a local psych hospital due to decompensation.. • While at psych hospital, she develops increasing confusion and ataxia. • Transferred to general med-surg hospital. • Stayed for 2 weeks. • Here is what happened…. • Psych C-L service consulted. We did the consult and followed her throughout the hospital stay. • Initial work up showed Normal MRI, but was of poor quality. EEG was normal. • She remained on the hospitalist service. 8 different hospitalists took care of her during her stay here. • Her presentation was chalked off to “her psych disorder”, “Neuroleptic Malignant syndrome” etc. -
Communists (Common), Sierra Club (Uncommon) Directives—A Sequence of Directions and the Transtube Network Is the Lifeblood of Alpha Complex’S Economy
™ PARTheAN UnderplexOIA The abandoned tunnel network that interpenetrates Alpha Complex, and all the ways it can kill your PCs PAUL BALDOWSKI, Architect (www.omegacomplex.com) GREG INGBER DAN GELBER CONTENTS KARL LOW GREG COSTIKYAN Introduction 2 ERIC MINTON ERIC GOLDBERG 1. Under construction 4 Additional material and poorfreadnig/ Original game design & development/ 2. Under population 14 Contractors Building committee 3. Hook, line and sinkhole 38 4. Gear 31 BETH FISCHI IAN BELCHER Mission: ‘The One’ 35 ANDY FITZPATRICK Mongoose Publishing RPG manager/ Appendix 1: Random Underplex 46 ALLEN VARNEY Construction supervisor Appendix 2: Overfl ow 47 Editing, layout, graphics/Drillbots ALEXANDER FENNELL JIM HOLLOWAY Mongoose Publishing production director/ The ‘fortune cookies’ at the lower right of Cover and interior illustrations/Blueprints Struts around wearing fun yellow hardhat each two-page spread come from loyal citizens Paul Baldowski, Karl Low, Saul Resnikoff, Bart Savenije, Silent, and THE COMPUTER Tobias Svalborg, who answered the call on the PARANOIA development blog (www. Orders it built; seals it off; repeat costik.com/paranoia). Commendations! Security Clearance ULTRAVIOLET WARNING: Knowledge or possession of this information by any citizen of Security Clearance VIOLET or lower is treason, dark nasty skulking subterranean treason of the most deeply entrenched kind TM & Copyright © 1983, 1987, 2006 by Eric Goldberg & Greg Costikyan. All Rights Reserved. Mongoose Publishing Ltd., Authorized User. Based on material published in previous editions of PARANOIA. ILLUMINATI is a registered trademark of Steve Jackson Games, and is used by permission. The reproduction of material from this book for personal or corporate profi t, by photographic, electronic, or other means of storage and retrieval, is prohibited. -
Mental Health Disorders: Strategies for Approach & Treatment
3/20/2019 Mental Health Disorders: Strategies for Approach & Treatment Transform 2019: OPTA Annual Conference Columbus, Ohio April 6th, 2019 Dawn Bookshar, PT, DPT, GCS Ian Kilbride, PT Marcia Zeiger, OTRL Objectives Participants will: • Understand the prevalence and impact of mental health disorders in client populations • Understand clinical conditions, and associated characteristics of common mental health diagnoses • Apply effective treatment approaches for clients with mental illness. • Produce effective clinical documentation to support intervention for clients with mental illness Mental Illness (MI) www.schizophrenia.com 1 3/20/2019 Mental Illness (MI) The term mental illness refers collectively to all diagnosable mental disorders defined as sustained abnormal alterations in thinking, mood, or behavior associated with distress and impaired functioning which substantially interferes with or limits one or more major life activities. National Institute of Mental Health Prevalence of MI • More than 50% will be diagnosed with a mental illness or disorder at some point in their lifetime. • 1 in 5 Americans will experience a mental illness in a given year. • 1 in 25 Americans lives with a serious mental illness, such as schizophrenia, bipolar disorder, or major depression. Centers for Disease Control & Prevention Prevalence of MI in LTC • 2/3 of people in nursing homes have a mental illness. • Nursing home residents with a primary diagnosis of mental illness range from 18.7% among those aged 65-74 years to 23.5% among those aged 85+ years. • Dementia, Alzheimer disease, and mood disorders are the most common diagnoses of mental illness in long-term care settings. Centers for Disease Control & Prevention 2 3/20/2019 Prevalence of MI in LTC Ohio • Residents with a diagnosis of schizophrenia and bipolar disorder increased from 9% to 16% between 2001 to 2016. -
The Clinical Presentation of Psychotic Disorders Bob Boland MD Slide 1
The Clinical Presentation of Psychotic Disorders Bob Boland MD Slide 1 Psychotic Disorders Slide 2 As with all the disorders, it is preferable to pick Archetype one “archetypal” disorder for the category of • Schizophrenia disorder, understand it well, and then know the others as they compare. For the psychotic disorders, the diagnosis we will concentrate on will be Schizophrenia. Slide 3 A good way to organize discussions of Phenomenology phenomenology is by using the same structure • The mental status exam as the mental status examination. – Appearance –Mood – Thought – Cognition – Judgment and Insight Clinical Presentation of Psychotic Disorders. Slide 4 Motor disturbances include disorders of Appearance mobility, activity and volition. Catatonic – Motor disturbances • Catatonia stupor is a state in which patients are •Stereotypy • Mannerisms immobile, mute, yet conscious. They exhibit – Behavioral problems •Hygiene waxy flexibility, or assumption of bizarre • Social functioning – “Soft signs” postures as most dramatic example. Catatonic excitement is uncontrolled and aimless motor activity. It is important to differentiate from substance-induced movement disorders, such as extrapyramidal symptoms and tardive dyskinesia. Slide 5 Disorders of behavior may involve Appearance deterioration of social functioning-- social • Behavioral Problems • Social functioning withdrawal, self neglect, neglect of • Other – Ex. Neuro soft signs environment (deterioration of housing, etc.), or socially inappropriate behaviors (talking to themselves in -
Understanding the Mental Status Examination with the Help of Videos
Understanding the Mental Status Examination with the help of videos Dr. Anvesh Roy Psychiatry Resident, University of Toronto Introduction • The mental status examination describes the sum total of the examiner’s observations and impressions of the psychiatric patient at the time of the interview. • Whereas the patient's history remains stable, the patient's mental status can change from day to day or hour to hour. • Even when a patient is mute, is incoherent, or refuses to answer questions, the clinician can obtain a wealth of information through careful observation. Outline for the Mental Status Examination • Appearance • Overt behavior • Attitude • Speech • Mood and affect • Thinking – a. Form – b. Content • Perceptions • Sensorium – a. Alertness – b. Orientation (person, place, time) – c. Concentration – d. Memory (immediate, recent, long term) – e. Calculations – f. Fund of knowledge – g. Abstract reasoning • Insight • Judgment Appearance • Examples of items in the appearance category include body type, posture, poise, clothes, grooming, hair, and nails. • Common terms used to describe appearance are healthy, sickly, ill at ease, looks older/younger than stated age, disheveled, childlike, and bizarre. • Signs of anxiety are noted: moist hands, perspiring forehead, tense posture and wide eyes. Appearance Example (from Psychosis video) • The pt. is a 23 y.o male who appears his age. There is poor grooming and personal hygiene evidenced by foul body odor and long unkempt hair. The pt. is wearing a worn T-Shirt with an odd symbol looking like a shield. This appears to be related to his delusions that he needs ‘antivirus’ protection from people who can access his mind. -
A Call for Research on the Development of MDD with Psychotic Features Christopher P
A Call for Research on the Development of MDD with Psychotic Features Christopher P. M. Courtney Faculty Advisor: Dr. Meredith Montgomery, LPCC-S Part 1: Background Part 2: Literature Review Part 3: Psychosocial Development Neurochemistry Erikson’s Psychosocial Development • The Dopamine Hypothesis states that • Considering Erikson's psychosocial stage theory17, MDD symptoms of psychosis (particularly as w/ psychotic features onset seems to increase with ego seen in schizophrenia, which MDD with development between adolescence & later life18. psychotic features can mimic or even • When the fidelity of adolescence falls to the converse of develop into) can be attributed to a identity, that is, identity confusion19, it throws a normative disturbed dopaminergic signal transduction8 experience into a storm of insecurity, which easily can • Bupropion, better known as Wellbutrin, is start and lead to a core disturbance. Intro and Occurrence Stats currently one of the more prescribed anti-depressants, and according to • Young adulthood then begins as a search for intimacy, as In recent years, Major Depressive Disorder (MDD) is Moreira9 extremely effective in the regulation of clinical depression; those at this stage begin to turn outward in an attempt to becoming more normalized considering medication for it specifically, as it inhibits the reuptake of dopamine through the dopamine share their newfound identity. The antithesis of isolation appears in commercials and other media on a regular basis. and norepinephrine transporters10. It must be noted that this is an enters, as those who failed to reconcile the preceding Psychotic symptoms, an often-misunderstood specifier for unusual function for an anti-depressant, although in this case it allows it to identity conflict feel either that they are psychologically this disorder, are occurring more frequently while being work in tandem with anti-psychotics such as Aripiprazole11. -
The Trauma of Stalinism Narrated in Varlam T. Shalamov's Kolymskie Rasskazy : Missiological Implications for Contemporary Russia
Andrews University Digital Commons @ Andrews University Dissertations Graduate Research 2008 The Trauma of Stalinism Narrated in Varlam T. Shalamov's Kolymskie Rasskazy : Missiological Implications for Contemporary Russia Yuri N. Drumi Andrews University Follow this and additional works at: https://digitalcommons.andrews.edu/dissertations Part of the European History Commons, European Languages and Societies Commons, Political History Commons, and the Social History Commons Recommended Citation Drumi, Yuri N., "The Trauma of Stalinism Narrated in Varlam T. Shalamov's Kolymskie Rasskazy : Missiological Implications for Contemporary Russia" (2008). Dissertations. 40. https://digitalcommons.andrews.edu/dissertations/40 This Dissertation is brought to you for free and open access by the Graduate Research at Digital Commons @ Andrews University. It has been accepted for inclusion in Dissertations by an authorized administrator of Digital Commons @ Andrews University. For more information, please contact [email protected]. Thank you for your interest in the Andrews University Digital Library of Dissertations and Theses. Please honor the copyright of this document by not duplicating or distributing additional copies in any form without the author’s express written permission. Thanks for your cooperation. ABSTRACT THE TRAUMA OF STALINISM NARRATED IN VARLAM T. SHALAMOV'S KOLYMSKIE RASSKAZY: MISSIOLOGICAL IMPLICATIONS FOR CONTEMPORARY RUSSIA by Yuri N. Drumi Adviser: Rudi Maier ABSTRACT OF GRADUATE STUDENT RESEARCH Dissertation Andrews University Seventh-day Adventist Theological Seminary Title: THE TRAUMA OF STALINISM NARRATED IN VARLAM T. SHALAMOV'S KOLYMSKIE RASSKAZY: MISSIOLOGICAL IMPLICATIONS FOR CONTEMPORARY RUSSIA Name of researcher: Yuri N. Drumi Name and degree of faculty adviser: Rudi Maier, Ph.D. Date completed: April 2008 Stalinism and the punitive system of the Gulag left an indelible stamp on the entire social matrix of Russia. -
Formal Thought Disorder in First-Episode Psychosis
Available online at www.sciencedirect.com ScienceDirect Comprehensive Psychiatry 70 (2016) 209–215 www.elsevier.com/locate/comppsych Formal thought disorder in first-episode psychosis Ahmet Ayera, Berna Yalınçetinb, Esra Aydınlıb, Şilay Sevilmişb, Halis Ulaşc, Tolga Binbayc, ⁎ Berna Binnur Akdedeb,c, Köksal Alptekinb,c, aManisa Psychiatric Hospital, Manisa, Turkey bDepartment of Neuroscience, Dokuz Eylul University, Izmir, Turkey cDepartment of Psychiatry, Medical School of Dokuz Eylul University, Izmir, Turkey Abstract Formal thought disorder (FTD) is one of the fundamental symptom clusters of schizophrenia and it was found to be the strongest predictor determining conversion from first-episode acute transient psychotic disorder to schizophrenia. Our goal in the present study was to compare a first-episode psychosis (FEP) sample to a healthy control group in relation to subtypes of FTD. Fifty six patients aged between 15 and 45 years with FEP and forty five control subjects were included in the study. All the patients were under medication for less than six weeks or drug-naive. FTD was assessed using the Thought and Language Index (TLI), which is composed of impoverishment of thought and disorganization of thought subscales. FEP patients showed significantly higher scores on the items of poverty of speech, weakening of goal, perseveration, looseness, peculiar word use, peculiar sentence construction and peculiar logic compared to controls. Poverty of speech, perseveration and peculiar word use were the significant factors differentiating FEP patients from controls when controlling for years of education, family history of psychosis and drug abuse. © 2016 Elsevier Inc. All rights reserved. 1. Introduction Negative FTD, identified with poverty of speech and poverty in content of speech, remains stable over the course of Formal thought disorder (FTD) is one of the fundamental schizophrenia [7]. -
Ulsd730704 Td Luis Madeira.Pdf
UNIVERSIDADE DE LISBOA FACULDADE DE MEDICINA BASIC-SELF DISORDERS BEYOND SCHIZOPHRENIA: ULTRA-HIGH-RISK STATES AND PANIC DISORDER Luis António Proença Duarte Madeira Orientadores: Prof. Doutora Maria Luísa Caruana Canessa Figueira da Cruz Filipe Prof. Doutor Louis Arnorsson Sass Tese especialmente elaborada para obtenção do grau de Doutor em Medicina Especialidade em Psiquiatria e Saúde Mental 2017 A impressão desta dissertação foi aprovada pelo Conselho Científico da Faculdade de Medicina da Universidade de Lisboa em reunião de 23/11/2016 UNIVERSIDADE DE LISBOA FACULDADE DE MEDICINA BASIC-SELF DISORDERS BEYOND SCHIZOPHRENIA: ULTRA-HIGH-RISK STATES AND PANIC DISORDER Luis António Proença Duarte Madeira Orientadores: Prof. Doutora Maria Luísa Caruana Canessa Figueira da Cruz Filipe Prof. Doutor Louis Arnorsson Sass Tese especialmente elaborada para obtenção do grau de Doutor em Medicina Especialidade em Psiquiatria e Saúde Mental Juri: Presidente: Prof. Doutor José Luis Bliebernicht Ducla Soares, Prof. Catedrático em regime de tenure e Vice-Presidente do Conselho Científico da Faculdade de Medicina da Universidade de Lisboa Vogais: Prof. Doutor Carlos Manuel Moreira Mota Cardoso, Professor Catedrático da Faculdade de Psicologia e Ciências da Educação da Universidade do Porto Prof. Doutor João Eduardo Marques Teixeira, Professor Associado da Faculdade de Psicologia e Ciências da Educação da Universidade do Porto Prof. Doutor Manuel Gonçalves Pereira, Professor Auxiliar da Faculdade de Ciências Médicas da Universidade Nova de Lisboa Prof. Doutor Daniel José Branco de Sampaio, Professor Catedrático Jubilado da Faculdade de Medicina da Universidade de Lisboa Prof. Doutora Maria Luísa Caruana Canessa Figueira da Cruz Filipe, Professora Catedrática Jubilada da Faculdade de Medicina da Universidade de Lisboa (orientador) Prof. -
Early Identification of Psychosis a Primer
Early Identification of Psychosis A Primer Mental Health Evaluation & Community Consultation Unit TABLE OF CONTENTS Introduction...............................................................................................................3 Psychosis and Early Intervention........................................................................4 Why is Early Intervention Needed?...................................................................5 Risk and Onset..........................................................................................................6 Course of First-Episode Psychosis 1. Prodrome........................................................................................................7 2. Acute Phase....................................................................................................8 3. Recovery Phase..............................................................................................9 Summary of First-Episode Psychosis...............................................................11 Tips for Helpers......................................................................................................12 More Resources......................................................................................................15 Acknowledgements...............................................................................................16 2 INTRODUCTION Psychosis is a condition characterized by loss of contact with reality and may involve severe disturbances in perception, cognition, behavior, -
Schizophrenia Spectrum and Other Psychotic Disorders
1 SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS 2 OBJECTIVES Know and understand: • How to evaluate a person with psychotic symptoms • The epidemiology and clinical characteristics of late- onset schizophrenia • Evaluation of psychotic symptoms associated with disorders other than schizophrenia • Management of older adult patients with psychotic symptoms 3 TOPICS COVERED • Schizophrenia and Schizophrenia Spectrum Syndromes • Psychotic Symptoms in Delirium and Delusional Disorder • Psychotic Symptoms in Mood Disorder • Psychotic Symptoms in Dementia • Isolated Suspiciousness • Syndromes of Isolated Hallucinations: Charles Bonnet Syndrome • Other Psychotic Disorders Ø Psychotic Disorder Due to Another Medical Condition Ø Substance/Medication-Induced Psychotic Disorder 4 PSYCHOTIC SYMPTOMS • Hallucinations are perceptions without stimuli that can affect any of the 5 sensory modalities (auditory, visual, tactile, olfactory, gustatory) • Delusions are fixed, false, idiosyncratic beliefs that can be: Ø Suspicious (paranoid) Ø Grandiose Ø Somatic Ø Self-blaming Ø Hopeless 5 EVALUATION OF A PERSON WITH PSYCHOTIC SYMPTOMS • First evaluate for underlying causes such as delirium, dementia, stroke, or Parkinson disease Ø Acute onset of altered level of consciousness or inability to sustain attention suggests delirium Ø Delirium, most often superimposed on an underlying dementia, is the most common cause of new-onset psychosis in late life • Next, consider a primary mood disorder • Only after other causes are excluded should the diagnosis of -
Evidence Report: Risk of Adverse Cognitive Or Behavioral Conditions
Evidence Report: Risk of Adverse Cognitive or Behavioral Conditions and Psychiatric Disorders Human Research Program Behavioral Health and Performance Approved for Public Release: April 11, 2016 National Aeronautics and Space Administration Lyndon B. Johnson Space Center Houston, Texas 1 CURRENT CONTRIBUTING AUTHORS: Kelley J. Slack, Ph.D. Wyle Science Technology & Engineering Thomas J. Williams, Ph.D. Wyle Science Technology & Engineering Jason S. Schneiderman, Ph.D. Wyle Science Technology & Engineering Alexandra M. Whitmire, Ph.D. Wyle Science Technology & Engineering James J. Picano, Ph.D. Universities Space Research Association PREVIOUS CONTRIBUTING AUTHORS: Lauren B. Leveton, Ph.D. NASA Johnson Space Center Lacey L. Schmidt, Ph.D. Minerva Work Solutions Camille Shea, Ph.D. Houston Police Department 2 TABLE OF CONTENTS I. PRD RISK TITLE: RISK OF ADVERSE COGNITIVE OR BEHAVIORAL CONDITIONS AND PSYCHIATRIC DISORDERS ............................................................................................. 6 II. EXECUTIVE SUMMARY .................................................................................................... 9 III. INTRODUCTION ................................................................................................................ 11 IV. EVIDENCE ........................................................................................................................... 14 A. Space Flight Evidence .................................................................................................... 17 1. Sources