PSYCHIATRIC SYMPTOMS & SIGNS DR GIAN LIPPI CONSULTANT PSYCHIATRIST UNIVERSITY OF PRETORIA & WESKOPPIES HOSPITAL FORENSIC UNIT.

Slides:



Advertisements
Similar presentations
MENTAL STATE EXAMINATION (MSE) *PURPOSE: To reach a tentative diagnosis. It is the diagnosis of general cerebral functions. Designed to detect abnormal.
Advertisements

Schizophrenia. Positive symptoms are those that happen in addition to the norm – ie delusions, hallucinations Negative symptoms are those that take away.
Schizophrenia What is schizophrenia?  Most disabling and chronic of all mental illnesses  Psychosis: type of mental illness- cannot distinguish reality.
Thinking prof. MUDr. Eva Češková, CSc. Dept. of Psychiatry, Dept. of Psychiatry, Masaryk University, Brno Masaryk University, Brno.
Mental Status Exam Heidi Combs, MD.
Psychiatric Terminology Human Behavioral Science Course 303 Dr. Fatima Al-Haidar Associate Professor & Consultant Department of Psychiatry College of Medicine.
Signs and Symptoms of Psychiatric Disorders LECTURE NO. 6.
P SYCHIATRIC DISORDERS (M ENTAL I LLNESSES ) S IGNS AND SYMPTOMS OF PSYCHIATRIC DISORDERS.
SCHIZOPHRENIC DISORDER. Schizophrenic Disorders – a class of disorders marked by disturbances in thought that spill over to affect perceptual, social,
Chapter 14 Psychological Disorders. Psychopathology.
To start with today, let’s just recap your knowledge of depression. To know the clinical characteristics of Phobia and Schizophrenia To consider causes.
Samantha Valadez Psychology Period 6.  Schizophrenia Disorder: is a disorder with a range of symptoms involving disturbances in content of thought, form.
Schizophrenia Lori Ridgeway PSYC What is Schizophrenia? Deterioration in fx Extreme disturbances in thoughts, perceptions, emotions, motor fx Affects.
SYMPTOMS OF PSYCHIATRIC DISORDERS
Psychopathology Prof: Prof: ABDULRAZZAK ALHAMAD. Department of psychiatry College of medicine. King saud university
Myers’ EXPLORING PSYCHOLOGY (6th Ed) Chapter 13 Psychological Disorders Modified from: James A. McCubbin, PhD Clemson University Worth Publishers.
Mental state examination (MSE) Prepared by: * Mr. Bassim Bakeer * Mr. Bassim Bakeer Supervised by: * Dr. Abed Alkareem Radwan. * Dr. Abed Alkareem Radwan.
Psychiatric History and Mental Status Examination.
Dr. Joanna Bennett. Psychiatric Nursing Assessment Central component is the patient/clinical interview Psychiatric evaluation – Psychiatrist Psychiatric.
Schizoaffective Disorder A.An uninterrupted period of illness during which, at some time, there is either a Major Depressive Episode, a Manic Episode,
Schizophrenia and Schizoaffective Disorder DSM-IV-TR TM  Russell L. Smith, M.S., LPA, HSP-PA, CCBT, MAC, FABFCE, NCP American Psychiatric Association:
SCHIZOPHRENIA  A psychotic disorder characterized by bizarre and disorganized behavior  One of the most serious and debilitating of all psychological.
“Talking the Talk” A presentation on clinical terminology and language as it applies to Mental Health.
Psychological Disorders Chapter. Dissociative, Schizophrenia, and Personality Disorders Module 31.
Psychiatry Study, Treatment, & prevention of mental disorders.
Psychosis. The capacity to perceive, process, and respond to environmental stimuli is impaired Three mental disorders involve psychosis: –Mood Disorders.
Schizophrenia and Related Disorders: Overview Chapter 12.
Abnormal Psychology. Medical Studentitis: Copyright © Allyn & Bacon 2007 A form of “hypochondriasis” can occur when learning about abnormal psychology.
The term schizophrenia comes from two Greek words that mean splitting apart of mental functions. “Split mind“ U-Ajwbok&sns=em.
Schizophrenia A. Two or more of the following, each present for a significant portion of the time during a 1-month period** 1. Delusions 2. Hallucinations.
SCHIZOPHRENIA 2 nd most frequent diagnosis of patients y/o.
Schizophrenia. A. Two or more of the following, each present for a significant portion of the time during a 1-month period** 1. Delusions 2. Hallucinations.
Schizophrenia.
General Symptomatology by Prof. Dr. Elham Fayad Objectives : At the end of the session the student will be able to :- Explain General symptomatology of.
Mental Disorders Chapter 16. Problems in Identifying Mental Disorders  MENTAL DISORDER: a disturbance in a person’s emotions, thought processes, or behavior.
By David Gallegos Period 7.  What are the Causes and Symptoms of Schizophrenia ?  How do people who have Schizophrenia live with it and how is it treated?
Symptomatology Chapter four 1. Symptomatology  Symptom What the patient narrates in related to illness  Objective refers to features of observe during.
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.
The manifestation of psychiatric symptoms Organic disorders Symptomatic disorders Functional disorders (psychiatric dis- ord. in the narrow sense) Mental.
Schizophrenia & Psychosis. Psychosis The word "psychosis" is used to describe conditions that affect the mind, in which there has been some loss of contact.
Module 51: Schizophrenia Abnormal Psychology Unit 13.
Mental Status Exam Ahmad AlHadi, MD. What it is it? The Mental Status Exam (MSE) ◦ equivalent to ◦ describes the mental state and behaviors of the person.
Chapter 16 Psychological Disorders. Deviant, distressful, and dysfunctional behavior patterns. psychological disorder.
Perceptual Abnormalities Illusion Hallucination-Auditory Visual Tactile / Haptic Olfactory Gustatory.
Mental Status Exam PREPARED & PRESENTED BY University of Karbala / college of nursing Instructor assistant /Safi Dakhil Nawam Psychiatric–Mental.
Mental Status Assessment
Bell Ringer 1. Bipolar Disorder 2. Major Depressive Disorder 3. Depression a. A down in the dumps mood that lasts for over 2 years. b. Sadness, hopeless,
Thinking About Psychology: The Science of Mind and Behavior 2e Charles T. Blair-Broeker Randal M. Ernst.
Schizophrenia and other Psychotic Disorders
General Signs and Symptoms of Psychiatric Disorders
Symptoms of Schizophrenia
Symptoms of psychiatric illness
Phenomenology Dr. Mahmoud Bashtawi.
Schizophrenia & Psychosis
Chapter 3 Mental Health Assessment
INTRODUCTION TO PSYCHIATRY
Mental Disorders.
The manifestation of psychiatric symptoms
MENTAL STATE EXAMINATION (MSE)
UNIT 1: INTRODUCTION TO PSYCHOLOGY
Schizophrenia and other Psychotic Disorders
Abnormal Psychological Disorders
Radwan A.Banimustafa MD
TYPES OF PSYCHOLOGICAL DISORDERS
Schizophrenic Disorders
Emotions Involuntary reactions that include physiological and bodily changes, visible expressive behavior and subjective feeling changes. -It is the express.
Emotions Involuntary reactions that include physiological and bodily changes, visible expressive behavior and subjective feeling changes. -It is the express.
UNIT 1: INTRODUCTION TO PSYCHOLOGY
The Soloist.
Presentation transcript:

PSYCHIATRIC SYMPTOMS & SIGNS DR GIAN LIPPI CONSULTANT PSYCHIATRIST UNIVERSITY OF PRETORIA & WESKOPPIES HOSPITAL FORENSIC UNIT

BEHAVIOURAL SYMPTOMS CONTENTS - THOUGHT FORM DISORDER WITH ITS DIFFERENT TYPES ABNORMALITIES OF SPEECH MOOD & AFFECT ANXIETY & RELATED SYMPTOMS PSYCHOSIS, & DISORDERED THOUGHT & PERCEPTION - DISORDERED THOUGHT CONTENT, INCLUDING DELUSIONS - PERCEPTUAL ABNORMALITIES, INCLUDING HALLUCINATIONS

MOTOR BEHAVIOUR, CONATION, PSYCHOMOTOR ACTIVITY BEHAVIOURAL SYMPTOMS - MOTOR BEHAVIOUR / ACTIVITY EXPRESSING A PERSON’S IMPULSES, DRIVES, WISHES, CATATONIA NEGATIVISM INSTINCTS, CRAVINGS & MOTIVATIONS - DECREASED (PSYCHOMOTOR RETARDATION) STEREOTYPED BEHAVIOUR - INCREASED (PSYCHOMOTOR AGITATION) - CATATONIC RIGIDITY - CATATONIC POSTURING - WAXY FLEXIBILITY (CATALEPSY) - CATATONIC STUPOR - AKINESIA - CATATONIC EXCITEMENT - MOTIVELESS RESISTANCE AGAINST INSTRUCTION, QUESTIONING OR TO BE MOVED - REPETITIVE FIXED PATTERN OF MOTOR BEHAVIOUR MANNERISMS & TICS - INGRAINED, HABITUAL, UNCONSCIOUS MOVEMENTS - UNCONSCIOUS, SPASMODIC MOTOR MOVEMENTS

ECHOPRAXIA BEHAVIOURAL SYMPTOMS - PATHOLOGICAL IMITATION OF ANOTHER PERSON’S MOVEMENT - MUSCLE INCOORDINATION ATAXIA TREMOR CHOREA DYSKINESIA - INVOLUNTARY, RAPID, RHYTHMICAL, ALTERNATING MOVEMENT - INVOLUNTARY, RAPID, RANDOM, JERKY, PURPOSELESS MOVEMENT - DIFFICULTY PERFORMING VOLUNTARY MOVEMENTS DYSTONIA - SUSTAINED CONTRACTIONS OF OPPOSING MUSCLE GROUPS OF THE TRUNK OR LIMBS AKATHISIA - SUBJECTIVE FEELING OF INNER RESTLESSNESS & MUSCLE TENSION SECONDARY TO ANTIPSYCHOTIC MEDICATION, PRESENTING WITH PACING & OTHER SIGNS OF PSYCHOMOTOR AGITATION

LOGORRHOEA SPEECH - INCREASE IN QUANTITY OF SPEECH - ADEQUATE AMOUNT OF SPEECH, BUT LACKS INFORMATION DUE TO VAGUENESS - RAPID SPEECH OF INCREASED QUANTITY THAT IS DIFFICULT TO INTERRUPT - SPEECH ONLY IN RESPONSE TO QUESTIONS - LOSS OF NORMAL MELODY / PROSODY / RHYTHM OF SPEECH POVERTY OF SPEECH - FREQUENT REPITITION / PROLONGATION OF A SOUND / SYLLABLE LEADING TO IMPAIRED SPEECH FLUENCY - PROBLEMS WITH ARTICULATION (PRONOUNCIATION, NOT LANGUAGE) PRESSURE OF SPEECH NONSPONTANEOUS SPEECH - DECREASE IN QUANTITY OF SPEECH POVERTY OF SPEECH CONTENT DYSPROSODY STUTTERING DYSARTHRIA APHASIA - DIFFICULTIES WITH LANGUAGE OUTPUT (LANGUAGE, NOT PRONOUNCIATION)

MOOD IS A PERVASIVE AND SUSTAINED EMOTION SUBJECTIVELY EXPERIENCED MOOD & AFFECT - DYSPHORIC / MELANCHOLIC (UNPLEASANT LOW MOOD) - EUTHYMIC MOOD (NORMAL RANGE OF MOOD) - ECSTATIC / ELEVATED / EUPHORIC / ELATED (ABNORMALLY INCREASED / “HIGH” MOOD STATE) - DEPRESSED (PSYCHOPATHOLOGICALLY SAD / DYSPHORIC / MELANCHOLIC MOOD STATE) AFFECT IS THE OBJECTIVELY OBSERVED EXPRESSION OF EMOTION - MANIA (MOOD CHARACTERIZED BY ELATION, HYPERACTIVITY, HYPERSEXUALITY, AS WELL AS PRESSURED SPEECH & THOUGHT) - IRRITABLE (EASILY ANGERED) - LABILE (OSCILLATIONS BETWEEN DEPRESSION & ELATION) - ALEXITHYMIC (INABILITY TO BE AWARE OF / DESCRIBE ONE’S OWN EMOTIONS) - ANHEDONIC (LOSS OF INTEREST IN ALL PLEASURABLE ACTIVITIES) - RESTRICTED (SEVERE REDUCTION OBSERVABLE EXPRESSION OF EMOTION) - BLUNTED (EVEN GREATER REDUCTION IN OBSERVABLE EXPRESSION OF EMOTION) - FLAT (ABSENCE / NEAR ABSENCE OF OBSERVABLE EXPRESSION OF EMOTION) - APPROPRIATE (OBSERVABLE EXPRESSION OF EMOTION IS IN HARMONY WITH THE MOOD DESCRIBED) - INAPPROPRIATE (OBSERVABLE EXPRESSION OF EMOTION ISN’T IN HARMONY WITH THE MOOD DESCRIBED)

ANXIETY ANXIETY & RELATED SYMPTOMS - ANXIETY CAUSED BY A REAL / REALISTIC DANGER - PATHOLOGICAL PERSISTENCE OF AN IRRESISTABLE THOUGHT OR FEELING THAT CAN’T BE ELIMINATED FROM CONSCIOUSNESS BY LOGICAL EFFORT (ASSOCIATED WITH ANXIETY) - PATHOLOGICAL NEED TO ACT ON AN IMPULSE / OBSESSION THAT, IF RESISTED, PRODUCES ANXIETY PHOBIA - PERSISTENT, IRRATIONAL, EXAGGERATED, PATHOLOGICAL DREAD OF A SPECIFIC STIMULUS / SITUATION - ACUTE, EPISODIC, INTENSE ATTACK OF ANXIETY WITH AUTONOMIC SYMPTOMS ASSOCIATED WITH OVERWHELMING FEELINGS OF DREAD PANIC ATTACK FEAR OBSESSION COMPULSION - FEELING OF APPREHENSION CAUSED BY ANTICIPATION OF DANGER

PSYCHOSIS IS THE INABILITY TO DISTINGUISH REALITY FROM FANTACY PSYCHOSIS - DELUSIONS 3 GROUPS OF PSYCHOTIC SYMPTOMS DISORDERED PERCEPTION DISORDERED THOUGHT FORM (HOW WE THINK) DISORDERED THOUGHT CONTENT (WHAT WE THINK OF) - HALLUCINATIONS - ILLUSIONS - MANEFESTS AS DISORGANIZED SPEECH

NORMAL THOUGHT FORM THOUGHT FORM DISORDER

CIRCUMSTANTIALITY THOUGHT FORM DISORDER

TANGENTIALITY THOUGHT FORM DISORDER

DERAILMENT THOUGHT FORM DISORDER

LOOSENING OF ASSOCIATIONS THOUGHT FORM DISORDER

INAPPROPRIATE / IRRELEVANT ANSWER THOUGHT FORM DISORDER

THOUGHT BLOCKING THOUGHT FORM DISORDER

FLIGHT OF IDEAS THOUGHT FORM DISORDER

OVERINCLUSIVENESS THOUGHT FORM DISORDER - SPEECH CONTAINING UNNECESSARILY EXCESSIVE DETAIL PERSEVERATION - PERSISTING RESPONSE TO A PREVIOUS STIMULUS, EVEN FOLLOWING A NEW STIMULUS - MEANINGLESS REPITITION OF SPECIFIC WORDS OR PHRASES - INCOHERENT MIXTURE OF WORDS / PHRASES - MADE UP WORDS THAT DON’T FORM PART OF ANY LANGUAGE VERBIGERATION - PATHOLOGICAL REPEATING OF WORDS / PHRASES OF ONE PERSON BY WORD SALAD NEOLOGISMS ECHOLALIA ANOTHER

- FIXED FALSE BELIEFS, BASED ON INCORRECT INFERENCES ABOUT EXTERNAL REALITY, DELUSIONS - BELIEF OF BEING HARRASSED, CHEATED OR PERSECUTED DIFFERENT TYPES DELUSION OF PERSECUTION DELUSION OF GRANDEUR - BELIEF OF EXAGERRATED IMPORTANCE, POWER OR IDENTITY DELUSION OF REFERENCE - BELIEF OF BEHAVIOUR OF OTHERS REFERS TO HIMSELF / HERSELF DELUSION OF POVERTY - BELIEF OF BEING BEREFT OF ALL MATERIAL POSSESSIONS NIHILISTIC DELUSION - BELIEF THAT ONE’S SELF, OTHERS OR THE WORLD IS NONEXISTENT OR IS COMING TO AN END & THAT CANNOT BE CORRECTED BY REASONING DELUSION SOMATIC DELUSION - BELIEF SURROUNDING A PART OF THE BODY DELUSION OF CONTROL - BELIEF OF ONE’S WILL, THOUGHTS OR FEELINGS ARE BEING CONTROLLED BY EXTERNAL FORCES BIZARRE DELUSION - ABSURD, TOTALLY IMPLAUSABLE, STRANGE BELIEF

HALLUCINATION PERCEPTUAL DISTURBANCES TYPES CATAGORIZED ACCORDING TO SENSES INVOLVED: OTHER HALLUCINATIONS: - CENESTHETIC HALLUCINATION (PERCEPTION OF SENSATION IN AN ORGAN - AUDITORY HALLUCINATION (PERCEPTION OF SOUND, USUALLY VOICES) - FALSE SENSORY PERCEPTION NOT ASSOCIATED WITH REAL EXTERNAL STIMULI - VISUAL HALLUCINATION (PERCEPTION OF SEEING IMAGES) - OLFACTORY HALLUCINATION (PERCEPTION OF SMELL) - GUSTATORY HALLUCINATION (PERCEPTION OF TASTE) - TACTILE HALLUCINATION (PERCEPTION OF TOUCH) UNABLE TO EXPERIENCE SENSATION) - HYPNAGOGIC HALLUCINATION (NONPATHOLOGICAL PERCEPTION OCCURRING WHILE FALLING ASLEEP) - HYPNOPOMPIC HALLUCINATION (NONPATHOLOGICAL PERCEPTION OCCURRING WHILE AWAKENING FROM SLEEP) ILLUSION - MISPERCEPTION / MISINTERPRETATION OF REAL EXTERNAL SENSORY STIMULI

THE END