Interest-excitement

Enjoyment-joy

Suprise-startle

Distress-anguish

Anger-rage

Disgustu-revulsion

Contempt-scorn

Fear-terror

Shame-humiliation

Guilt-remorse

Difficulty thinking (Cognitive dx)

Substance use

Psychosis

Mood disturbance (depression, mania)

Anxiety, avoidance bx, and arousal

Physical complaints

Social and personality problems

Sleep

Energy level

Appetite and weight

Mood Variation

Sexual interest and performance

Any change in energy levels.

Energy can be described as postulated unconscious mental functioning on a level between biology and consciousness including attitudes, thoughts, emotions, physiological states, etc., which is antithetical to our own growth and/or the growth of others.

The tendency of some patients to feel better during a certain part of the day. 

Mood can be described as a pervasive and sustained emotion that colors the perception of the world.

Reaction formation

Acting out

Denial

Devaluation

Displacement

Dissociation

Fantasy

Intellectualization

Projection

Repression

Splitting

Somatization

Characterized by depressed mood, anxiety, and related physiological and cognitive symptoms.

Represents disorders with prominent anxiety, depressive, and somatic symptoms.

Represents disorders with prominent impulsive, disruptive conduct, and substance use symptoms.

Includes disorders exhibiting antisocial behaviors, conduct disturbances, addictions, and impulse-control disorders.

1. May exclusively determine whether an individual is at risk for a disorder.

2. May moderate the overall risk for development of a disorder as shown by marked gender differences in the prevalence and incidence rates for selected mental disorders.

3. May influence the likelihood that particular symptoms of disorder are experienced.

pg. 827

A persistent fear of a specific object, activity, or situation (i.e., the phobic stimulus) out of proportion tot he actual danger posed by the specific object or situation that results in compeling desire to avoid it. If it can't be avoided it causes distress.

pg. 817

A pattern of observable behaviors that is the expression of a subjectively experienced feeling state (emotion). Examples of affect include sadness, elation, and anger. In contrast to mood, which refers to a pervasive and sustained emotional "climate" affect refers to more fluctuating changes in emotional "weather".

• Bunted
• Flat
• Inappropriate
• Labile
• Restricted or Constricted

pg 817

pg 817 Disturbance in Affect

Significant reduction in the intensity of emotional expression.

pg 817 Disturbance in Affect

Absence or near absence of any sign of affective expression.

• Bizarre
• Delusionsal Jealousy
• Erotomanic
• Grandiose
• Mixed Type
• Mood - Congruent
• Mood- Incongruent
• Of being controled
• of reference
• Persecutory
• Somatic
• Thought broadcasting
• Thought Insertion

• Auditory
• Geometric
• Gustatory
• Mood-congruent
• Mood-incogruent
• Olfactory
• Tactile
• Visual

a continual thought, concept, picture, or urge which is experienced as invasive and not proper, and results in significant fear, distress, or discomfort.

the act or process of causing or the state resulting from loss of the sense of personal identity; especially

a psychopathological syndrome characterized by loss of identity and feelings of unreality or strangeness about one's own behavior

• Hallucinations
• Delusions
• Confused thoughts and Speech
• Different Movements

• Emotionless
• Withdrawn (not motivated)
• Decreased ability to feel pleasure

Easiest way to make any question open ended is tell me about, and then the question. Rather than saying "Do you like your school?" "Tell me about your school, or tell me about your experiences at your school"

  1. Are you aware of your paternal medical history or of any complications?  2.  Are you aware of your maternal medical history or of any complications?  3.  Have you had any recent surgeries or complications?  When was your last physical?  Are you taking medication(s) presently?  If so what is the name of it?  How many mg?  At what time do you take your medications?  Do you have any allergies to any medications?

Some signs and symptoms of substance disorders are for example, Hallucinogen Intoxication are:  papillary dilation, tachycardia, sweating, palpitations, blurry vision, tremors, and incoordination.

[image]      an uninterrupted period of illness during which there is a major mood episode (major depressive or manic) concurrent with Criterion A of schizophrenia, (Note:  The major depressive episode must include Criterion A1:  Depressed mood.)  Delusions or hallucinations for 2 or more weeks in the absence of a major mood episode (depressive or manic) during the lifetime duration of the illness, symptoms that meet criteria for a major mood episode are resent for the majority of the total duration of the active and residual portions of the illness, the disturbance is not attributable to the effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.

[image]      a distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 1 week and present most of the day, nearly every day.  During the period of mood disturbance and increased energy and activity, three (or more) of the following symptoms (four if the mood is only irritable) have persisted, represent a noticeable change from usual behavior, and have been present to a significant degree:  inflated self-esteem or grandiosity, decreased need for sleep (e.g., feels rested after only 3 hours of sleep).  More talkative than usual or pressure to keep talking, flight of ideas or subjective experience that thoughts are racing, distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli), as reported or observed, increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation, excessive involvement in activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments).  The key signs and symptoms for anxiety disorder due to another medical condition are:  panic attacks or anxiety is predominant in the clinical picture, there is evidence from the history, physical examination, or laboratory findings that the disturbance is the direct pathophysiological  consequence of another medical condition, the disturbance is not better explained by another mental disorder, the disturbance does not occur exclusively during the course of a delirium, the disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

The beginning or start of the symptoms/illness.

Can be used to differentiate between different illnesses.

The individual's presentation of symptoms/illness. E.g. in partial remission, in full remission, recurrent.

Can describe severity of symptoms, how they are impacting the individual, how they are occuring currently, etc.

[image]      A motor disorder with onset in childhood involving repetitive, nonfunctional motor behavior, which markedly interferes with normal activities or results in bodily injury. The behavior must not be due to the direct effects of a substance or another medical condition. The cause of this disorder is not known.

^[image]      also known as social phobia, is an anxiety disorder characterized by an intense fear in one or more social situations causing considerable distress and impaired ability to function in at least some parts of daily life. These fears can be triggered by perceived or actual scrutiny from others. It is the most common anxiety disorder and one of the most common psychiatric disorders, with 12% of American adults having experienced it.

• Impaired control - Criteria 1-4, The individual may take the substance in larger amounts or over a longer period than was originally intended, The individual may express a desire to cut down but is unsucessful, virtually all of the individuals time revolves around the substance, and craving (the intense desire or urge for the substance).
• Social Impairment- Criteria 5-7, affects work, school, or home, individual continues use despite social problems, individual gives up activities because of the substance use, the individual becomes withdrawn from family, friends, or activities they used to enjoy.
• Risky use- Criteria 8-9, recurrent substance abuse, regardless of the physical danger, continues substance abuse despite knowing he or she has a physical or mental issue made worse by the substance. The key issue is not the existence of a problem, but rather the individual's failure to abstain from using the substance despite the difficulty it is causing.
• Pharmacological- criteria 10 and 11, increased tolerance and withdrawl.

An inherited neuropsychiatric disorder with onset in childhood, characterized by multiple physical tics and at least one vocal tic. These tics characteristically wax and wane, can be suppressed temporarily, and are preceded by a premonitory urge. Tourette's is defined as part of a spectrum of tic disorders, which includes provisional, transient and persistent tics.

• Feeling overly happy for an extended period of time.
• An abnormally increased level of irritability.
• Overconfidence or an extremely inflated self-esteem.
• Increased talkativness.
• Decreased amount of sleep.
• Engaging in lots of risky behavior, such as spending sprees and impulsive sex.
• Racing of thoughts, jumping quickly from one idea to another.
• Easily distractable.
• Feeling agitated or “jumpy.”

• Diminished capacity for pleasure or loss of interest in activities once enjoyed.
• A long period of feeling hopeless, helpless or low self-esteem.
• Decreased amount of energy; feeling constantly tired.
• Inability to concentrate and make simple decisions.
• Change in eating, sleeping or other daily habits.
• Being agitated or slowed down in movement, speech or thought.
• Thoughts of death or suicide attempts.

Minor depression is defined by a period of at least two weeks of depression. Minor depressive episodes do not fully meet the criteria for major depression but can develop into major depression if left untreated.

• persistent and excessive anxiety and worry about various domains, including work and school performance, that the individual finds difficult to control.
• Physical symptoms include restlessness, or feeling on edge, being easily fatigued, difficulty concentrating or mind going blank, irritability, muscle tension, and sleep disturbance.