MSE training videos : Thought Content
Here are some short videos by actors, downloaded from the internet to demonstrate specific parts of a mental state examination.
Here are some short videos by actors, downloaded from the internet to demonstrate specific parts of a mental state examination.
Thought Content
From wiki
A description of thought content would describe a patient's delusions, overvalued ideas, obsessions, phobias and preoccupations. Abnormalities of thought content are established by exploring individual's thoughts in an open-ended conversational manner with regard to their intensity, salience, the emotions associated with the thoughts, the extent to which the thoughts are experienced as one's own and under one's control, and the degree of belief or conviction associated with the thoughts.
A delusion can be defined as "a false, unshakeable idea or belief which is out of keeping with the patient's educational, cultural and social background ... held with extraordinary conviction and subjective certainty", and is a core feature of psychotic disorders. The patient's delusions may be described as persecutory or paranoid delusions, delusions of reference, grandiose delusions, erotomanic delusions, delusional jealousy or delusional misidentification. Delusions of control, or passivity experiences (in which the individual has the experience of the mind or body being under the influence or control of some kind of external force or agency), are typical of schizophrenia. Examples of this include experiences of thought withdrawal, thought insertion, thought broadcasting, and somatic passivity. Delusions of guilt, delusions of poverty, and nihilistic delusions (belief that one has no mind or is already dead) are typical of depressive psychoses.
An obsession is an "undesired, unpleasant, intrusive thought that cannot be suppressed through the patient's volition". Obsessions are typically intrusive thoughts of violence, injury, dirt or sex, or obsessive ruminations on intellectual themes. A person can also describe obsessional doubt, with intrusive worries about whether they have made the wrong decision, or forgotten to do something, for example turn off the gas or lock the house. In obsessive-compulsive disorder, the individual experiences obsessions with or without compulsions (a sense of having to carry out certain ritualized and senseless actions against their wishes).
A phobia is "a dread of an object or situation that does not in reality pose any threat",and is distinct from a delusion in that the patient is aware that the fear is irrational. A phobia is usually highly specific to certain situations and will usually be reported by the patient rather than being observed by the clinician in the assessment interview.
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Suicidal / Homicidal Ideation
Thoughts about wanting to kill oneself or others |
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Ruminations
Mood congruent concerns commonly accompanying state of depression and anxiety |
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Obsessions
Pathological persistence of an irresistible thought or feeling that cannot be eliminated from consciousness by logical effort. Associated with anxiety disorder |
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Delusions
This patient is exhibiting grandiose delusions. Delusions are fixed, false beliefs based on incorrect inference about external reality not consistent with the patient intelligence or cultural background. It cannot be corrected with reasoning. |
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Ideas of Reference
A person false belief that others are talking about him or her eg belief that people on the TV or radio are talking to or about the person. Ideas of reference form part of the diagnostic criteria for psychotic illnesses such as schizophrenia, delusional disorder, or bipolar disorder during the elevated stages of mania. To a lesser extent, it can be a hallmark of paranoid personality disorder. Such symptoms can also be caused by intoxication, especially with hallucinogens or stimulants like methamphetamine. |