Download Psychiatric Interview: A Guide to History Taking and the by Saxby Pridmore PDF

By Saxby Pridmore

This certain booklet offers all of the uncomplicated concerns in psychiatric review, lowering them to simply digestible proof. Written for all these operating within the box of psychiatric illness, it is going to be beneficial to scientific scholars and people education more often than not perform, emergency medication and psychiatry. At a time while the evaluate of disturbed sufferers is turning into the accountability of a variety of pros, it's going to even be an invaluable connection with scientific psychologists, social staff, and psychiatric nurses and in addition to police and safety officials.

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Additional resources for Psychiatric Interview: A Guide to History Taking and the Mental State Examination

Sample text

In the Occupational Therapy Department he set about making a cross (Christian) to hang on the wall of his home. Rather than fix together two pieces of wood symmetrically and at right angles, he nailed two pieces of wood together such that the left and right arms were different lengths, and the angles they made with the upright were not right angles. Apparently to correct the asymmetry, additional pieces 41 42 The Psychiatric Interview of wood were roughly nailed to the arms. These increased the weight and made the central join unstable.

Huntington’s disease and Wilson’s disease must be excluded. Stereotypy is intentional, repetitive, non-functional behaviour such as body-rocking or head-banging—styreotypic movement disorder is a DSM-IV diagnosis and occurs with intellectual disability. Stereotypy is now uncommon in schizophrenia (it was once more common in this disorder). ‘Echopraxia’ is the term applied when the patient unconsciously copies the interviewer’s movements. This is not an act of ridicule. In severe cases it is clearly present, but in less severe cases (which are much more common) it is subtle and easily missed.

Figure 13) Rarely, patients with other forms of schizophrenia may become suddenly and unnecessarily violent. Subsequently, in discussions, such patients may show lack of remorse or distress when faced with the consequences of their actions. Appearing unconcerned, in such circumstances, may be described in terms of inappropriate affect. The individual with antisocial personality will display a callous disregard for the consequences of action, as may the individual with mental retardation. Apparent inappropriate affect may occur during states of very high arousal.

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