Mental Status Exam Training, Part 8. Psychosis

[@sassyperry6382]

Dr. Field, your trainings assisted me in mastering the MSE. They were very thorough and concise. I really enjoyed the guided practice exercises. Thank you so much!!

[@myubey]

thank you sir for producing such a wonderful videos.

[@wlkf.727]

In guided practice 19:18:19:48, I am not sure if I can agree 100% with the observation of interpersonal Catastrophizing and Loose Association thought process. The woman did conclude that her teacher wanted her to fail, but whether she didn't talk about what this failure would have further implications in other areas of her life. Also, I need more elaboration on her Loose Association form of thought. I thought she was somewhat Tangential.

[@Philosopheraptor]

+WLK F. I concur, we cannot conclude "catastrophizing" from the video. If anything, I would think it is more ego-syntony with alloplasty (since she clearly views the problem as originating in the teacher setting the exam questions and not with her own exam-taking abilities and shuttles blame to the teacher in the form of a persecutory delusion). I agree, she did not mention how this would affect her and blow the consequences out of proportion as one would expect from catastrophizing. Looseness of association would be when the ideas brought up have little relation to one another. Example of loose associations I found: "He went to the ballpark and bought Frank’s beer belly home in a bag of grass seed". With the woman in the video, the accusations on teacher and the poor exam performance I believe are related to some extent so I don't see how this is looseness of associations. I think this is flight of ideas, however, rather than tangential.

[@AP-pb4kk]

Dr Thomas I really appreciate your training and explanation of all the MSE. Really helpful 🙏🏻😊

[@AELwriter]

Thank you for your generosity.

[@nespith]

I really wish videos like this elaborated more on psychosis. You say it's interacting with voices/stimuli in you're head but as I recently found out normal people hear voices in their head and see things in their head all the time. I have total aphantasia meaning I have no form of visual, auditory, etc. imagination at all including memories. I had no idea people could literally hear and see memories in their head. Looking at this from my perspective it seems perfectly logical that someone might be laughing and talking to their self while thinking about memories or imagining something without being psychotic. I also recently found out lots of people hear multiple different voices in their heads besides just their own. Think of the old cartoon angel and devil on your shoulder trope or what people call their inner critic. I've never had those before, if I am not actively thinking something my mind is silent. If I started hearing some voice in my head criticizing me I would've assumed I was going schizophrenic.

[@nekoteru24]

Hey, I’m just a random comment 2 years after but i wanna share my thoughts: Assessing psychosis involves making observations in what and how a person thinks, and relating how these ways of thinking is grounded in reality Yes, people are capable of seeing and hearing thoughts in their head. It becomes unusual when people do these inappropriately - like suddenly laughing in a funeral just because they “thought of something funny” or becoming really angry in a joyful occasion because they “remembered hearing someone insult them”. Perhaps another good way of understanding this is to make observations of how people think and act to these thoughts in everyday life.

[@emilyi9161]

Wow , thanks a lot

[@Arukah_]

I'm sorry, but I think I'll be laughing throughout if I pursue psychiatry career.