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به نام خدا. Signs and symptoms in Psychiatry. Mood and affect :. Eutymic Mood. Mood 1- Dysphoric mood 2-Elevated mood Alexithymia. Mood: : Dysphoric 1- Depressed 2-Anxiuos 3-Angry 4-Guilty 5-Empty 6-Hopeless 7-Frightened. Elevated mood. elation
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Mood 1-Dysphoric mood 2-Elevated mood Alexithymia .
Mood: : Dysphoric 1- Depressed 2-Anxiuos 3-Angry 4-Guilty 5-Empty 6-Hopeless 7-Frightened
Elevated mood elation احساس شادي،موفقيت،ظفرمندي،رضايت مندي،اميدواري Euphoria احساس اغراق آميزخوب بودن وخوشي كه متناسب با وقايع زندگي فرد نيست. ecstacy خلسه نقطه اوج عواطف خوشايند :Expansive moodخلق بشاش،بيان احساسات بدون محدويديت كه معمولا همراه با تخمين زياد از حد اهميت و ارزش تونايي خود
ابعاد مختلف mood Quality Stability Reactivity
Affect Body language Facial expression Speech tone
* Affect: Normal affect(broad affect) Deep Vs Shallow Broad Vs restricted Blunt affect Flat affect
Elevate Depressed Labile affect Irritable affect Anxious…
form of thought Productivity , Continuity , Language Circumstantiality Tangentiality Perseveration Verbigeration Echolalia Neologism Loosening of associations Flight of ideas Poverty of thought Clang association Stilted language
Content of thought Delusion Persecutory delusion Toxic D. or delusion of poisoning Reference D. Grandiosity D. Delusion of control Infidelity D. or delusion of Jealousy Delusion of Guilt Somatic D. Bizarre delusions Thought withdrawal , Insertion ,Broadcasting
Perception Illusion Hallucination Auditory (imperative , Third person) Visual Olfactory tactile Gustatory Somatic
Psychiatric interview Identifying data Chief complaint Present illness Past illness Family history Personal history
Mental status examination Appearance: posture, clothing, grooming,…… Psychomotor : Gait, tic, agitation, ….. Attitude: Cooperative, friendly, hostile, apathic Speech Mood and affect Thinking form,content Perception
Speech: Pressrue of speech, stuttering Mood and affect : depress, irritable, anxious, angry, expansive Euphoric, ……. Appropriateness:
thinking: Form : flight of idea ,tangentiality, blocking word salad,…. Content: delusion, obsession, phobia,
Perception: Hallucination,depersonalization,derealization
Sensorium alertness orientation concentration memory calculation found of information abstraction of thinking
Insight: I:complet denial, II: III: IV: V: intellectual insight VI: emotional insight