The A and B in ABC STAMP LICKER (components of MSE)
What are Appearance and Behavior?
The opposite of ego-syntonic, it refers to behaviors that are inconsistent with one’s self-image or values
What is egodystonic?
I as a clinician have determined that my patient has lost their ability to make rational decisions based on all of the information I can provide them; in other words, they have lost their:
Capability, Capacity, Competence
What is Capacity?
These involuntary, repetitive movements—such as lip-smacking, fumbling with clothes, or chewing—often occur during focal seizures
What is Automatisms?
A clinician's interpretation of a patient's mood: flat, blunted, labile, etc...and the consequence of an action: Cause & _____
What are Affect & Effect?
The MSE belongs to this portion of the SOAP note, along with the physical examination and laboratory testing
What is Objective?
It refers to the state depicted here:
What is torticollis?
Note her fine, soft hair that may be an indicator of anorexia nervosa:
Alopecia, Lanugo, Lentigo
What is Lanugo?
These irregular, quasi-purposeful, involuntary movements often affect the face and arms and are irregularly timed and not repeated
What is Choreiform?
Involuntary, rapid, irresistible movements such as blepharospasm (blinking), facial twitching, bruxism (grinding teeth)...and the money you are going to give us for creating this amazing Jeopardy game
What are Tics & Tips?
WRENCHES is used to list the components of this collection of postural and movement disturbances
Weird movements, Rigidity, Echopraxia, Negativism, Catalepsy, High level of motor activity, Echolalia, Stereotypy
What is catatonia?
Depression may impact an individual’s cognition significantly enough that they experience memory loss, often referred to by this term
What is pseudodementia?
My agitation may be a result of my paranoid personality disorder, which, along with schizoid and schizotypal, belongs to this cluster:
A, B, or C
What is Cluster A?
These repetitive behaviors or mental acts are performed according to self-imposed rules that must be applied rigidly, often to reduce distress or prevent a dreaded event
What are Compulsions?
A patient’s reported emotional state...and that fungus growing in your basement
What are Mood & Mold?
Any three of the negative features of schizophrenia: NEGATIVE TRACK
Negligible response, Eye contact decrease, Grooming decline, flat Affect, Thought blocking, Inattentiveness, diminished Volition, decreased Expressive behaviors, Time, diminished Recreational interests, A’s, diminished speech Content, Knowledge deficits
Seen in Huntington’s chorea, Wilson’s disease, multiple sclerosis, and other conditions, it refers to larger-amplitude, exaggerated movements on one side of the body
What is hemiballismus?
I have an irresistible urge to move:
Chorea, Automatisms, Akathisia
What is Akathisia?
This term describes different reactive disorders that give patients a contorted appearance via sustained torsions or contractions of a single muscle, several muscles, or the entire body
What is Dystonia?
Group of involuntary movements that can result from typical antipsychotics, including dystonia, akathisia, and tremors...and the Environmental Protection Agency
What are EPS & EPA?
2 of the 5 criteria on the Scale for the Assessment of Negative Symptoms: PLANT
aPathy, aLogia, Affect flattening, aNhedoonia, aTtentional deficits
This term refers to involuntary shouting of obscenities
What is Copralalia?
Note his thin body build: ectomorphic, mesomorphic, endomorphic
Prolonged neuroleptic use is associated with this involuntary movement disorder that primarily affects three main areas of the body: face/mouth, extremities, and trunk
What is Tardive Dyskinesia?
A patient’s physical characteristics and build...and a regular tendency that is difficult to stop
What are Habitus & Habits?