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ISQ – Psyche-pathology
Published in Bhaskar Punukollu, Michael Phelan, Anish Unadkat, MRCPsych Part 1 In a Box, 2019
Bhaskar Punukollu, Michael Phelan, Anish Unadkat
Other types of thought disorder: — Metonym – An inappropriate or imprecise but related word is used in place of the correct word in a sentence.— Neologism – A new word that has no meaning is created,— Echolalia – Automatic and pointless repetition of another person’s words or phrases.— Verbigeration – Imitation of another person’s phrases in a stereotyped manner.— Palilalia – Repetition of a word from an individual’s own spoken words.— Logoclonia – Repetition of words or phrases, particularly the end syllables.— Logorrhoea: excessive flow of words or pressure of speech as occurs in mania.
Signs and Symptoms in Psychiatry
Published in Mohamed Ahmed Abd El-Hay, Essentials of Psychiatric Assessment, 2018
Excessive talk (talkativeness, logorrhea, volubility): copious, coherent and logical speech. Rapid or excessive speech may reflect cultural patterns, personality traits, or anxious patients. Such patients can usually slow down their rate of speech when asked to do so.
Catalog of Herbs
Published in James A. Duke, Handbook of Medicinal Herbs, 2018
Toxicity — Emboden classifies the plant as a narcotic stimulant leading to hallucinations, ending in somnolence,54 stupidity, laziness, mindlessness, even insanity.13 Addition of 0.1% khat extract to a rooster’s diet decreased semen output and sperm concentration. Semen production stopped completely after 63 days treatment, but the testis regained normal function after withdrawal of khat extracts.127 The Bulletin on Narcotics125 devoted an entire issue of 99 pages to khat with emphasis on chemistry and pharmacology. Khat in humans induces mydriasis, tachycardia, extrasystoles, elevated blood pressure, transient facial and conjunctival congestion, headache, hyperthermia, increased respiration (through central stimulation, bronchodilation, and counterregulation of hyperthermia), inhibition of micturition, yet increased diuresis (from intake of large quantities of fluids together with khat). Reinforcing effects include euphoria, logorrhea, improvement of association, excitement, and insomnia. “Toxic psychosis occurs very rarely, if at all.”125 Would that the obese Jim Duke could chew khat and coca, dare I call it “coca cata” instead of lunch!
Anti-NMDA receptor encephalitis: still unknown and underdiagnosed by physicians and especially by psychiatrists?
Published in Acta Clinica Belgica, 2018
Tine Hermans, Patrick Santens, Celine Matton, Kristine Oostra, Gunter Heylens, Sarah Herremans, Gilbert M. D. Lemmens
We report the case of a young woman with anti-NMDA receptor encephalitis who remained undiagnosed and untreated for several weeks. The time until confirmation of the diagnosis was precisely 74 days. There are several explanations for this crucial delay in diagnosis and necessary immunotherapeutic treatment. First, the patient presented primarily with psychiatric symptoms (delusions, disorganized behavior and thoughts, logorrhea and (sexual) disinhibited behavior), which were regarded to be provoked by problems at work. No neurological complications (e.g. epileptic seizures) were present at onset. Secondly, routine investigations (brain imaging, lumbar puncture, blood and urine sample, EEG,…) revealed no major abnormalities. Consequently, the clinical presentation was diagnosed and treated as a first psychotic episode within a primary psychiatric disorder. Finally, the delay between clinical suspicion and serologic confirmation of the diagnosis (almost 3 weeks) contributed to the extended interval.
Music in Seclusion Rooms–Development, Implementation, and Initial Testing of a Music Listening Device
Published in Issues in Mental Health Nursing, 2019
Angelika Güsewell, Emilie Bovet, Cédric Bornand, Alexia Stantzos, Gilles Bangerter
Perceptions mainly changed as a consequence of (positive) experiences. One nurse [N1] reported that she did not dare to propose the device upon admission to a patient [P2] subject to pronounced logorrhea, thinking that it would “agitate her further.” Having spoken by phone to one of the researchers at the end of the day, she decided to return to the patient and explain to her how to use the interface. She was surprised to note the patient following her explanations attentively, and even more surprised, later in the evening, to see her playing music to help her sleep. Being able to propose something specific to reduce the symptomatic agitation of the patient was a positive experience, which encouraged the nurse to persevere.
Patients Participating in Nasogastric Tube Insertion through Hypnoanalgesia during High-dose Chemotherapy-induced Aplasia
Published in International Journal of Clinical and Experimental Hypnosis, 2023
Magali Granger, Norah Anthony, Cécile Lermenier, Delphine Hue, Jean-Baptiste Mear, Roch Houot, Aline Moignet-Autrel, Marc Bernard, Thierry Lamy
This allowed the patient to mentally map their gastrointestinal tract. The patient set the pace and was completely focused on the hand performing the procedure, and the professional mirrored the patient’s gestures. The patient’s hand was then perceived as separate from the rest of the body and hence from all feeling. The hypnotherapist then changed the rhythm by interspersing periods of silence with periods of logorrhea.