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Delirium
Published in Henry J. Woodford, Essential Geriatrics, 2022
It is characterised by an onset that is usually a matter of hours to days. There is also a fluctuation in severity that is typically worse in the evening or night-time (‘sun downing'). A disturbed sleep-wake cycle can be a feature. Cognitive function most often shows a reduction in attention (97%), but impairments in short-term memory (88%), visuospatial skills (87%) and orientation (76%) are frequently detected.1 Consciousness is impaired, i.e. reduced awareness of one's surroundings. Misinterpretation of events or objects is common. This may be associated with hallucinations – usually visual and involving people or animals, such as spiders. There may also be delusions, often persecutory. Patients may continually pick at bed sheets, clothing or the air as though trying to grasp an object (termed ‘carphology' or ‘floccillation'). Disturbances in mood and emotional lability may be associated.
Reports from staff and Alex’s former partner
Published in Alex Jelly, Adel Helmy, Barbara A. Wilson, Life After a Rare Brain Tumour and Supplementary Motor Area Syndrome, 2019
During the assessment there was some evidence of emotional lability. For example, she was observed to rub her leg and let out a pained cry, saying she felt like a toddler with bottled-up emotions. She reported being unable to control these emotions and that she had “empathy” with toddlers. She benefited from being asked to sit back in her chair, arms by her side and take a deep breath. She was aware that her mood and behaviour had changed and were now uncharacteristic of her premorbid personality. This had been quite upsetting for her and she had at times been quite tearful.
Clinical Psychologists in Australian Inpatient Mental Health Units
Published in Meidan Turel, Michael Siglag, Alexander Grinshpoon, Clinical Psychology in the Mental Health Inpatient Setting, 2019
Perhaps more progress has occurred in the management of anger when it arises in the context of borderline personality styles. The survey of clinical psychologists revealed that private psychiatric units will often provide a consistent Dialectical Behavioral Therapy (DBT) model in which all staff are aligned and informs all aspects of practice. Clinicians report that the consistency for dealing with emotional lability improves effectiveness greatly.
The Contribution of Sensory Sensitivity to Emotional Lability in Children with ADHD Symptoms
Published in Evidence-Based Practice in Child and Adolescent Mental Health, 2019
Mariah DeSerisy, Emily Hirsch, Amy Krain Roy
Although operational definitions of emotional lability vary, the term generally refers to emotional reactions that are out of proportion to the situation, sudden and unpredictable changes in mood, and increased attention to emotional stimuli (Sobanski et al., 2010). Within the literature specific to ADHD, emotional lability has also been referred to as emotional impulsivity (Barkley, 2010) and emotion dysregulation (Shaw et al., 2014). While emotional lability tends to cut across diagnoses (Stringaris & Goodman, 2009), many studies have shown that those with ADHD are especially prone to experiencing it (e.g. Graziano & Garcia, 2016; Sobanski et al., 2010). In fact, because emotional lability plays such a prominent role in ADHD, researchers have argued that it should be incorporated into the theoretical conceptualization of ADHD or should be added to its diagnostic criteria (Barkley, 2010; Shaw et al., 2014). Emotional lability in ADHD is associated with a greater severity of core symptoms of ADHD, increased co-occurring psychopathology, greater functional impairment (Sobanski et al., 2010; Spencer et al., 2011), and increased service utilization (Anastopoulos et al., 2010) compared to those with ADHD who do not experience emotional lability. Moreover, emotional lability in children with ADHD is predictive of subsequent psychopathology, including more psychiatric comorbidities, greater social impairment, and higher rates of persistence of ADHD (Barkley & Fischer, 2010a; Biederman et al., 2012).
Reliability, validity and validation of the CNS emotional lability scale for pseudobulbar affect on multiple sclerosis in Turkish patients
Published in Psychiatry and Clinical Psychopharmacology, 2018
Rıfat Erdem Togrol, Serkan Demir
PBA is a clinical entity characterized with uncontrolled, easily provoked or unprovoked outbursts of laughing and/or crying [11] that are often inappropriate with the social situation and with the patient’s underlying emotion/experience [12]. Such outbursts can occur spontaneously or in response to provocative stimuli such as questions or events [13]. Other terms have been used, including “emotional lability,” “emotional dysregulation,” “pathological laughing and crying,” “involuntary emotional expression disorder,” “emotional lability,” “affective lability,” “convulsive weeping and laughing,” and “emotional incontinence” [14]. It may sometimes be confused with disorders of mood or other psychiatric diseases, but technically it is classified as a disorder of affect. PBA may be overlooked or underdiagnosed and so an effective method of evaluation is important.
Women’s Experiences of the Premenstrual Body: Negotiating Body Shame, Self-Objectification, and Menstrual Shame
Published in Women's Reproductive Health, 2020
Samantha Ryan, Jane M. Ussher, Janette Perz
Perceived premenstrual changes in physical size and appearance were described as a loss of control over the body. Previous research has focused on the “out-of-control” body as a source of premenstrual emotional lability (Chrisler, 2008a; Ussher & Perz, 2014). The present findings parallel and extend findings of previous research that shows that women who identify as PMS sufferers report a loss of control over emotions during the premenstrual phase of the cycle, which is associated with self-positioning as the “monstrous feminine” (Chrisler, 2008a; Ussher, 2004; Ussher & Perz, 2013). Our findings suggest that feelings about out-of-control body shape or size may exacerbate general feelings of a loss of control premenstrually.