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Delusions can be classified as mood congruent or incongruent, depending on whether or not the nature of the delusions is in keeping with the individual's mood state. [2] Common themes of mood congruent delusions include guilt, persecution, punishment, personal inadequacy, or disease. [9] Half of patients experience more than one kind of ...
By contrast, mood incongruence occurs when the individual's reactions or emotional state appear to be in conflict with the situation. In the context of psychosis, hallucinations and delusions may be considered mood congruent (such as feelings of personal inadequacy, guilt, or worthlessness during a bipolar disorder depressive episode) or ...
Prevalence in schizophrenia is generally considered at least 90%, and around 50% in bipolar disorder. The DSM-5 characterizes certain delusions as "bizarre" if they are clearly implausible, or are incompatible with the surrounding cultural context.
A thought disorder (TD) is a disturbance in cognition which affects language, thought and communication. [1] [2] Psychiatric and psychological glossaries in 2015 and 2017 identified thought disorders as encompassing poverty of ideas, neologisms, paralogia (a reasoning disorder characterized by expression of illogical or delusional thoughts), word salad, and delusions—all disturbances of ...
The mental status examination (MSE) is an important part of the clinical assessment process in neurological and psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and ...
Other psychiatric disorders must then be ruled out. In delusional disorder, mood symptoms tend to be brief or absent, and unlike schizophrenia, delusions are non-bizarre and hallucinations are minimal or absent. [8] Interviews are important tools to obtain information about the patient's life situation and history to help make a diagnosis.
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