A thought disorder (TD) is any disturbance in cognition that adversely affects language and thought content, and thereby communication. A variety of thought disorders were said to be characteristic of people with psychiatric illnesses including schizophrenia.
There are four types of thought disorders - Form, Stream, Possession, and Content.
1. Form: Obtain a speech sample on a neutral topic. Assess for the poverty of thought/poverty of thought content/ circumstantiality/flight of ideas/tangentiality/loosening of associations and derailment/neologisms
2. Stream: Observe for flow and continuity of thought process - Flight of ideas / prolixity / retardation / perseveration / thought block
3. Possession: Disorders of thought related to the ownership of thought
Obsessions - describe if thoughts are repetitive/intrusive /irrational/ego-dystonic/person’s own thoughts. Also mention the form (ideas/ impulses/ images/ doubts/ruminations) and content of obsessions. Compulsions are motor/cognitive acts to decrease the anxiety of obsessions.
Thought broadcast - thought diffusion/thinking in unison /audible thoughts/Thought insertion/Thought withdrawal
4. Delusions - Give verbatim description given by the patient and then give your impression whether the belief is - Fixed/firm/false/not in keeping with socio-cultural background/morbid origin. Describe content of belief (persecutory/ referential/misinterpretation/grandiose/ hypochondriacal/ etc). If there are multiple delusions also describe whether they are - Single/multiple elaborate/non-elaborate, bizarre/non-bizarre systematized/non-systematized
- Overvalued ideas
- Depressive cognitions - hopelessness/worthlessness/helplessness
- Death wishes or suicidal ideation - Describe the frequency, the intensity of ideas and
whether there are any active plans
- Preoccupations & ruminations - somatic/anxious/depressive
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10 янв 2021
