{"id":1490,"date":"2010-12-06T09:45:23","date_gmt":"2010-12-06T09:45:23","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/first-impressions\/"},"modified":"2023-10-27T14:19:01","modified_gmt":"2023-10-27T13:19:01","slug":"first-impressions","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-psychiatric-interview\/summary-of-the-mental-status-examination\/first-impressions\/","title":{"rendered":"First Impressions"},"content":{"rendered":"<hr \/>\n<h3><span style=\"color: #003366;\">Appearance<\/span><\/h3>\n<p><span style=\"color: #33cccc;\"><strong>Self-Neglect <\/strong><\/span><br \/>\n<span style=\"color: #003366;\">Depressive disorder, alcohol dependence, substance abuse, schizophrenia, dementia.<\/span><\/p>\n<p><span style=\"color: #33cccc;\"><strong>Excessive Grooming<\/strong><\/span><br \/>\n<span style=\"color: #003366;\">Obsessive-compulsive disorder, mania, schizophrenia.<\/span><\/p>\n<p><span style=\"color: #33cccc;\"><strong>Difference Apparent And Chronological Age<\/strong><\/span><br \/>\n<span style=\"color: #003366;\">Dementia, depressive disorder, alcohol addiction, substance abuse, chronic stress, physical illness.<\/span><\/p>\n<p><span style=\"color: #33cccc;\"><strong>Strikingly Underweight <\/strong><\/span><br \/>\n<span style=\"color: #003366;\">Anorexia nervosa, alcoholism, substance abuse, cancer, hyperthyroidism, diabetes mellitus.<\/span><\/p>\n<p><span style=\"color: #33cccc;\"><strong>Strikingly Overweight<\/strong><\/span><br \/>\n<span style=\"color: #003366;\">Bulimia, poor diet, lack of exercise, side-effects medication.<\/span><\/p>\n<p><span style=\"color: #33cccc;\"><strong>Puncture Holes, Tattoos, Self-Mutilation, Amputation<\/strong><\/span><br \/>\n<span style=\"color: #003366;\">Psychotic disorder, mania, impulse breakthroughs, addiction, borderline personality disorder, psychotic disorder.<\/span><\/p>\n<hr \/>\n<h3><span style=\"color: #003366;\">Contact<\/span><\/h3>\n<p><span style=\"color: #33cccc;\"><strong>Penetrating Staring <\/strong><\/span><br \/>\n<span style=\"color: #003366;\">Mania.<\/span><\/p>\n<p><span style=\"color: #33cccc;\"><strong>Absence Of Eye-Contact<\/strong><\/span><br \/>\n<span style=\"color: #003366;\">Embarrassment, shame, fear, melancholy, paranoid, delusions of control, social anxiety.<\/span><\/p>\n<p><span style=\"color: #33cccc;\"><strong>Looking Around Oneself Constantly<\/strong><\/span><br \/>\n<span style=\"color: #003366;\">Mania, delirium, ADHD.<\/span><\/p>\n<hr \/>\n<h3><span style=\"color: #003366;\">Posture<\/span><\/h3>\n<p><span style=\"color: #33cccc;\"><strong>Striking Posture<\/strong><\/span><br \/>\n<span style=\"color: #003366;\">Pathology is suspected when the presentation of the complaints is inconsistent with the patient\u2019s movement, body positioning or behaviour.<\/span><\/p>\n<p><span style=\"color: #33cccc;\"><strong>Catatonia<\/strong><\/span><br \/>\n<span style=\"color: #003366;\">Schizophrenia of the catatonic type.<\/span><\/p>\n<hr \/>\n<h3><span style=\"color: #003366;\">Complaints Presentation<\/span><\/h3>\n<p><span style=\"color: #33cccc;\"><strong>Inconsistencies Between What The Patient Complains Of And How The Complaint Is Presented<\/strong><\/span><br \/>\n<span style=\"color: #003366;\">Personality pathology (<em>simulation<\/em>), pathological lying, dissociation, fugue or simulated psychopathology (<em>factitious disorder<\/em>).<\/span><\/p>\n<hr \/>\n<h3><span style=\"color: #003366;\">Your Emotions And Response To The Patient<\/span><\/h3>\n<p><span style=\"color: #33cccc;\"><strong>You Notice How One Patient Makes You Feel More Positive And Active, While Another Makes You Feel Slower And A Little More Gloomy<\/strong><\/span><br \/>\n<span style=\"color: #003366;\">Mania, depressive disorder, personality pathology, a behavioural disorder due to a frontal syndrome.<\/span><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Appearance Self-Neglect Depressive disorder, alcohol dependence, substance abuse, schizophrenia, dementia. Excessive Grooming Obsessive-compulsive disorder, mania, schizophrenia. Difference Apparent And Chronological Age Dementia, depressive disorder, alcohol addiction, substance abuse, chronic stress, physical illness. Strikingly Underweight Anorexia nervosa, alcoholism, substance abuse, cancer, hyperthyroidism, diabetes mellitus. Strikingly Overweight Bulimia, poor diet, lack of exercise, side-effects medication. Puncture Holes, [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[88],"tags":[150],"class_list":["post-1490","post","type-post","status-publish","format-standard","hentry","category-summary-of-the-mental-status-examination","tag-the-psychiatric-interview"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>First Impressions - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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