Disorders of Thought (Delusion) Formal Thought Disorder, Disorders of Stream and Content
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- Опубликовано: 10 янв 2021
- 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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Dear Sir, I want to diagnose by you.... Because from childhood onwards I was abnormal and on the age of 50 psychiatric doctors diagnosed with me on bipolar disorder. I lost everything in my life. Many suicidal attempts..... But when I watched your presentation on bipolar disorder.... It precisely 100% match with what happened inside me... I want to treated by you sir if it's possible, I.would be great..... Thanks sir
Reach out to your nearby psychiatrist asap.
Nimhans doctors are v busy people,but that will be a great thing if professor Badmath can give you appt.
Wow. I’ll say it again. you are Very intelligent! Thank you so much for your video! Your English is very good !
Well explained the subjective & objective area & ego syntonic & dystonic. Now clear sir 🙏🙏🙏
Very intelligent. Thank you.
as a good invasion and valuable speech understand the3thought disorder (TD) and
very clearly
One of the best lectures I have ever heard.....kudos to u Sir
Thank you very much for your encouraging feedback
😊😊😊@@SureshBadaMath
Sir would like to hear from you about the difference between derailment and loosening of association
Thankyou so much sir...
Thank you so much sir, Great explanation.
You are most welcome
You are doing a great work for us sir. Keep going.
Thank you very much for your encouraging feedback
You explain each and every concept really well sir. Your videos are always helpful for me. I would like to request you that kindly make a video on "Disorders of Memory" too. I would be highly grateful to you.
Thanks for the suggestions and i will do it
@@SureshBadaMath Thank u so much sir.
Kindly make more videos on concepts .plz sir
Great sir. Very nice presentation 👍
Thank you very much for your encouraging feedback
Thanks sir🙏
Thank you very mush professor, this was very helpful ❤
All the best
Thank you sir....#
Dear Sir. Which book have you referred. Can you tell me the name of the book sir so that it would be helpful.
Sir
In the types of perseveration, there is some discrepancy related to logoclonia and palilalia.
What is the difference between thought content and thought process?
Sir tangentialury and circumstantialy are they disorder of form.or stream??@suresh sir
very good and easy to understand. sir add more lecture of psychology and go it into deeper
Thank you very much for sharing your suggestions.
Secondary delusions emerges from other morbid psychological phenomena of the disease process ( ex. in Schizophrenia , threatening auditory hallucinations may lead to Persecutory delusion ) .
🙏🙏🙏 thanku sir
Welcome
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wht a amzing lecture sir
Thank you very much for your feedback
...thank you.
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Very helpful comprehensive lecture, grateful for your work Professor🙏 I’ve noticed a version of thought disturbance in non-psychotic persons, far less extreme than the examples you gave but still prominent. For example, people with BPD having high tangentiality, loosening of associations and derailment; people with NPD having perseveration and unable to let go of an idea for hours. Do you know if these particular symptoms are also called thought disorders? Or is there a separate term for them?
Interesting observation. I have not seen such phenomenology in BPD or NPD. Please do document and publish those cases.
I have not come across any literature on the same apart from ‘Epileptic personality change’ related perseveration, circumstantiality and viscosity
@@SureshBadaMath Still appreciate your reply!
Brilliantl job, Sir!
As I was going through this video, I could relate to my father who suffered stroke for the second time recently(4 months ago)and the seizures were also very intense. He has been experiencing symptoms of Positive FTD, mostly incoherence. Is this the post stroke effects, Sir? If yes, should it be treated or would it get settled by itself? His cognition has been improving a bit but his daily functioning is a real challenge.
Kindly offer your suggestions, Sir.
It is post-stroke aphasia. It is not FTD. It is aphasia (wernicke's aphasia). Please watch this video for more information ruclips.net/video/A7Mnw23FfDc/видео.html
He needs speech therapy for rehabilitation
why no eng sub
🙌
hello prof. i really like your videos. please help, is this a thought disorder?
my stream of thought is always disrupted by a strong sensation in the brain. It feels like another part of my brain is being activated simultaneously as I'm trying to think. It's very hard to describe this sensation. I cannot think freely anymore and my brain remains in an altered state.
Please consult a local doctor
@@SureshBadaMath Thanks for the reply but please help on what u think as my local doctors don't really know
I feel fear of speaking and I can not make a meaningful sentence even in my mother tongue language.
I forgot what to speak next and I stop after that. To complete the sentence I speak very fast and I feel urgency to complete the sentence.
Kindly suggest me how can I become a Normal person
Not sure what my flatmate suffers from, her line of conversation is very disconnected. She will suddenly completely change subject matter mid sentence. She trails off mid conversation and doesn't conclude what she started out saying. Or she will start a conversation as if there has been dialog before she starts talking and she gets frustrated when you ask her what she is talking about. For example "...... yeah so they had to finish the job late last night". So you ask her what she is referring to, and then goes back to a previous conversation, then briefly return to clarify what you asked of her. I often have to tell her the same thing over and over and she will often ask me the SAME thing I've had to tell her, many times. She will contradict herself often in one sentence, e.g. "I love being out in the hot sunshine, it's really nice around the waterfront with the shade of the trees, it's so hot though that I'm not really enjoying summer".
She will often ask you something about yourself then completely derail you answering. She talks a LOT about herself, but most conversations she blocks you from talking about yourself.
She shared a painful childhood situation of being adopted, with me, then when she asked me about my own father when I was an infant, and I answered her truthfully by saying he went to prison for incest, she replied that she found that fact refreshing and cut the conversation off at that point.
I find talking with her very frustrating as she has a huge amount of trouble understanding what you are saying.
I googled 'disconnected conversation' and thought disorders came up. I don't think she is schizo though as my oldest brother had that and her behavior is nothing like his.
My mother has almost exactly the same behaviors as your flatmate. You outlined your flatmate’s behaviors really well, it helped me reflect on my mom’s behaviors.
sir,
can u plz make a video on disorders of consciousness?!!
Thank you very much for your feedback and suggestions. I will do it
@@SureshBadaMath thank you so much sir
Sir , is this lecture from Fish?
Fish and SIMS
Please sir in hindi
Dear Dr. I wanted an appointment as I have some relative patients which can not be predicted what is wrong, but do notice few schizophrenic symptoms. Not able to diagnosis or they are ready to take treatment.
Thanks if can DM me your email or contact details.
Thanks
Please consult local physicians inperson
Thank you sir
Welcome
Thanks sir
Welcome