Thoughts

Thought Content - Non Psychotic

 

  • These include phobias, ruminations, obsessions with understanding of compulsions.

 

  • Specific exploration of nature of any abnormal thoughts in context of presenting complaint.

- When the thoughts began.

- How long do they last.

- How much do they interfere with their daily life functioning.

- How often do the thoughts occur.

- Do they occur with increase or decrease in mood - mood congruence.

 

  • Evaluation of any thoughts of harm towards self or others, which is suicidal or homicidal ideation or plans. If present this should be explored in detail, in regards to

- intent

- frequency

- last occurrence

- reasons did not act against themselves, as well as plans and hope for the future

 

This should be considered in the context of patient’s history and inform risk assessment.

Thought Content - Psychotic

 

  • Content of these beliefs, in context of patient’s culture.

  • Mode of onset, when did they start and in what way.

  • Changes over time.

  • Nature of who is involved and patients beliefs about these people/ attempts to protect self.

  • Delusions are fixed false beliefs that cannot be changed by evidence to the contrary and are not in keeping with cultural backgrounds; comment made on the degree to which beliefs are held.

  • Specific question related to thought withdrawal/broadcast or withdrawal.

  • Specific questions related to somatic passivity.

  • Specific questions of interpretations of stimuli, delusional misinterpretations.

Thought Form

 

  • Comment on presence of thought disorder based on patients content of speech with examples.