1) "
she is not responding to internal stimuli"
- does it mean that I am not hearing voices? or what?
It has been mentioned consistently in the notes for each of my visit for the past 16 months.
Without the context it was used in I have no idea.
2) "
her speech is spontaneous, at conversational rate and volume;
not pressured"
is pressured speech the kind of think a manic patient would display?
Yes, "pressured speech" is a symptom of mania. The person talks like they can't get the words out fast enough.
3) "her
TP is linear" - does TP stand for thought process?
linear seems to be a good thing - right? Does it mean that each sentence flows logically from the previous one? or what?
Given the context I would say TP = thought process. Linear thinking is going logically from A to B to C.
4) "her mood is euthymic with
full and congruent affect"
does it mean that the facial expressions are consistent with the content of the speech?
Yes, it means the physical demonstration of emotion matches what the person is feeling and saying. i.e. the person is happy, says they are happy and is smiling when they say it
5) Axis II: dependent traits, no mention of self-defeating, even though we went over this in depth with the p-doc, and I indeed have dependent traits but not a full-blown dependent PD, but also, at least in the past, had a full-blown self-defeating PD. Do they not mention it because self-defeating PD is not in the current DSM? We went over each bullet...
No idea...
6) "making strong eye contact" on some visits, which seems fine, and
"she sits mostly still with
slightly wide eyed stare making strong eye contact"
this "wide eyed stare" happened on several visits with two different p-docs. What does it mean?
Hmm, again, knowing the context would help. Making eye contact during a session is a good thing. The use of the word "stare" makes it sound like you were looking at their eyes, but either challenging them of not making an emotional connection.
7) "her mood is euthymic with constricted and congruent affect"
What is constricted affect? How is it different from "full affect" in item 4 above?
"full affect" means you were showing a full range of emotions. "Constricted affect" means you were showing a limited range of emotions.
8) in the past - "her TP is circumstantial"
what exactly does it mean and how is it different from "tangential" thought process?
"circumstantial" means bringing in a lot of extraneous information before getting to the point.
Here is a description of different thought processes from users.wowway.com
Quote:
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Does the patient get to the point in a direct manner? Non goal-directed thought patterns include circumstantiality (i.e., patient makes numerous detours with non-essential details, but eventually does reach the goal of the original thought or posed question). Tangentiality is also another non goal-directed thought pattern describes a patient who never gets to the point and does not reach the goal of the original thought or posed question.
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9) "denies AH/VH" - what are those?
Given the context I would say it means denying auditory and visual hallucinations.
10) "thought process - goal directed"
How is different from "linear TP" in item 3 above? "goal directed" was used by one p-doc, and "linear" by another p-doc.
See above insert...
11) "mood "good" affect - appropriately reactive"
What does that mean? reactive to what - the p-doc's words?
Reactive to what was going on in the session, meaning you responded to what was going on around you the way most people would.
Thanks!