CODE-UD in psychiatric education.

Morra & Ban

 

RATER ASSESSMENT FORM

 

 

Before giving the patient the self-assessment form please complete the following form in order to determine if the patient is suitable for the required task.

Mark ''true'' or ''false'' to the following statements as they apply to the patient at the time you complete the questionnaire. In case you don't know the answer please mark ''False.''

ALL THE STATEMENTS SHOULD BE MARKED EITHER TRUE OR FALSE

 

22.  Displays at least 2 of the following 5 sets of symptoms:  Excessive purposeless motor activity; oppositional behavior (resistance to instructions)/immobility/mutism (being  mute without any well identifiable structure impairment); posturing (assuming inappropriate or bizarre postures); echolalia (repeating the interviewer’s movements)/ echopraxia (echoing interviewer’s words).

        True____                   False____

 

35.  Displays clouded consciousness, fleeting attention, disconnected thinking, hallucinatory experiences and disorientation to time or space

       True____                   False____

 

110.Patient's thoughts are incoherent and his/her speech is incomprehensible

       True____                   False____

 

137.Patient's delusions are in keeping with his/her mood state

       True____                   False____

 

142.Patient is not doing what he/she is asked to do or does the opposite

       True____                   False____

 

178.Patient is motionless and answers questions by uttering monosyllables only

       True____                   False____

 

182.Patient is motionless and unresponsive without answering questions, without following

       instructions and without responding to any external stimulation

       True____                   False____

 

183.Patient delivered a child in the month prior to becoming stuporous

       True____                   False____

 

184.A significant person in patient's life died within 2 months prior to becoming stuporous

       True____                   False____

 

185.Patient was diagnosed with a non-psychiatric and non-neurological medical illness within 3 months prior to becoming stuporous

       True____                   False____

 

186.Patient was treated with one of the following drugs in the month prior to becoming stuporous: cimetidine, corticosteroids, cytotoxic agents, guanethidine, oral contraceptives, methyldopa, propranolol and/or reserpine

       True____                   False____

 

187.Patient was diagnosed with a neurological illness in the month prior to becoming stuporous

       True____                   False____

 

188.Patient was in a stressful life situation within 3 months prior to becoming stuporous

       True____                   False____

 

189.Patient was taking at least one of the following in the month prior to becoming stuporous: alcohol in excess, amphetamines, cannabis, cocaine, hallucinogens, inhalants, ketamine, opioids, phencyclidine and related drugs and/or sympathomimetics

       True____                   False____

 

201.Patient in his thinking never reached the goal because he/she keeps on going off on tangents

       True____                   False____

 

September 29, 2022