Disorders of Thought (Delusion) Formal Thought Disorder, Disorders of Stream and Content

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

If you want to learn more

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[ankitanand]

Thankyou sir. This kind of information is rarely available on the internet for free. You are doing a great service.

[mariappankarthikeyan]

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 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 Thanks sir

[drstevecherakrmarak]

One of the best lectures I have ever to u Sir

[dean]

Wow. I’ll say it again. you are Very intelligent! Thank you so much for your video! Your English is very good !

[PriyankaDahiya]

It's meaningful and significant in the MH field. Sir. Thanks

[vnagabhushanam]

Well explained the subjective & objective area & ego syntonic & dystonic. Now clear sir 🙏🙏🙏

[miniaish]

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.

[AhmedDagane]

very good and easy to understand. sir add more lecture of psychology and go it into deeper

[sibygeevarghese]

You are doing a great work for us sir. Keep going.

[SilentRunningRedux]

This is so much better than virtually any other review on YouTube… placing “thought disorder” as a notion into context, as everyone displays at times some element taken alone, without sophistication (eg it’s fairly normal and not unhealthy to see e “perseveration” about a recent death of a family member, or a life-altering crime one has been subject to, etc). Further, persons who ARE mentally I’ll can be quite rationally fearful of being taken advantage of financially, sexually or by violence (in NY’s Central Park, among other places, schizophrenia patients who’ve become homeless are at times treated violently by strangers, who have their own pathology but believe the homeless mentally ill can be targeted without any repercussions, and that is sadly too often true). Your examples in detail mere if what constitutes ACTUAL and irrational or radically disorganized thoughts QUA “thought disorder” is elegant, fair, not in my view terribly cintryversial in any way. Others use syllogisms etc because they themselves do not really know how to recognize or diagnose schizophrenia or other psychoses, and also when these are truly incapacitating or problematic (and when not). Many people with biooplar disorder abd schizophrenia (often elements of some degree of thought disorder) can function well in highly challenging jibs such as (successful) psychiatrists, lawyers, writers who regularly produce good work product, etc.

[drrajinderrai]

Nice Digest Sir
ThnxSir
DrRajinderRai, Ambala
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Best Dying Declaration of India in Hon'ble SC in St Vs Manoj in July2013, Drs type, Bride Burning case MLR made by me Sir & is a Indian Kanoon now, Sir
Still learning to improve Mental Health of myself & the Society, Sir
Now ur Student Sir
ThnxSir

[sudeshnaguha]

Sir would like to hear from you about the difference between derailment and loosening of association

[swatioberoi]

Kindly make more videos on concepts .plz sir

[yatheeshvh]

as a good invasion and valuable speech understand the3thought disorder (TD) and
very clearly

[drdu]

Thank you very mush professor, this was very helpful ❤

[ishitasharma]

Thank you so much sir, Great explanation.

[lisamoag]

written language
also expresses
thought

medication
causes
these side effects

when after trauma one is harrassed
by interegation

not treated for
shock or distress

[deepanjalimedhi]

Secondary delusions emerges from other morbid psychological phenomena of the disease process ( ex. in Schizophrenia, threatening auditory hallucinations may lead to Persecutory delusion ) .

[mahadevaswamy]

Dear Sir. Which book have you referred. Can you tell me the name of the book sir so that it would be helpful.

[dhrtissocialspace]

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.