Instruments Developed by the McGorry Group

McGorry and colleagues in Melbourne started their analyses with the Royal Park Multidiagnostic Instrument for Psychosis (RP-MIP) [158,159]. This covers a large number of symptoms and diagnostic categories, using repeated interviews and multiple information sources. It is designed for the assessment of patients during the inital period of a psychotic episode and based on established international diagnostic instruments and classifications.

The Comprehensive Assessment of At-Risk Mental States (CAARMS), developed by the McGorry group [160], is an instrument designed for the prospective assessment of sub-threshold psychotic symptoms in high-risk groups. It consists of eight subsections (TC = disorders of thought content; PA = perceptual abnormalities; CD = conceptual disorganization; MD = motor disturbances; CA = disorders of concentration, attention, and memory; EA = disorders of emotion and affect; E = impaired energy and S = impaired tolerance to normal stress). Included in the TC scale, which measures attenuated and sub-threshold delusions, are five dimensions: content, conviction, action, frequency and duration. In the other domains three main aspects are distinguished and assessed for each symptom: intensity, frequency and duration, and degree of severity is determined by a combination of these aspects. A further subsection includes eight of Huber's basic symptoms, the last section three dissociative symptoms (amnesia, depersonalization, derealization). The interview is semistruc-tured, sample questions (probes) are given for each symptom, and each section closes with additional questions on duration, frequency and pattern of symptoms.

BiPolar Explained

BiPolar Explained

Bipolar is a condition that wreaks havoc on those that it affects. If you suffer from Bipolar, chances are that your family suffers right with you. No matter if you are that family member trying to learn to cope or you are the person that has been diagnosed, there is hope out there.

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