Intro to Psych and the DSM-5 Flashcards
What are key components of the psychiatric H&P
Psychiatric ROS
Past psychiatric history
Family psychiatric history
Mental status examination
Physical Exam (your still a medical provider)
What is important to note about source of information in your psychiatric note?
Be transparent and specific on where the information is coming from (patient, collateral information, past medical documentation)
Are psychiatric chief complaints always specific towards a mental health issue?
No, can be vague like “I can’t sleep”
What is SIG E CAPS
Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicide
What is the acronym for cardinal symptoms of mania?
DIG FAST
Distractibility
Indiscretion
Grandiosity
Flight of ideas
Activity increase
Sleep deficit
Talkativeness
What is the CAGE questionnaire?
Four questions that score level of alcoholism
What does ACEs stand for?
Adverse Childhood Experiences
What are some examples of ACEs?
Abuse
Neglect
Parental loss (or caregiver)
Parental incarceration
Caregiver with SUD
Caregiver with mental illness
What is important to include in ROS review?
Medical ROS should be used to rule in or out medical causes of psychiatric symptoms (cardiac, endocrine, neuro)
What is tardive dyskinesia?
Involuntary orofacial movements (smacking, chewing, tongue movements)
How does mood compare to affect?
Mood is patient reported emotional state where affect is your interpretation of patients mood - do they match?
What are the types of hallucinations?
Auditory
Visual
Tactile
Olfactory
Gustatory
*Patients may or may not be aware they are hallucinating
What is the DSM-5?
Diagnostic and Statistical Manual of Mental Disorders published by the American Psychological Association - it defines ‘criteria’ for diagnosis of mental disorders
What are the 4 D’s included in the DSM-5?
Deviance
Dysfunction
Distress
Danger
