L3: Psychiatric History & Mental State Examination Flashcards
How to approach a Psychiatric Patients?
Differences between Psychiatric interview & Medical Interview
History of Past Psychiatric & Medical History should include ……
- Chronological account of past psychiatric problems/episodes (if present)
- If the patient’s baseline of mental health was attained.
Items of History Taking in Psychiatry
History of Present Illness Should include ….
Developmental History
- Physical and intellectual ability at early stages of life.
- Life values, habits, goals before he/she becomes ill
what is mental state examination analogous to in internal medicine?
analogous to performing a physical examination in internal medicine.
Assessment of Speech
Assessment of appearence & Behaviour
Mental State Examination
what is Mood?
The emotion that the patient tells you he feels or is conveyed nonverbally.
What is Affect?
an assessment of how the patient’s mood appears to the examiner according to the following dimensions
Assessment of Affect
Examples of Assessment of Mood & Affect
Characters of Thought Process
- This is the patient’s form of thinking, how he or she uses language and puts ideas together.
- It describes whether the patient’s thoughts are logical, meaningful, and goal-directed.
- It does not comment on what the patient thinks, only how the patient expresses his or her thoughts.