general Psychiatry Flashcards
(15 cards)
what are the 5 P’s of formulation when taking a history
- Predisposing - RF
- Precipitating - trigger
- Presenting
- Perpetuating - what makes it worse
- Protective - what makes it better
when to consider biopsychosocial model
When deciding risk factors and treatment
what are bio factors influencing psychiatry
Genetics
Birth complications
PMH
Drug history
what are psych factors that affect the model
trauma
abuse
Self esteem
Mood
Personality
what are social factors that affect the model
relationships
Finances
Stress
Culture
what to ask in psych history
same as general
+ personal history FROM childhood
+ suicide and self harm
+ forensic history
mental state exam checklist
ASEPTIC-R
appearance + behaviour
speech
Emotion
Perception
Thought
Insight
Cognition
Risk
what to assess for speech
Rate
Rhythmn
Tone
Volume
what to assess for emotion
Ask them about MOOD
Assess if what they tell you matches how they appear to you - AFFECT
what to assess for perception
delusions, hallucinations
what to assess for thought
form of thoughts
Stream of thoughts
what to assess for insight
their understanding of the mental health condition and how it affects their life
what to asses for cognition
orientation
attention span
short term memory
what to assess for risk
risk to self
risk to others
