History taking/MSE lecture week 1

Question 1

What makes up the clinical interview?

Answer 1

Question 2

What are the basic stages of the clinical interview (process ofinterview)

Answer 2

Question 3

How do you explore a MH patients complaints? (components of a psychiatric history

Medical vs patients perspective(illness)

Answer 3

Question 4

Why are the components important? (e.g compontnets of hx in timeline) how does it form together?

Answer 4

Question 5

What basic information is needed to begin the consultation
? (legal information) e.g name/dob/marital status/

Answer 5

Question 6

What do you gain from Presenting complaint?

Answer 6

Question 7

What do you need to cover in History of presenting complaint? (e.g ask specific to most likely diagnosis, SOCRATES- plus rule in/out differentials)

–> focus on (precipitating, aggravating, relieving factors!! (5 p’s ) aka, biopsychosocial

Answer 7

Question 8

What do you need to ask in ersonal history? (most important/detailed)

Answer 8

plus any association with past or present psychiatric presentations

Question 9

What is important aspect to ask in social history?

Answer 9

Question 10

What about past medical history/allergies/medication?

Answer 10

Question 11

What do we need to get in past pyschiatric history?

Answer 11

Question 12

What do we need to ask in Substance misuse history?

Answer 12

Question 13

What do we need to aks and obtain in forsenic history?

Answer 13

Question 14

What do you need to ask when evaluating Pre-morbid personality?

Answer 14

Question 15

What do we need to do when asking about family history? What information

Answer 15

Question 16

When formulating MSE, how do we comment on appearance?

Answer 16

Question 17

How do we describe behaviour on MSE?

Answer 17

Question 18

How do we describe speech on MSE?

Answer 18

Question 19

How do we evaluate mood on MSE?

Answer 19

Question 20

What do we need to ask when evaluating sleep and appetite? Ask about energy levels here too.

Answer 20

Question 21

How do we evaulate ‘Stream of thought’ -? e.g speed of thought?

Answer 21

Question 22

How do we evaulate thought? 1) Thought content?

Answer 22

Question 23

How do we describe form of thought? (thought form)

Answer 23

Question 24

How do we describe/evaluate thought possesion/ownership? (important in schizophrenia/psychosis)

Answer 24

Question 25

How do we evaluate a patient "perception on MSE'?

Answer 25

Question 26

How do we assess/ evaluate cognition on MSE?

Answer 26

Question 27

How do we assess insight when conducting MSE?

Answer 27

Question 28

How do we assess judgment when conductinig an MSE?

Question 29

How do we assess a patient mental capcity? what are the 4 main areas you need to evaluate?

Answer 29

Question 30

How to evaulate Risk on MSE? History of abuse/crime/suicide/homicidal/self-harm/self-neglect

Answer 30

DOCUMENT ALL RISKS VERY CLEARLY

Question 31

How do we determine a differential diagnosis from MSE - What should we list? What else should we consider when making ddx?

Answer 31

Question 32

How do we outline - or form a case formulation? How can we describe this?? (BIOpsychosocial- 5 Ps, Predisposing, presenting factors, precipitating, perpetuating, protective factors

Answer 32

Question 33

Outline a case formulation with 5P's using biopsychosocial model -

Answer 33