Psych - Prereading

Question 1

What questions/topics might you ask when covering the PPH (past psychiatric history) of a patient?

Answer 1

• When did you last feel well (mentally)?
• Do you have a care coordinator (mental health services)?
• Any previous admission to hospital; detained, sectioned ?
• Have you self harmed + Hx of it?
• Do you think about self harm?
  
  • What makes you feel like self harming?

Question 2

What PMH might a pt have that relates to psychiatric problems?

Answer 2

• Thyroid dysfunction
• Epilepsy
• Head injury
  
  • Loss of conciousness
  • Post traumatic amnesia
  • Post traumatic epilepsy
• CV risk - psych meds can interact
• Diabetes - psych meds can interact