Psychatric history Flashcards Preview

Mental Health > Psychatric history > Flashcards

Flashcards in Psychatric history Deck (17):
1

Main heading to cover in Psychiatric history

Identifying data - consider source and reliability
PC
HxPC
Psy Hx
Substance us, abuse and addiction
PmHx
Medication
Allergies
Fmhx
Developmental Hx from conception to now
Social Hx
Sexual Hx
Review of systems

2

In HxPC what review of symptoms should be covered

Mood - depression and mania
Anxiety
Psycosis
Other - ADHD, Eating disorders

3

Questions to ask when screening for depression

SIGECAPS
Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor agitation/retardation
Suicidality

4

Question to ask to screen for Mania

Impulsivity
Grandiosity
Recklessness
excessive energy
Reduced need for sleep
Increase spending above means
talkativeness
Racing thoughts
Hypersexuality

5

Screen Q for mixed mania/depression

Irritability, liability

6

Screen Q for anxeity

anxiety present
where, when, who, how long, how frequent
Then ask Q to screen for Panic disorder
OCD
PTSD
Social anxiety
SImple phobias

7

Questions for Panic disorders

How long until it peaks?
Somatic symptoms
Increase HR, sweating, SOB, trouble swallowing, sense of doom, fear of recurrence, agoraphobia

8

Questions for OCD

Checking
Cleaning
Organising
Rituals
Hang ups
obsessive thinking
Counting
Rational vs irrational belief.

9

Questions for PTSD

Nightmares
Flash backs
Startle response
avoidance

10

Screening questions for psychosis

hallucination - auditory, visual, olfactory, tactile
Paranoia
Delusion - TV, radio, Thought broadcasting, mind control, referential thinking
Pt's perception - spiritual or cultural context fo symptoms, reality thinking

11

Questions to ask in Psy Hx

Date, symptoms, duration, frequency, severity
Tx - outpt vs inpt, vol vs invol, dosage
Suicide Hx self harm HX
Forensic/violence/homicidality risk Hx
DV
Legal Cx
Outcome for victim.

12

Questions to ask to cover substance use, abuse and addiction.

What, date started and stopped, quality, frequency, why they started and stopped and route.
Impact of use on life eg family, friend and work
Screen for alcohol dependency
Readiness for change
Check for drug, medication, Eoth, Tabacco, caffeine, gambling, eating behaviour and internet use.

13

Screening tool for alcohol dependency

CAGE
- Have you ever Cut down you drinking?
- Have people annoyed you by criticizing your drinking?
- Have you ever felt bad or Guilty about your drinking?
- How soon after waking do u have a drink? Eye opener

14

Development Hx Questions

Perinatal
Birth
Developmental milestones
Childhood Hx including environment, FM members, Friendships
School and education and extracurricular activities
Childhood physical and sexual abuse

15

Social Hx questions

Occupation Hx
Financial Hx
Military Hx
Marriage and relationship and kids
Legal hx
Social - hobbies, interest, pets
Cultural or religions influences

16

Question to cover in Sexual history

Screening - are you sexual active? Any change or problems with sex recently?

17

what is Frontal assessment battery for

assist discriminating between dementias with frontal lobe dementia and dementia of alzheimer's type.