Flashcards in Psychatric history Deck (17):
Main heading to cover in Psychiatric history
Identifying data - consider source and reliability
Substance us, abuse and addiction
Developmental Hx from conception to now
Review of systems
In HxPC what review of symptoms should be covered
Mood - depression and mania
Other - ADHD, Eating disorders
Questions to ask when screening for depression
Question to ask to screen for Mania
Reduced need for sleep
Increase spending above means
Screen Q for mixed mania/depression
Screen Q for anxeity
where, when, who, how long, how frequent
Then ask Q to screen for Panic disorder
Questions for Panic disorders
How long until it peaks?
Increase HR, sweating, SOB, trouble swallowing, sense of doom, fear of recurrence, agoraphobia
Questions for OCD
Rational vs irrational belief.
Questions for PTSD
Screening questions for psychosis
hallucination - auditory, visual, olfactory, tactile
Delusion - TV, radio, Thought broadcasting, mind control, referential thinking
Pt's perception - spiritual or cultural context fo symptoms, reality thinking
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
Outcome for victim.
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.
Screening tool for alcohol dependency
- 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
Development Hx Questions
Childhood Hx including environment, FM members, Friendships
School and education and extracurricular activities
Childhood physical and sexual abuse
Social Hx questions
Marriage and relationship and kids
Social - hobbies, interest, pets
Cultural or religions influences
Question to cover in Sexual history
Screening - are you sexual active? Any change or problems with sex recently?