Psychiatry History (alternate) Flashcards
What is the overall structure of a psychiatry history?
Presenting complaint History of presenting complaint Psych 'systems review' (screen) Past psych history Past medical history Family history Personal history Forensic history Social history Personality
MSE
What are the titles of the Mental State Examination?
Appearance Behaviour Mood Speech Affect Thoughts Perceptions Cognition Insight
What should be included when starting an interaction with a psychiatry patient?
Introduction: Who you are, what you would like to do.
Patient’s identity: Name, age and DOB. Occupation/employment status
Ensure safety of you and the patient.
What should you ask for the presenting complaint?
[Psych Hx]
An open question, sympathetic to the possibility of distrust from the patient.
e.g. What has brought you here? Why are you here?
What is the structure of the HxPC?
[Psych Hx]
NOTErPAD
Nature Onset Triggers Exacerbating/Relieving factors Progression Associated symptoms Disability
“When did you last feel well?”
“Did anything happen before [the problem]?”
“Have you had any help for this? Any treatment? Were they useful?”
What should you include in the psych screen?
[Psych Hx]
Depression Suicidal thoughts Sleep problems Anxiety Delusional or obsessional thoughts Unusual perceptions or experiences
What should you include in the past psychiatric history?
[Psych Hx]
Have they seen a psychiatrist in the past?
Have they been admitted?
Why?
How have they been between episodes?
What should you include in the past medical history?
[Psych Hx]
Keep this brief
Probe psychiatry related conditions, such as Thyrotoxicosis
Medications
What should you include in the family history?
[Psych Hx]
Relationships with family members
Family’s employment,
Family’s social circumstances
Family Hx of psych conditions
Family Hx of drug or alcohol misuse
What should you include in the personal history?
[Psych Hx]
Their childhood Education - school and further Occupations Relationships and sexual history Habits and dependencies
What should you include in the forensic history?
[Psych Hx]
Any trouble with the police?
What should you include in the social history?
[Psych Hx]
The patient’s housing situation
If they require any support
Their daily activities
Their finances
What should you include when asking about the patient’s personality?
[Psych Hx]
How would people describe you?
How would you describe yourself?
Do you have any religious or moral beliefs?
What are your activities and interests?
Presenting complaint History of presenting complaint Psych 'systems review' (screen) Past psych history Past medical history Family history Personal history Forensic history Social history Personality
MSE
What is the overall structure of a psychiatry history?
Appearance Behaviour Mood Speech Affect Thoughts Perceptions Cognition Insight
What are the titles of the Mental State Examination?
