child/adolescent psychiatry - assessment Flashcards
1
Q
structure of hx
A
presentation and recent symptoms - PC (problem list) + HPC (temporal hx, symptom profile) - patient and caregiver
other background
hopes for change
mental state
2
Q
things to ask about in other backrgound
A
past psychiatric hx - incl previous counselling and therapy
PMH - incl seizures and head injuries
D+A
SHx and habits - remember legal highs
FHx - psychiatric and appropriate medical hx
personal hx - schools, housing, life events, relationships, bullying, abuse
developmental hx - birth to present (relevant details)
3
Q
what to ask about in hopes for change
A
what are the patient’s and family’s goals
what are their expectations of progress
- helps build a formulation and develop management plan
4
Q
mental state examination
A
appearance behaviour speech mood thoughts perceptions cognition risk insight
- at the current time
