DDx KP and Qs

Question 1

MSE ABSEPTICJ

Answer 1

ABSEPTICJ
A - Appearance
B - Behavior
S - Speech
E - Emotion
P - Perception
T - Thought Form, Content, Suicided
I - Insight
C - Cognition
J - Judgement

Question 2

MSE Reporting Format

Answer 2

ABSEPTICJ
A - FECGP
B - Overall, To you, Movement
S - Rate, Volume, Quality, Quantity
E - Mood, Affect- Range, Reactivity, Appropriateness
P - Hallucinations and Illusions
T - Tf - Flight of Ideas, Poverty, Circumstantiality, Tangentiality
- Tc - Delusions - Suicide
Insight - Intact
C - Place, Time, Person
J - Good or Poor

Question 3

MMSE Format

Answer 3

Orientation
- Time - Year, Month, Date, Day, Time
- Place - Country, State, City, Street, Floor

Registration - Apple, Table, Coin
Concentration - DLROW
Recall - 3 Object

Language (5R)
- Identify 2 Objects - Pen and Paper
- Repeat Sentence - No If’s and or But
- 3 Steps Command - Pick up, Fold, Lap
- Read and Follow - Close your eyes
- Write Sentence

Draw - 2 Intersecting Pentagon

Question 4

Major Depressive Disorder KP Qs

Answer 4

Psychosocial Hx
- Mood, Sleep, Appetite
- Suicide, Hallucinations, Delusions
- Insight, Cognition, Judgement

Added Qs
- Concentration, Tiredness, Guilt
- R/o Mania - Feeling Energetic**

HEADSS
R/o Organic and PMHx

Question 5

Mania Qs

Answer 5

DIGFAST

High Mood/Energy or Irritable
D - Distracted/Poor Concentration
I - Impulsive
G - Grandiosity - Special Powers
F - Flight of Ideas
A - Activity High Risk - - Shopping, Gambling, Hypersexuality
S - Sleep Less
T - Talkative

MDD KP Qs - Low Mood, Anhedonia, Suicide
Psychosocial Hx - Hallucinations Delusions
HEADS
R/o Organic and PMHx

Question 6

GAD Qs

Answer 6

Are you generally an anxious person? (Screening question)
What do you worry about? Anything specific?
Is it difficult to control?
How is it affecting your life?
Do you feel restless and on edge? Unable to concentrate? Tired or Fatigued? Sleep problems?

Question 7

Medication Hx Qs

Answer 7

Why were you given?
What Meds? Changed dose? Change Meds?
- Gave Days off or none?
Cause for change in dose
- N/V/D
- Other Meds? - John St. Worth, Drugs

Question 8

Prolonged Grief Qs

Answer 8

Avoiding reminder of him/her?
Duration?
Affecting your life? Relationship with others?
Feel life is meaningless?

Question 9

Grief Qs (Sad/Low)

Answer 9

Timing Qs
First Time?
Affecting your life?
Tell more about your mother
Close to anniversary?

Question 10

Dependent Personality Qs

Answer 10

Difficulty making decisions?
Hard for you to disagree with others?
Initiate activities?
Takes care of your daily activities?
Support at home?
HEADSS - Partner, Children, Friends, Family Members

Question 11

Sleep Questions

Answer 11

Difficulty Falling asleep? Or Waking up in the middle of the night and hard to go back to sleep?
Nightmares? Snoring? Pain in Legs
When do you go in bed?
When do you fall asleep?
How many hours of sleep?
Pets? Room quiet? Nightshift worker?
Stimulants
Coffee/tea/energy drinks
Alcohol, Smoking, Drugs

Question 12

Panic Attack Qs

Answer 12

Symptoms like Chest Pain, Palpitations, Abdominal Pain, SOB?
When you had those symptoms do you think that you are going to die?

Question 13

Panic d/o Qs

Answer 13

Panic Attack Qs
Are you scared of having another attack?
Any change to your routine activities because of this?
Agoraphobia Qs

Question 14

Agoraphobia Qs

Answer 14

Are you scared in going to crowded places or leaving home?

Question 15

PTSD Qs

Answer 15

Any traumatic experience?
Flashbacks or Nightmares about the event?

Avoiding places, activities, people or talking about it?
Any episode of anger outburst?

Question 16

General Anxiety d/o Qs

Answer 16

Are you a generally anxious person and feel on the edge?
Are you worried about day to day activities?

Anxiety difficult to control?
Do you have difficulties concentrating?
Tired or Fatigue?

Question 17

Adjustment d/o Qs

Answer 17

Any recent changes in your life?
HEADS - Stress Qs
How are you coping with the situation?
How is it affecting your life?

Question 18

Specific Phobia Qs

Answer 18

Any specific triggers to it?
Are you avoiding that special XXXX?
Affecting your life?

Social Phobia - Talking to other people or talking in front?

Question 19

Obsessive Compulsive Disorder Qs

Answer 19

Repeated or Unwanted Thoughts?
Have tried Resisting it? - What happens?
What do you do to stop the anxiety?
How is it affecting you? Is it time consuming?
Any other Unwanted Thoughts?

Question 20

Body Dysmorphic Symptom d/o

Answer 20

Obsession
- Do you think about it often?
- Tried Resisting it? - What happens?

Compulsion
- Check the mirror a lot?
- Compare your self with others?
- Time Consuming?

What does the others say?
How is it affecting your life?
R/o Eating d/o

Question 21

Anorexia Nervosa Qs

Answer 21

Fear
- Are you scared of getting fat?

Restriction
- Have you ever restricted your intake by dieting?
- How do you prevent putting on weight?

Self Image
- How do you feel about your body and weight? - What does the other say?
- When you look at a mirror what do you see?

Question 22

Bulimia Nervosa

Answer 22

Binge Eating
- Do you binge eat? or Eat more than usual in a short time?

Control
- Do you lose control when you are eating?

Compensatory
- Induce Vomiting, Excessive exercise or take medications after binge eating

Self evaluation
Is your self esteem connected to your body and weight?

Question 23

Somatic Symptom d/o

Answer 23

Anxiety
- Do you have repetitive and excessive thoughts about the symptoms – HA?
- Tried resisting this thoughts?
- Does it cause any anxiety?

Impairment
- How is this affecting your life?
- Is Seeking investigations and treatment taking too much time?

r/o Anxiety d/o
Psychosocial Assessment

Question 24

Substance Abuse Qs

Answer 24

How Long? How many? Pattern of use?
What type?
With Whom? Where?
Any triggers like stress, Party, Friends?
Other medications?
Problem Use - Use when sick? Use within 30 minutes upon walking up?

Tolerance - Need higher dose to have an effect?
Dependence - What happens when you missed/stop a dose?
Motivation - 1-10, How motivated are you to stop?

C - Thoughts of Cutting Down?
A - Annoyed when someone is talking about it?
G - Guilt towards it?
E - Do you need a dose within 30mins after walking up?

Effects
Home - Relationship with Family? Support?
Employment - Performance at work? Finance?
Law - Any problems with the law
Health - (Sx)