Formulation and Management

Question 1

What is entailed in the psychiatric assessment? What is expected of us as 5th years?

Answer 1

Question 2

Where do you gather your information, to form your fomrulation and management plan?

Answer 2

Question 3

Why is collateral history so important? Where do you gather it from? What is important to gain when getting collateral history?

Question 4

What do you need to complete when doing a physical examination on a psychiatric patients?

Answer 4

Question 5

How do you layout your diagnosis, formulation and management plan?

(we need to use bio-psycho-social for exam -Dr Agilan)

What is important in formulation?

Management plan? (Short term/long term)

Answer 5

Question 6

What is an example of a summary in psychiatry?

Answer 6

Question 7

Example of ‘Summary’ continued….. (diagnosis, supporting evidence, symptomoly supporting, fam hx, suicidal ideation) , Then DDX- and explain positive/negatives)

Answer 7

Question 8

How to write out Differential diagnosis?

Answer 8

Question 9

What are conditions/disorders you always need to consider in your differential diagnosis?

Answer 9

Question 10

What are he uses of diagnostic schemes? (e.g ICD/DSM)

Answer 10

Question 11

What are some examples of diagnostic classes? in DSM

Answer 11

Question 12

What are the severity codes? Why are they important?

Answer 12

Question 13

What is a functioning assessment?

Answer 13

Question 14

What are practical ways to assess a patients functioning?

Answer 14

Question 15

What is a formulation? (explain: Predisposing, precipitated, perpetuating_ - and then use againts biopsychosocial model)

Answer 15

Question 16

What are examples of predisposinig,(Bio/psycho/social)

Answer 16

Question 17

What are the rest of the forumalting factors? (protective/prognostic factors)

Answer 17

Question 18

Draw a table up of bio/psycho/social/cultural vs predisposing, precipitating, perpetuating, protective, prognostic

Answer 18

Question 19

Give an example of Ms moodys formulation in paragraph form?

Answer 19

Question 20

Outline how and what you are to address in your management plan (short term)? (e.g in vs outpatient, HDU vs LDU, , obs,Medications, risk assessment, special investigations, explanation to patient about initial action plan)

Answer 20

Question 21

What are non-pharmacological strategies to calm acutely distressed people? (DEESCALATION) -acronym

Answer 21

Question 22

Outline managment plan- Medium term?

Answer 22

Question 23

Outline management plan- long term?

Answer 23

Question 24

What is relapse prevention? Why is it important?

What does it entail? (recognizing warning signs when well)

Answer 24

Question 25

What are early warning signs? And when and where are they important to add to management plan?

Answer 25

Question 26

What are patient specific triggers? When/ and with what pts are they important?

Answer 26