History Flashcards
Depression Screening Q’s
Mood- Quantify Anhedonia- loss of interest? Guilt/Worthlessness NVS - SECAL Suicidality/self harm
Suicidality Screening Q’s
Have you ever felt so low you feel you do not want to be around anymore?
if YES, then what do you mean by that?
Have you ever felt like ending your life, hurting yourself etc
Is there a plan?? What is the plan
Mania Screening Q’s
If a depressed patient, asked if they have ever felt the opposite of this?
Have you ever felt that after very little sleep you still had a lot of energy? Doing things you were not normally do
NVS always
Any changes in how fast you are thinking?
Any new ideas or plans?
RISK
Have you noticed. change in your driving, gambling, arguments or fights
Psychosis Screening Q’s
Hallucinations:
Do you hear things that people say are not there?
Do you see things or people that other people say are not there?
Do they tell you to do things? (command)
Are they nasty (derogatory)
Tell me about them, who are they? When do they happen? Are they distressing to you? how loud
Delusions:
Do you have any big plans?
Is anyone out to get you? (persecutory)
Do you get the feeling people are watching you? (paranoid)
Do you experience this when you are not using drugs/alcohol?***
Do you feel like you are getting messages form somewhere?
Are people putting thoughts in your head?
Can people hear your thoughts?
Alcohol and Substance Use Screening Q’s
Standard quantify amount, frequency, type of volume
Have you been drinking more frequently, in larger amounts?
CAGE (do you want to cut back your drinking (failed atts), anger (do you feel mad when people bring up your drinking?; guilt; eye opening(at a point where first thing whe you wake up)
Tolerance: Do you need more to achieve same effect?
Withdrawal: Shaky, nauseated, sweaty, palpitations when you stop drinking?
Function: Trouble at work, police involvement
Recreational or party drugs
General Anxiety Screening Q’s
Good start for all angst like conditions
“are you the type of person to worry?”
Do you get anxious very often, more than the average person
May present with physical symptoms
palpitations, dizziness, N&V, tingling peripheries, muscle tension
GAD Screening Q’s
What are your worries? What about this worries you specifically? (often valid worries but disproportionate reaction) What is the worst case scenario? NVS Physical symptoms
Panic Attack Screening Q’s
Out of the blue, have you ever felt anxious, like your life is going to end/ having a heart attack?
How log do these last? (discrete eps, 10-20mins)
What other symptoms?
Feel separate from body? (depersonalisation)
Feel not real? (derealisation)
Feel you will die? (catastrophising)
PTSD Screening Q’s
ASPIRE (check Ddx)
Have you experienced a traumatic event in your life that started all of these sts?
Do you ever have flashbacks or dreams relating to this?
Have you noticed a change in yourself following this?
What sort of changes?
Have you been avoiding people or places that remind you of the event?
OCD Screening Q’s
Do you ever get intrusive or unwanted thoughts?
Do you every do anything to make them go away?
What do you do?
Agoraphobia Screening Q’s
1
Somatoform/MUPS Screening Q’s
Tell me about sts?
How long?
Seen other doctors? What tests have you had
How has it affected your life?
What do you think about these normal results
Are they related to your emotional state?
Borderline Personality Screening Q’s
Hows your mood been? Do you notice that change from happy to sad to angry very quickly? What triggers these?
When you’re in an emotional state, what sort of things will you do? Do you hurt yourself?
Triggered by relationship issues/abandonment fears- how is your relationship? Does it feel like a rollercoaster?, do you have worries about being alone? Highs and lows? How many significant have you had
Social phobia
Do you get very conscious when you’re on the spot?
What is your worst fear when you are the centre of attention?
What is your experience speaking in front of a crowd?
Are you comfortable talking on the phone? (Big fear of being scrutinised by others)
