History and MSE

Question 1

Give an overview of what should be asked during a psychiatric history

Answer 1

Presenting Complaint(s)
History of the Presenting Complaint(s)
Past Psychiatric History
Past Medical History
Current and Recent Medication
Social History - alcohol & drug use; smoking; social circumstances; occupation
Family History
Personal History
 - Developmental milestones
 - Schooling/Education
 - Occupational history
 - Relationships
 - Pre-morbid Personality

Question 2

What is “premorbid personality”?

Answer 2

Information of patient’s character prior to the illness.

Question 3

List the elements of a mental state examination

Answer 3

Appearance & Behaviour
Mood – Subjective, Objective & Affect
Speech
Thought-form
Thought-content (delusions)
Abnormal Perceptions
Thoughts of self harm
Suicidal and homicidal ideation
Insight
Cognition