History - Psychiatry presenting complaints

Question 1

Depression

Answer 1

• Core - mood, anhedonia, fatigue
• Biological - sleep, energy, appetite
• Future - risk, hopelessness
• History of mania/hypomania

Question 2

Anxiety

Answer 2

• Timing - triggers, effect on life
• Somatic - palpitations, breathlessness, chest tightness
• Psychological - depression screen, stress, avoidance
• Organ differentials - ACS, hyperthyroidism

Question 3

Auditory hallucinations

Answer 3

• Voice detail - sex, familiar, same or changes, when heard
• Real/pseudo
• 2nd or 3rd person
• What they say and commands
• Risk
• Psych symptoms

Question 4

Delusions

Answer 4

• Expand and challenge
• Risk
• Psych symptoms

Question 5

Memory loss

Answer 5

• Short/long term
• Insight and concerns
• Functional level
• Cognitive assessment
• Risk

Question 6

Eating disorder

Answer 6

• BMI
• Symptoms - avoidance of weight gain, preocupation with appearance, purge, binging
• Food diary
• Results - menstrual disturbance, dental
• Screen for depression, diabetes, thyroid