History Questions Flashcards
1
Q
Morbid Jealousy
A
- Who are they having the affair with?
- What makes them suspect this? Gathering evidence/searching?
- Confronted either party?
- Degree of conviction?
- Plans for confrontation/situation?
- Intend to hurt? Have a weapon?
- Risk to self?
- Relationship history?
- Forensic history?
- EtOH/drugs
2
Q
Body Dysmorphia
A
- What is their concern about their body?
- Degree of conviction?
- Doing research?
- How much time spent worrying about?
- Steps to conceal?
- Steps to fix? Risk
- Avoidance? Impact on life?
- Future plans?
3
Q
Erotomania
A
- ABC of event
- What were their plans?
- On what evidence is affection based?
- How did they come to know?
- How long have they known for?
- Tried to make contact with victim? Contact returned?
- Degree of conviction?
- What are your plans for the relationship?
- Research?
- Where lives? Where works?
- Contact details?
- Movements?
- Time spent thinking about?
- Sexual fantasies/masturbation?
- Violent fantasies?
- What if they reject you?
- Carrying a weapon?
- Current plans?
- Threats to X
- Tryied to follow
- Thoughts of harming self?
- Relationship history?
- Forensic history?
- Violence in the past?
- Made any threats?
- Psychiatric history?
- Drug/EtoH use?
4
Q
Firesetting
A
- Antecedents
- What happened before?
- Feeling tense? Did something upset you?
- Planned or impulsive?
- Behaviour
- How was fire set?
- Use of fuel?
- How did it progress?
- Did you alert anyone?
- How did it end?
- Consequences
- Feelings of relief?
- Feelings of arousal?
- Concern over consequences for self/others?
- What did you think would happen?
- Feelings now?
- History of firesetting?
- When started?
- Biggest fire?
- Previously in trouble?
- History of trauma?
- Past psychiatric history?
- Mood recently?
- Hearing voices?
- Current stressors?
- Drug/EtOH use?
- Forensic/police history?
- Ever been in trouble with the police before?
- Risk?
- Desire to end life?
- Plans to set further fires again?
5
Q
Child Sexual Offence - Incident History
A
- Before starting - calrify confidentiality unless risk but will inform if breaking
- Antecedent?
- Relationship to victim?
- Behaviour?
- Where?
- Step by step - what happened?
- What where their intentions?
- How did the victim respond? Did they become upset?
- How did it end?
- Aroused? Masurbated during or after?
- Consequences?
- Feelings now?
- Regret?
- Plans?
6
Q
PTSD
A
- History of traumatic event
- Intrusion Symptoms
- Flashback memories
- Nightmares?
- Avoidance of reminders
- People/places/activities?
- Difficulty discussing event?
- Arousal
- More irritable/on edge?
- Feeling tense?
- Difficulty sleeping?
- Poor concentration?
- Affective flattening
- Low mood?
- Less emotion?
- Screen for suicidality
- Screen for drug/EToH use
7
Q
Alcohol Abuse
A
- How much consumed per day?
- What?
- When during day?
- Difficulty controlling consumption?
- Craving for alcohol?
- Increasing amounts for same effect?
- Impact on
- Work
- Relationships
- Health
- Functioning
- Finances?
- Who is at home?
- Trouble with the police?
- Driving?
8
Q
Conversion Disorder
A
- ABC of symptoms
- When did they start?
- Patients beliefs about cause?
- Specific idea?
- Stressors?
- Work?
- Relationships?
- Other?
- Gains from being ill?
- Feelings about illness?
- Future hopes?
9
Q
Conduct Disorder
A
- Defiance
- Argumentative?
- Violates rules?
- Truancy/staying out?
- Aggression
- Getting into fights?
- Violence towards others?
- Sexually coercive?
- Cruelty to others/animals?
- Property
- Stealing?
- Vandalism?
- Situation at home?
- Onset?
10
Q
OCD
A
- Obsessive thoughts
- Recurrent? How much time spent thinking about?
- Intrusive in nature?
- From self or external?
- Able to resist?
- Impact on life?
- Compulsions?
- Repetitive behaviours?
- Mental rituals?
- Relieve of anxiety? What happens if ignores?
- Impact on life?
- Lucky numbers?
- Need for symmetry?
- Hoarding?
11
Q
Tics
A
- Motor + Vocal
- Onset?
- Frequency?
- Severity?
- Simple or complex?
- Vocal - noise vs words
- Motor - movement vs whole gesture
- Triggers?
- Offensive?
- Funny feeling before? (aura)
- Able to suppress?
- Impact?
- Bullying? - risk
12
Q
ADHD
A
- Attention
- Difficulty paying attention?
- Careless mistakes?
- Forgetful?
- Gives up easily?
- Disorganised?
- Hyperactive
- Difficulty sitting still?
- Sit through a class/movie/meal?
- Fidgety?
- Prone to interrupting?
- Sleep?
- Difficulty sitting still?
- Impulsivity
- Risky behaviours:
- Dangerous activities
- Drugs
- Sex
- Bullying
- Risky behaviours:
- Impact?
13
Q
Anxiety
A
- Trigger?
- Situations?
- Outside? - need to escape?
- Social? - fear of judgement? fear of vomiting/micturation?
- Specific phobias
- Autonomic symptoms?
- Avoidance?
- All the time or discrete?
- Panic attacks = 30-60 mins with no trigger - associated with sense of impending doom
- Impact on life?
- Screen for low mood/sucidality/substance misuse
14
Q
Eating Disorders
A
- How do you feel about current weight?
- Are you trying to lose weight?
- Do you have a target weight?
- Current rules/methods to achieve?
- Restriction
- Vomiting
- Laxatives
- Exercise
- Do you ever lose control and binge? How often? On what?
- How do you cope with social eating?
- How is your physical health at the moment?
- Physical problems:
- Low libido
- Dizziness
- Weakness
- Oligomenorrhea
- Digestive problems
- Sensitivity to cold
- Impact on education, career, relationships?
- What do your friends/family think?
15
Q
Autism
A
- Social
- Eye contact?
- Reciprocal affection?
- Friends?
- Plays games?
- Language
- Delays in language development?
- Repeats things?
- Restrictive/repetitive behaviours
- Unusual interests?
- Fixation on certain toys
- Imaginative play?
- Repetitive movements?
- Difficulty with routine changes?
- Sensitivity to things?
- Sensory seeking?
- Age of onset of symptoms?
- Pregnancy/birth complications?
- Developmental milestones?
- History of seizures?
- Hearing and vision okay?
- Self-harming behaviours/aggression?
16
Q
Child Sexual Offence - Past and Risk History
A
- Relationship history?
- Sexual history?
- Age of first sexual experience?
- First relationship?
- Attracted to children?
- Fantasise about children?
- Watch child pornography?
- Forensic history/trouble with police?
- Has anything like this happened before?
- Have you been in trouble with the police before?
- Have you had any charges related to sexual offences that were later dropped.
- Past psychiatric history?
- Have you ever been treated for a mental health problem in the past
- Risk:
- Occupation?
- Who is at home? Any children?
- Other contact with children?
- Thoughts about doing something similar again? How likely?
- Why do you think people are concerned about what happened?
- Thoughts of harming self/others?
- Drugs/EToH
17
Q
Hypochondriasis History
A
- History of medical complaint:
- SOCRATES
- Exacerbating and relieving factors?
- What was going on when symptoms started - any major stress?
- What tests have you had so far?
- SOCRATES
- Extent of belief?
- How convinced are you that its X?
- Could it be something else?
- How do you explain the negative tests?
- Could there be another explanation for what you are experiencing?
- Differential
- Are you concerned you have other illnesses?
- How has your mood been recently
- Are you a very anxious person?
- Impact on life - relationships, work, functioning?
- Past medical history?
- Did you have any illnesses as a child?
- Risk:
- Thoughts of harming self?
- Plans now results are negative
