History-taking

Question 1

Depression

Answer 1

• Depressed mood
• Anhedonia
• Weight loss
• Insomnia or hypersomnia
• Psychomotor agitation or retardation
• Fatigue or loss of energy
• Feelings of worthlessness or
  excessive guilt
• Diminished concentration
• Suicidal thought

Question 2

Mania

Answer 2

• Inflated self-esteem or grandiosity
• Decreased need for sleep
• More talkative or pressured speech
• Flight of ideas or racing thoughts
• Distractibility
• Increase in goal-directed activity or
  psychomotor agitation
• Excessive involvement in activities
  that have a high risk of negative consequences - (spending sprees, sexual indiscretions, or foolish business investments)

Question 3

Anxiety

Answer 3

• Restless or feeling on edge
• Muscle tension
• Sleep disturbance
• Being easily fatigued
• Difficulty concentrating
• Irritability

Question 4

Panic attacks

Answer 4

• Palpitations
• Sweating
• Trembling
• SOB
• Feelings of choking
• Chest pain or discomfort
• Nausea
• Dizziness, light-headed
• Chills or heat sensations
• Paresthesias
• Derealization or depersonalization
• Fear of losing control or “going
  crazy. ”
• Fear of dying

Question 5

Psychotic symptoms elaboration

Answer 5

Ideas of reference, insertion or removal of thoughts

Question 6

Risk assessment

Answer 6

To self: self-harm, suicide, neglect 
To others: harm, neglect 
Absconding 
Ability and willingness to consent to treatment 
Insight

Question 7

SADPERSONS scale

Answer 7

Sex: male 
Age: <19 or >45
Depression/hopelessness 
Previous attempts or psychiatric care 
Excessive alcohol/drug use 
Rational thinking loss 
Separated/divorced/widowed
Organized/serious attempt 
No social supports 
Stated future intent 

if 6 or more need admission