History taking/MSE lecture week 1 Flashcards
What makes up the clinical interview?
What are the basic stages of the clinical interview (process ofinterview)
How do you explore a MH patients complaints? (components of a psychiatric history
Medical vs patients perspective(illness)
Why are the components important? (e.g compontnets of hx in timeline) how does it form together?
What basic information is needed to begin the consultation
? (legal information) e.g name/dob/marital status/
What do you gain from Presenting complaint?
What do you need to cover in History of presenting complaint? (e.g ask specific to most likely diagnosis, SOCRATES- plus rule in/out differentials)
–> focus on (precipitating, aggravating, relieving factors!! (5 p’s ) aka, biopsychosocial
What do you need to ask in ersonal history? (most important/detailed)
plus any association with past or present psychiatric presentations
What is important aspect to ask in social history?
What about past medical history/allergies/medication?
What do we need to get in past pyschiatric history?
What do we need to ask in Substance misuse history?
What do we need to aks and obtain in forsenic history?
What do you need to ask when evaluating Pre-morbid personality?
What do we need to do when asking about family history? What information
When formulating MSE, how do we comment on appearance?
How do we describe behaviour on MSE?
How do we describe speech on MSE?
How do we evaluate mood on MSE?
What do we need to ask when evaluating sleep and appetite? Ask about energy levels here too.
How do we evaulate ‘Stream of thought’ -? e.g speed of thought?
How do we evaulate thought? 1) Thought content?
How do we describe form of thought? (thought form)
How do we describe/evaluate thought possesion/ownership? (important in schizophrenia/psychosis)
How do we evaluate a patient “perception on MSE’?
How do we assess/ evaluate cognition on MSE?
How do we assess insight when conducting MSE?
How do we assess a patient mental capcity? what are the 4 main areas you need to evaluate?
How to evaulate Risk on MSE?
History of abuse/crime/suicide/homicidal/self-harm/self-neglect
DOCUMENT ALL RISKS VERY CLEARLY
How do we determine a differential diagnosis from MSE - What should we list? What else should we consider when making ddx?
How do we outline - or form a case formulation?
How can we describe this?? (BIOpsychosocial- 5 Ps, Predisposing, presenting factors, precipitating, perpetuating, protective factors
Outline a case formulation with 5P’s using biopsychosocial model -
