Introduction to Psychiatric Interview Flashcards
what are predisposing factors?
biological: birth trauma
psychological: abusive family
social: moving between care homes
what are precipitating factors?
what happened recently to cause this
biological: drug use
psychological: loss of marriage/job
social: homelessness
what are perpetuating factors?
maintaining illness in person (e.g. ongoing homelessness/drug use)
what are the features of psychiatric interview?
Presenting complaint History of presenting complaint Past psychiatric history Past medical history Current medication/ drug history Family history Personal and social history Substance use history (drugs/alcohol) Pre morbid personality Forensic History
what is in the mental state examination?
Appearance and behaviour Speech Mood – what person said vs what observed Thoughts – structure, flow, sense? Perceptions – hearing/seeing things? Cognition Insight
three factors of thought
- thought form
- thought content
- thought possession
what does thought form mean?
stream of thought and continuity
thought form: stream of thought
tempo, continuity flight of ideas
types of thought content
- delusions
- obsessions
- over-valued
- pre-occupations
- suicidal
thought possession
- thought insertion
- thought withdrawal
- thought broadcasting
- thought blocking
mood
overall state of a person
a mood
sustained emotional state
perceptual abnormalities
- hallucinations
- illusions
- depersonalisation
- derealisation
types of hallucinations
auditory, visual, olfactory, tactile and gustatory
