Psych History

Question 1

Presenting complaint

Answer 1

What symptoms brought them in
Voluntarily or detained?
Who prompted consultation i.e. family or friends

Question 2

HPC

Answer 2

Triggers for sx

Psych SE

• psychosis screen - 3rd person auditory hallucinations, running commentary auditory hallucinations, delusions of thought / control / perception
• depression screen - core, bio and future
• other - memory, anxiety, insight
• RISK - others and self

Question 3

Past history

Answer 3

Past psych hx

• diagnoses
• first and last episodes
• how many episodes and admissions (?voluntary)
• previous self-harm / suicide attempts
• mental health worker / care co-ordinator

PMH

Question 4

Drug hx

Answer 4

as usual but check compliance

Question 5

FH

Answer 5

FH of psych and suicide

Question 6

SH

Answer 6

Alcohol and drugs
Social 
- relationship
- dependents and children
- home (support, home state)
- finances (benefits and debts)
- education/work
- coping with ADLs

Forensic hx

Childhood - any abuse

Pre-morbid personality