Psych history taking

Question 1

give structure

Answer 1

Basic info, Presenting, Past psych, past medical, drug and allergies history, social, self harm, childhood, pre-morbid personality

Question 2

Mental state exam parts

Answer 2

ASEPTIC
Appearance and behaviour
Speech
Emotion - subjective, objective. Affect 
Thought - form and content, suicidal ideation, delusions
Perception - hallucinations, illusions, pseudohallucinations
Insight
Cognition - MMSE

Question 3

give terms to describe different affects and when it is seen

Answer 3

euthymic - normal
flat - depressed
blunted - schizophrenia
inappropriate - mania

Question 4

what si the form and content of thought?

Answer 4

form - type of abnormal thought eg delusion

content - interpretation of type of thought abnormality e.g. grandiose.

Question 5

what are delusions of thought control?

Answer 5

thought insertion/withdrawal/broadcasting

Question 6

what questions do you ask to display insight?

Answer 6

presence of illness, need for treatment, usefulness of that treatment

Question 7

How would you perform a cognitive assessment?

Answer 7

GOAL CRAMP
General - consciousness and level of alertness
Orientation - time, place, identity
Attention and Conc
Language - test fluency and comprehension
Calculation - simple arithmetic
Right hemisphere function - hand eye coord, visiospatial
Abstraction - proverbs
Memory - new learning, recall, and recognition
Praxis - copying and drawing

Question 8

what is apraxia

Answer 8

inability to do volitional acts even though sensory and motor systems intact

Question 9

what is gnosis

Answer 9

ability to make sense of sensory informaiton

Question 10

what is agnosia

Answer 10

inability to understand significance of sensory stimuli even though pathways intact