Psych Hx Examples

Question 1

OCD chief complaint + DSM CRITERIA

Answer 1

وسواس

Question 2

SUICIDE HX

Answer 2

IF MDD USUALLY PLANNED, REAL ATTEMPT
Borderline impulsive, for attention
Mania impulsive

Question 3

Pt referred from medical ward due to dizziness fatigue and passing away (severe weight loss) (eating disorder)
Ask Hx!

Answer 3

Comprehensive details about their eating behaviors, weight changes, psychological state, and any comorbid psychiatric conditions.
ID
WHY DID U COME? (Referred/ involuntary/ by them self)
Refered from general Hx bc was admitted for Px…
Were these symptoms sudden? Since when? First time? What did they tell you there? They told you what they think the cause is?
History of Present Complaint (HPC)

1.	Weight and Eating Patterns: How much is ur wt
•	When did you first start noticing changes in your eating habits?
•	Have you been trying to lose weight intentionally?
•	How much weight have you lost, and over what period?
•	What is your current weight and height?
•	What do you typically eat in a day? Do u avoid specific foods? How much is ur calorie intake
•	Do you avoid certain foods? If yes, which ones and why?
•	Do you feel guilty or anxious after eating?
2.	Body Image and Beliefs:
•	How do you feel about your body and weight?
•	Do you think you are overweight even when others say you are not?
•	Do you check your weight frequently or avoid mirrors?
•	Do you engage in excessive exercise to control weight?
3.	Purging Behaviors (if applicable):
•	Do you make yourself vomit after eating?
•	Do you use laxatives, diuretics, or diet pills?
•	Have you ever engaged in fasting or extreme calorie restriction?
4.	Menstrual and Physical Symptoms (in females):
•	Have you experienced any changes in your menstrual cycle?
•	Have you noticed feeling cold more often, dizziness, hair loss, or fatigue?
5.	Social and Functional Impact:
•	Has your eating behavior affected your social life or relationships?
•	Has it impacted your work, studies, or daily activities?

⸻

Psychiatric History
1. Mood and Anxiety Symptoms:
• Do you feel sad, hopeless, or have lost interest in things you used to enjoy?
• Do you experience excessive worry, anxiety, or obsessive thoughts?
• Have you had thoughts of harming yourself or suicide?
2. Obsessive-Compulsive Traits:
• Do you feel a strong need to control things, like food, routines, or numbers?
• Do you have rituals related to eating or food preparation?
3. History of Trauma or Stressors:
• Have you experienced any significant life changes or stressors before your symptoms started?
• Have you ever experienced bullying, abuse, or pressure related to your weight or appearance?
4. Past Psychiatric Illness:
• Have you been diagnosed with any mental health conditions before?
• Have you had treatment (therapy, medications) for any psychological issues?
5. Substance Use:
• Do you use alcohol, cigarettes, or drugs?
• Have you ever used substances to control your weight?
6. Family Psychiatric History:
• Does anyone in your family have a history of eating disorders, depression, anxiety, or OCD?
Hx of losing a friend and (father due to obesity) before problem started
Low mood since a year

DDx
anorexia nervosa.
Adjustment disorder
MDD