Psychiatric assessment Flashcards

1
Q

Components of psychiatric assessment
Objectives

A
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2
Q

Introduction method in pshychiatric interview

A
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3
Q

Psychiatric history

Socio-demographic information

A
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4
Q

Psychiatric history

HPI

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5
Q

Psychiatric history

Risk assessment

A
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6
Q

Psychiatric history

Past psychiatric history and medical history

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7
Q

Psychiatric history

Family history

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8
Q

Psychiatric history

Personal hisotry

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9
Q

Psychiatric history

Premorbid personality

A
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10
Q

Mental state examination

Components

A

Appearance and behavior:
- Clothing
- Body build
- Skin lesions
- Posture
- Facial expression
- Movement: eye contact, psychomotor actibity, abnormal movement
- Social behavior

Speech:
- Rate, amount, flow, tone, volume, articulation, spontaneity
- Patterns: Mania, depressed, schizophrenic

Mood and affect:
- Nature of mood
- Range and congruity of affect

Thoughts:
- Delusion, overvalued ideas, obsessions, pre occupations
- Negative thoughts, suicidal ideation

Perception:
- Confirm hallucination
- Form, content, duration, frequency
- Impact: Emotional, behavioral, functional, cognitive

Sensorium and cognition:
- Alertness, consciousness
- Oritentation: time, place, person
- Memory
- Concentration and attention

Insight:
- Understanding of disease
- Understanding of treatment

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11
Q

Mental state exam

Exam general appearance

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12
Q

MSE

Movement and behavior examination

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13
Q

MSE

Speech assessment

A
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14
Q

MSE

Mood, affect, thought exam

A
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15
Q

MSE

Thought exam

A
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16
Q

MSE

Perception exam

A
17
Q

MSE

Sensorium and cognition exam

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18
Q

MSE

Insight assessment

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19
Q

MSE

Physical exam and typical Ix

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20
Q

Psychiatric case formulation

Function
Components

A

Formulation: integrated summary/understanding of a particular patient’s problems, including
□ Description of the patient
□ Diagnosis: provisional diagnosis and differential diagnosis
□ Aetiology: bio/psycho/social and predisposing/precipitating/perpetuating factors
□ Management: short/long term, bio/psycho/social
Prognosis