Psychiatric assessment Flashcards
Components of psychiatric assessment
Objectives
Introduction method in pshychiatric interview
Psychiatric history
Socio-demographic information
Psychiatric history
HPI
Psychiatric history
Risk assessment
Psychiatric history
Past psychiatric history and medical history
Psychiatric history
Family history
Psychiatric history
Personal hisotry
Psychiatric history
Premorbid personality
Mental state examination
Components
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
Mental state exam
Exam general appearance
MSE
Movement and behavior examination
MSE
Speech assessment
MSE
Mood, affect, thought exam
MSE
Thought exam
MSE
Perception exam
MSE
Sensorium and cognition exam
MSE
Insight assessment
MSE
Physical exam and typical Ix
Psychiatric case formulation
Function
Components
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
