Psychiatric history Flashcards
1
Q
What would you ask about in HPC as part of a pschiatric history?
A
- Timeframes + symptom specific history
- Psych systemd review
2
Q
What would you ask as part of a psychiatric systems review?
A
- Psychosis screen - 3rd person auditory hallucinations, running commentary, delusions of thought/control/perception
- Depression screen
- Other - memory loss, anxiety, insight
- RISK - to self and other
3
Q
What would you ask about in the past medical history in a pscyhiatric history?
A
- Past psych history - diagnosis, first and last episode, how many episodes, admissions, previous self harm/suicide, mental health worker
- PMH
4
Q
What would you want to ask about in drug history which is of particular importance in a psych history?
A
Drug compliance
5
Q
What would you ask about in social history as part of a psych history?
A
- Alcohol and drug use
- Social circumstances
- Forensic history
- Personal upbringing history
- Pre-morbid personality
6
Q
What would you ask about social circumstances as part of a psychiatric history?
A
- Current situation
- Relationships
- Dependants/contact with children
- Home - support
- Finances - benefits, debts
- Education/work
- Coping with ADLs
7
Q
What should you ask in addition to a normal history in a psychiatric history?
A
MSE should be conducted throughout
- Psych systems review
- Psych history
- Forensic history
- Drug compliance
- Extended social history
- RISK!!!
8
Q
What are the components tot he MSE?
A
- Appearence/Behaviour
- Mood
- Speech
- Thoughts
- Abnormal Beliefs
- Abnormal Perceptions
- Suicide/Homicide
- Cognitive Function
- Insight
