Psychiatric history taking

Question 1

What are the parts of psychiatric history?

Answer 1

1. Background info
2. Presenting complaint
3. History of presenting complaint
4. Past psychiatric history
5. Past medical history
6. Family history
7. Personal history
8. Forensic history
9. Premorbid personality
10. Social history

Question 2

What comes after background info in psychiatric history?

Answer 2

Presenting complaint

Question 3

What comes after presenting complaint in psychiatric history?

Answer 3

History of presenting complaint

Question 4

What comes after history of presenting complaint in psychiatric history?

Answer 4

Past psychiatric history

Question 5

What comes after past psychiatric history in psychiatric history?

Answer 5

Past medical history

Question 6

What comes after past medical history in psychiatric history?

Answer 6

Family history

Question 7

What comes after family history in psychiatric history?

Answer 7

Personal history

Question 8

What comes after personal history in psychiatric history?

Answer 8

Forensic history

Question 9

What comes after forensic history in psychiatric history?

Answer 9

Premorbid personality

Question 10

What comes after premorbid personality in psychiatric history?

Answer 10

Social history

Question 11

What are the elements of background info?

Answer 11

Name
Age
Sex
Ethnicity
Whether voluntary or under mental health act

Question 12

What are the elements of presenting complaint?

Answer 12

What led you to coming to hospital?

Have you been having problems recently, can you tell me about them?

Question 13

What are the elements of history of presenting complaint?

Answer 13

Nature
Onset
Triggers
Exacerbating + relieving factors
Progression pattern (improving or worsening, intermittent or continuous)
Associated symptoms
Disability (effect on life)
Is there anything else you think I should know?

Question 14

What comes after nature in history of presenting complaint?

Answer 14

Onset

Question 15

What comes after onset in history of presenting complaint?

Answer 15

Triggers

Question 16

What comes after triggers in history of presenting complaint?

Answer 16

Exacerbating + relieving factors

Question 17

What comes after exacerbating + relieving factors in history of presenting complaint?

Answer 17

Progression pattern

Question 18

What comes after progression pattern in history of presenting complaint?

Answer 18

Associated symptoms

Question 19

What comes after associated symptoms in history of presenting complaint?

Answer 19

Disability

Question 20

What comes after disability in history of presenting complaint?

Answer 20

Is there anything else you think I should know?

Question 21

What are the elements of past psychiatric history?

Answer 21

1. Has anything like this happened before?
   
   • when
   • duration
   • hospital admission
   • under MHA
   • self-harm
   • suicide attempt
   • violence
2. Have you had any stress related to mental health problems before?

Question 22

What are the elements of family history?

Answer 22

mental health problems in relatives
physical illness
age at death and cause of death in deceased relatives

Question 23

What are the elements of personal history?

Answer 23

Birth
Family
Education
Occupation
Relationships
Substance misuse

Question 24

What comes after birth in personal history?

Answer 24

Family

Question 25

What comes after family in personal history?

Answer 25

Education

Question 26

What comes after education in personal history?

Answer 26

Occupation

Question 27

What comes after occupation in personal history?

Answer 27

Relationships

Question 28

What comes after relationships in personal history?

Answer 28

Substance misuse

Question 29

In personal history, what are the elements of "birth"?

Answer 29

maternal problems during pregnancy problems at birth learning to walk and talk at normal ages

Question 30

In personal history, what are the elements of "family"?

Answer 30

what growing up with the family was like what were parents like, how did you get on with them overall, was early childhood happy or difficult time

Question 31

In personal history, what are the elements of "education"?

Answer 31

``` what was school like problems at school what were friendships at school like bullying, other traumatic events performance compared to peers ```

Question 32

In personal history, what are the elements of "relationships"?

Answer 32

are you in a relationship quality of relationship number of marriages

Question 33

What are the elements of forensic history?

Answer 33

trouble with police | doing something illegal without getting caught

Question 34

What are the elements of premorbid personality?

Answer 34

Before all this happened, what kind of person were you? How would your friends describe you? How do you cope under pressure? Do you have any strong religious or moral views?

Question 35

What are the elements of social history?

Answer 35

Source of income Place of residence Interests