Psychiatric history taking Flashcards

1
Q

What are the parts of psychiatric history?

A
  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
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2
Q

What comes after background info in psychiatric history?

A

Presenting complaint

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3
Q

What comes after presenting complaint in psychiatric history?

A

History of presenting complaint

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4
Q

What comes after history of presenting complaint in psychiatric history?

A

Past psychiatric history

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5
Q

What comes after past psychiatric history in psychiatric history?

A

Past medical history

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6
Q

What comes after past medical history in psychiatric history?

A

Family history

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7
Q

What comes after family history in psychiatric history?

A

Personal history

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8
Q

What comes after personal history in psychiatric history?

A

Forensic history

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9
Q

What comes after forensic history in psychiatric history?

A

Premorbid personality

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10
Q

What comes after premorbid personality in psychiatric history?

A

Social history

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11
Q

What are the elements of background info?

A
Name
Age
Sex
Ethnicity
Whether voluntary or under mental health act
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12
Q

What are the elements of presenting complaint?

A

What led you to coming to hospital?

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

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13
Q

What are the elements of history of presenting complaint?

A
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?
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14
Q

What comes after nature in history of presenting complaint?

A

Onset

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15
Q

What comes after onset in history of presenting complaint?

A

Triggers

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16
Q

What comes after triggers in history of presenting complaint?

A

Exacerbating + relieving factors

17
Q

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

A

Progression pattern

18
Q

What comes after progression pattern in history of presenting complaint?

A

Associated symptoms

19
Q

What comes after associated symptoms in history of presenting complaint?

A

Disability

20
Q

What comes after disability in history of presenting complaint?

A

Is there anything else you think I should know?

21
Q

What are the elements of past psychiatric history?

A
  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?
22
Q

What are the elements of family history?

A

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

23
Q

What are the elements of personal history?

A
Birth
Family
Education
Occupation
Relationships
Substance misuse
24
Q

What comes after birth in personal history?

A

Family

25
Q

What comes after family in personal history?

A

Education

26
Q

What comes after education in personal history?

A

Occupation

27
Q

What comes after occupation in personal history?

A

Relationships

28
Q

What comes after relationships in personal history?

A

Substance misuse

29
Q

In personal history, what are the elements of “birth”?

A

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

30
Q

In personal history, what are the elements of “family”?

A

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

31
Q

In personal history, what are the elements of “education”?

A
what was school like
problems at school
what were friendships at school like
bullying, other traumatic events
performance compared to peers
32
Q

In personal history, what are the elements of “relationships”?

A

are you in a relationship
quality of relationship
number of marriages

33
Q

What are the elements of forensic history?

A

trouble with police

doing something illegal without getting caught

34
Q

What are the elements of premorbid personality?

A

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?

35
Q

What are the elements of social history?

A

Source of income
Place of residence
Interests