Psychiatric History Taking and MSE Flashcards
what are the 3 components of a psychiatric history
collection of clinical data
intuitive understanding of the patient as an individual
what is important in the setting
privacy avoid interruptions informal avoid barriers person space interviewer should have access to the exit
what is important in the introduction
greet and introduce purpose of interview likely duration note taking confidentiality
what are important skills
eye contact relaxed non threatening posture facilitative noises don't offer advice too early clarification and summary
how to start the interview
with an open question
allows time to think and plan
how to approach the PC
record each in their own word
list main ones
how to approach HPC
clarify each one in turn onset severity associated symptoms better or worse any treatment how it began explore psychotic symptoms
how to approach past psychiatric history
past episodes previous treatment previous admissions attempted suicide previous detentions under mental health
how to approach PMH
developmental problems head injuries endocrine abnormalities GP suregry chronic conditions
how to approach drugs and medication
ask about tablets and injections medications any drug discontinues how long medication and what is does adverse reactions allegries
how to approach family history
parents sibling grandparents
age
employment
quality of realtonshops
how to approach social history
occupation finances smoking alcohol-pattern, amount relationship children
how to approach personal hisotry
milestones early life birth school hoobies
how to approach forensic histroy
contact with the police
charged with any crime
how to approach pre morbid personaility
how would your family and friends describe you as a person
what is In MSE
AB SEPTIC R appearnce behaviour speech emotion perceptions thoughts insight cognition risk
what is included in appearance
height build clothing hygiene make up evidence of intoxication
what is included in behaviour
greeting
non verbal cues
abnormal movements
cooperation
what is included in speech
volume rate rhythm tone spontaneity
what’s included in emotion
mood
affect
effect
what’s included in perceptions
illusions
hallucination
what’s included in thoughts
phobias obsessions flight of ideas delusions interference with thoughts broadcasting processing of thoughts grandiose ideas
what’s included in insights
are the symptoms due to an illness
do they think they are ill
what’s included in cognition
orientation in place, time and person attention concentration memory MOCHA MMSE
