Psychiatry History Flashcards
What must be asked in every psych history?
Define in own words
Past Psych History (previous diagnoses, admissions, meds, CMHT/Home treatment)
Premorbid Personality (Do you have many friends, How would friends describe you?)
Forensic History (Convictions, current court cases)
Medication including side effects and thoughts regarding them
Family history of mental health conditions
Personal history (Birth, childhood, trauma? Education, job, relationships, accommodation, children)
Assess risk
What must be asked in every psych history?
Define in own words Past Psych History Premorbid Personality Forensic History Medication including side effects and thoughts Personal history Assess risk
Which investigations are useful to mention in every Psych station?
Collateral History
What would you cover in the personal history section of a psych history?
Family Early experiences School Friendships Qualifications/Education Employment Psychosexual history
How would you assess intrusive thoughts?
How is it affecting your life?
How do you satisfy the thoughts?
Do you try to resist them?
Do you think these thoughts are reasonable?
Do you feel the needed to check things repeatedly to make these thoughts go away?
Do you feel the need to collect or keep lots of items that mothers may consider to be of no use?
How would you assess depression?
Core symptoms
Biological symptoms (sleep, appetite, libido, concentration)
Becks triad (feelings towards self, future, world)
Mania symptoms (lots of energy, lack of sleep, productive)
Assess for anxiety
Check for self harm, suicide risk
How would you approach a suicide station?
Describe the incident specifically, including method and reasons why
Did you try to avoid being found?
Did you write a note?
Do you regret it?
What made you think you needed to end your life?
Did you make arrangements for after your death?
Would you do it again?
Did you think you would die?
What does the future look like?
How would you approach a suicide station?
Describe the incident specifically, including method
Did you avoid
How would you approach an anxiety station?
Physical symptoms (impending doom, palpitations, sweating, dizzy)
Does anything cause you to feel this way?
Do you ever feel detached from reality, or like you’re living in a dream?
How do you feel in yourself when this happens?
How often? How long does it last?
Do you get startled easily?
How would you approach a panic disorder station?
When did they start, how long do they last, how often do they occur?
What brings them on? What do you do when you have one?
How are you between the attacks?
Do you avoid anything in your life to prevent them?
How would you approach a phobia station?
What triggers it?
Is it associated with blushing, vomiting or passing water?
How do you feel between attacks?
Do you feel anxious about the prospect of these attacks happening again?
How has it affected your life?
How would you assess thought disorders?
Can you think clearly? Are your thoughts jumbled up?
Can anyone else hear your thoughts?
Can anyone interfere with your thoughts?
How do you explain this? Why do you think this is happening?
How would you assess thought disorders?
Can you think clearly? Are your thoughts jumbled up?
Can anyone else hear your thoughts?
Can anyone interfere with your thoughts?
How would you assess Hallucinations?
What do they say?
Are they talking to you or about you?
How many voices are there? Are they the same every time?
Are they inside your head or coming from outside?
Commentary? Ask you to do things?
Do you listen to them?
Can you stop them?
How do they make you feel?
Check Visual/Olfactory/Tastes/Somatic
How would you assess PTSD?
Ask about event (if comfortable)
Hyperarousal, Reliving the experience, Avoidance?
Sleep/Appetite/Effect on life
Able to experience emotions like before?
Depressive symptoms?
Dreams?
Amnesia?
