Psychosis Hx/PEx

Question 1

Key aspects of the Hx:

Answer 1

1. Positive symptoms: delusions—hallucinations—disorganized thoughts/behavior.
2. Negative symptoms: blunted affect—social withdrawal—decreased motivation—decreased speech/thought.
3. Cognitive symptoms: disorganized speech or thought patterns—paranoia.
4. Age at first symptoms and/or hospitalization. Previous psychiatric medications. Alcohol and substance use.

Question 2

PEx:

Answer 2

1. MMSE.

2. During PEx, pay particular attention to GENERAL APPEARANCE (eg poor grooming, odd or poorly fitting clothing).