The Psychiatric Interview Flashcards
what is the major difference b/w other patient interviews and the psychiatric interview. This is psychiatry’s equivalent of the PE.
Mental Status Exam
what can give you a key to the severity of a condition
hospitalization history
This is where you ask screening questions to find out if there are other psychiatric diagnoses to consider and treat.
PROS (psychiatric review of systems)
what family history is particularly important
History of completed suicides
History of substance abuse
what is the Bio-psycho-social format
Bio- age, sex, diagnoses, med conditions
Psycho- Personality, defenses, issues w/ trust, control self-esteem
social- social, family community
Classifies psychiatric illnesses according to a criteria-based diagnostic approach, requiring the following 3 conditions to be met:
Disorder isn’t caused by the direct effects of any drug
Disorder isn’t caused by the effects of a medical condition
There is significant impairment of social functioning, occupational functioning, or both
Diagnostic and Statistical Manual of Mental Disorders (DSM)
what is axis I
mental illness diagnosis
what is Axis II
personality disorder
mental retardation
What is Axis III
medical diagnoses
what is Axis IV
social stressors
what is Axis V
global level of functioning (between 0-100)
20= severe impairment, needs hospitalization
45-65= outpatient
Rate, rhythm, volume, amount, articulation
speech
Observations by the examiner about how the patient is feeling
Full range, labile, inappropriate, decreased range, sad, happy, etc.
affect
sustained emotion that the patient is feeling”
Is described by the patient
Depressed, OK, elated, etc.
mood
what thoughts should you always ask a patient about
suicidal or homicidal ideation
what do you Measure by serial 7s or serial 3s or “world” spelled backwards
attention/ concentration
Estimation of below/average/above intellect
Test by general fund of knowledge, language used, proverbs, concentration tests, memory tests
cognitive function
Awareness of his/her illness and need for treatment
insight
Poor, good
Test by “What would you do if there were a fire in the movie theatre?”
judgment
A screening instrument used
to identify patients with cognitive problems
To follow the progress of patients with cognitive problems
Often used to screen for dementia
Mini Mental Status Exam (MMSE)
what score on MMSE indicates cognitive impairment
Score <23 (out of 30 total)
what are the 5 areas where the MMSE tests cognitive function
Orientation Registration Attention and calculation Recall Language
