W2) 5) The Psychiatric Diagnosis Flashcards
What is the most important part for a diagnosis for a Psychiatrist?
Physical examination: Neglect, if a patient isn’t eating/ drinking, to exclude organic causes, dementia.
Eg. someone with no history coming in with psychosis = need a head CT to rule out organic causes.
What would you do a psychiatric history?
Eg. Sweaty patient - hypothyroidism issues.
What is covered in an MSE?
Hygeine, eye contact, their mood, engaging in conversation, volume, fast/low speak.
Affect = what you can infer from seeing the person.
What do you look at when making a diagnosis?
Risk assessment: important to find if they are a threat to themselves or others.
Why is the diagnosis important?
- Helps people get access to benefits and facilities
- Gives hope for patients.
Follows biopsychosocial model.
What are the potential social benefits?
What is the concept of ‘labelling’?
What is a formulation?
Before a diagnosis, you would write a formulation.
Precipitation = current factors that might cause the issue now?
Perpetuating = what will cause the problem to keep going
Protective factor = social support, network for support.
What happens at a diagnosis?
What did Kraepelin’s system for diagnosing a psychiatric disorders include?
2 main groups of severe mental disease.
1) Maniac disease of psychosis (biopolar)
2) Dementia praecox (schizophrenia)
Systematic classification of psychotic diagnosis…
What were the 3 new classifications?
What is the current psychiatric diagnostic hierachy?
What do all coding systems currently contain?
Developmental disorder: Eg. Autism and ADHD
What are the ICD 10 and DSM IV?
In NHS, uses ICD 10
What do we do in modern day practice?
What are the examples of differential diagnosis?
What are the steps in a psychiatric assessment?
Then you can do a management plan?
Protective factor: Keeping her job
What about the differential diagnosis?
What is the conclusion?
