Comprehensive Psychiatric Assessment, Biopsychosocial Model, DSM-5 Diagnostic Criteria, Suicidal Risk Evaluation, Mental Status Exam, Sensorium, Affect, Thought Content and Process, Delusions, Flight of Ideas, Cognitive Functioning, Insight, Judgement, Mi

Comprehensive Psychiatric Assessment, Biopsychosocial Model, DSM-5 Diagnostic Criteria, Suicidal Risk Evaluation, Mental Status Exam, Sensorium, Affect, Thought Content and Process, Delusions, Flight of Ideas, Cognitive Functioning, Insight, Judgement, Mini-Mental State Examination, MOCA, Mini-Cog, Psychosis Screening, Patient Safety, Crisis Intervention, Risk Management Questions Verified and Complete with A+ Graded Rationales LATEST UPDATED 2026 The Biopsychosocial Model • Used in psychiatry to capture the complexities of patient assessment and needs • Mirrors our Osteopathic underpinnings of mind, body and spirit DSM 5 -Summarizes characteristic syndromes of signs and symptoms that point to an underlying disorder -contains list of disorders, subtypes, specifiers, and diagnostic codes -has inclusion and exclusion criteria -contains ICD 9 and ICD 10 codes • Have you ever felt that life was not worth living? • Have you ever felt that you would be better off dead? • Have things ever gotten to the point where you've thought about harming yourself? • How likely are you to act on those thoughts in the future? • What has stopped you from acting on those thoughts? • Do you feel like you have any reasons to live? • Are there things that would make you more likely to harm yourself? What are some questions that you should ask a suicidal patient? SAFETY What is the number one priority when interviewing a suicidal patient? 1. Be aware of body language such as "clenched fists" and "posturing" as well verbal threats" 2. The prodromal phase lasts 30-60 minutes before erupting into violence 3. Interview in a quiet, non-stimulating environment without a barrier for you to exit 4. Do not stand over the patient 5. Avoid bargaining such as "if you talk to me, I will let you go" 6. Have public safety/security available to intervene if needed 7. Safety is first priority and document situation What are some ways to promote your safety in a pt that may have aggression or potentially be violent? Direct and Simple Questions In a pt with psychosis, what type of questions should you ask? Persecutory Delusions What type of delusions are most common? Mental Status Exam • Integral part of a complete physical exam • Various parts of PE may be expanded or contracted • Observation and examination of brain functioning • Meaningful only within the context of the rest of the physical exam Mental Status Exam Assesses: • Appearance • Behavior • Speech • Mood • Affect • Thought content • Thought process • Perception • Memory and Cognition • Insight • Judgement Sensorium With decreased ______________, a patient may be unable to sustain attention and/or the eyes may be closed -Alert -Drowsy -Lethargic -Somnolent -Stupor -Coma What are some terms used to describe a pt's sensorium? Orientation • (x1) Person • (x2) Place • (x3) Time (year, month, day) • (x4) Situation Pressured Speech Urgency, difficult to interrupt, may not pause in usual places, may be too rapid, jumbled to understand Affect Expression of mood or what mood appears to be to the clinician • Normal, full range • Constricted/restricted • Blunted • Flat(absence or near absence of any range) • Labile What are some terms to describe a pt's affect in terms of range? -Euthymic -Bright -Depressed -Dysphoric -Dysthymic -Tearful -Irritable -Angry -Euphoric What are some terms to describe a pt's affect in terms of quality? -What is the range?