Summary Psychiatric History and Examination

psychiatric history
INTRODUCTION
yourselfname role
Introduce

nameandDOB
patient's
confirm
Gainconsent Ask thepatientifthey'dbehappytotalkwith youabouttheircurrentissues

1 PRESENTINGCOMPLAINT
Determinesymptomswhichbroughtthe
patientin




2 HISTORY OF PRESENTING COMPLAINT


EEumutms Timeframes whenitstarted
gradualonset
acute
duration
progression
intermittentorcontinuous

CPgymmmunji
Depression ceremoodanhedonia
p tA sleepenergy
futureincrisk hopelessnesssuicidalthoughts
ottersHx ofmaniahypomania

Anxiety Tinaonsetdurationepisodicconstanttriggerseffectonlifefrequencyavoidance
somations chestsweatingdizziness
palpitationsbreathlessness tight

Associateopsyatoloatcaisoms depression
screen worryavoidance
stress
ps atrc r r N ao.ve s obsessionscompulsionsPTSD psychologicaltraumaflashbacksnightmareshyper
arousal
ORGANICDIFFERENTIALQUESTIONS hyperthyroidismAcs
camecoronarysyndrome


AuditoryHallucinations
voicedmaleIcemanrecognisealwayssamewhenetc
REA4
pseubo.in
outghead
EE3rd toyouaboutyoucomments
what
they
say includingcommands
Risktoselflothers
Associated
psychiatricsymptoms

Delusions chauangethe
delusion

Risk
toselflothers
Associated
psychiatric
symptoms

, Memoryloss short1
longterm
insights concerns
levelswashdress
functional

forgottenthings thatmayputpeopleatriskleggasstove
performMMSE




Eatingdisorder BMIweight height
Moms avoidanceofweightgain1needtoloseweightlookinamirroralotleHorbtoloseweightCvomitinglaxativesexercise
1
bingeeatingfasting
fooddarywhattheyeateachday
cycledisturbance
Resultsmensural
fellharm depressionsymptoms
Psychiatricsystemrerieivumut
SCHIZOPHRENIA
1stRANKSYMPTOMS L Auditoryhallucinations hearingthoughtsspokenaloud Thoughtecho
3rdpersonauditoryhallucinations
runningcommentaryauditoryhallucinations
2Thoughtwithdrawal delusionthatthoughtsweretakenoutofpatientsmind
3 Thoughtinsertion delusionthatanotherthinksthroughthepatient'smind
4 Thoughtbroadcasting beliefthatotherscanhearorareawareofyourthoughts
5 Somatichallucinations hallucinationinvolvingtheperception physicalexperiencewiththebody
egIfeelthemcrawlingonme
of
6Delusionalperception trueperceptiontowhichapatientattributes afalsemeaningegtrafficlight
turningred meansthemartiansareabouttoland
7Delusionsofcontrol afalsebeliefthatanotherpersonorgroupofpeopleorexternalforcecontrols
onesgeneralthoughtsimpulsesorbehaviours
DEPRESSIONSCREEN core moodanhedonia
biologicalsleepenergy
future hopelessnesssuicidalthoughts

OTHER lossanxietyinsight
memory
Risktoselforothers


3 PAST PSYCHIATRICHISTORY
Diagnosis
placeepisodeinhistorycontent
firstandlastepisodes
How
mayepisodes
Admissionsforcedorvoluntary
1
Treatmentreceivedreceiving




4 PAST MEDICAL MEDICATION HISTORY
anyillnesses
surgeriesoperations