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Chapter: Medicine Study Notes : Psychological Medicine

History Taking in Anxiety Disorders

Introductory Questions: o Are there currently things in your life that are causing distress/worry? o Are there things that have happened in the past that you can‟t stop thinking about?

History Taking in Anxiety Disorders

 

·        Introductory Questions:

o   Are there currently things in your life that are causing distress/worry?

o   Are there things that have happened in the past that you can‟t stop thinking about?

o   How is your general health?

o   Any one else in your family had similar problems? 

o   Most anxiety is part of a mixed anxiety/depression ® importance of full psychiatric assessment


·        General Anxiety 

o   Would you describe yourself as a worrier? Do you worry about things that others don‟t worry about?

o   Do you sometimes make mountains out of molehills?

o   Do you every find it hard to make decisions?


·        Panic

o   Have you ever felt your heart pounding, felt frightened/afraid – what do you think was the cause?

o   Ever felt like a disaster was about to happen to you?

o   Do they occur when other people wouldn‟t feel afraid?

o   Do you avoid going out?


·        Phobias/Avoidance: 

o   Is there anything you would avoid if you could? What happens if you are unexpectedly faced with that object/situation? 

o   Do you have worries/fears that prevent you from doing things you would like – or that others can do without difficulty?

o   Are you only worried if others will see you?

o   Are you worried/anxious in other settings?


·        Obsessions and Compulsions: 

o   Obsessive thoughts: Any thoughts that keep coming repeatedly into mind, even when you‟re trying to get rid of them?

o   Compulsive rituals:

§  Do you ever have to repeat actions over and over which most people would only do once?

§  Do you ever find yourself having to do things over and over again to get them just right? 

§  Do you find yourself spending a lot of time doing things like cleaning or checking that everything is safe?

§  What happens if you are interrupted when doing these things?


·        Trauma:

o   Do you still have recurrent memories of an upsetting event?

o   Do you have nightmares, have trouble sleeping, or feel jumpy?

o   Are there things that remind you of the event?  Do you avoid these?


·        How has the trauma changed the way you feel about the future, about what you enjoy?

 


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