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Chapter: Medicine Study Notes : Psychological Medicine

Summary - Psychiatric History

Systematic enquiry: anxiety, mood, psychotic symptoms, suicidality, cognitive, neuro-physiological, alcohol and drug, stressors, medications, impulse-control screen

Psychiatric History

 

Summary

 

·        Reasons for referral

·        Presenting symptoms and duration

·        History of Current Illness, any medication and compliance with it 

·        Systematic enquiry: anxiety, mood, psychotic symptoms, suicidality, cognitive, neuro-physiological, alcohol and drug, stressors, medications, impulse-control screen

·        Past psychiatric history

·        Medical History

·        Family History

·        Personal history

·        Premorbid personality

·        Patient‟s attribution of illness 

·        Mental State: appearance and behaviour, speech, mood, affect, thought form, thought content, suicidal ideation, perceptual phenomena, cognition, intelligence, insight and judgement, rapport

·        Formulation

·        Diagnosis and Differential Diagnosis

·        Management Plan

·        Suicide Assessment:

o   Trying to assess nature of suicidal ideation and state of current plans

 

o   Predisposing factors: family history of suicide, psych illness, or alcohol & drug, personality, childhood and developmental difficulties, suicide exposure, other illness, environment (eg living alone, isolated), age and sex

 

o   Precipitating factors (short-term risk factors): major/stressful life event, current mood, thoughts about the future, mental state (eg psychosis, judgement, impulsivity), alcohol and drug use, current plans, expectations of outcome, availability and lethality of method

 

o   Protective factors: cognitive flexibility, strong social supports, hopefulness, treatment of disorders, responsibility for children

 

·        For screening for psychiatric illness in teenagers 

 

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Medicine Study Notes : Psychological Medicine : Summary - Psychiatric History |

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Medicine Study Notes : Psychological Medicine


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