Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
12 Cards in this Set
- Front
- Back
|
Interview Order
|
GET PATIENT'S NAME AND WHAT THEY WANT TO BE CALLED
Introduction Age and Grade HPI Psych ROS Past Psychiatric History Family Psychiatric History Past Medical History Past Social History Mental Status Examination |
|
|
History of Present Illness
|
What is your understanding of the condition that brought you to seek psychiatric care?
When did it begin? (If two, which one first?) How long did the symptoms persist? Why did you seek treatment at the time you did? Possible precipitants and stressors Are you currently in treatment? Inpatient, Outpatient, or Day Program? How are you doing now? |
|
|
Psychiatric Review of Systems
|
SIGECAP
S/HI DIGFAST A/VH; Paranoia; IOR, First Rank Symptoms OC (“Are you always running late because you check on things over and over?) GAD (“Are you a worrier?”) Panic Symptoms Phobias Eating Disorder Substance Somatoform (“Have you had a lot of unexplained illnesses?”) Cognitive Problems ADHD |
|
|
Suicidality and Homicidality Questions
|
Ever wished you were dead?
Every thought about killing yourself? How about now? Ever made an attempt on your life? Ever wished someone else was dead? Ever thought about killing someone? How about now? Ever made an attempt to kill someone? Any weapons or pills in the home? Stockpiles? What is the most violent thing you have ever done? |
|
|
Substance Questions
|
Many people your age experiment with alcohol. Have you? Ever?
How often do you drink alcohol? CAGE Many people experiment with illicit drugs. Have you? Ever? Which ones? How often? CAGE (for each one) |
|
|
Past Psychiatric History
|
Past Diagnoses
When was the first episode? How many after? Was there ever a full recovery? When did you first seek treatment? Any identifiable precipitants or stressors? Past Somatic Treatments Outpatient Treatment Hospitalizations SI/HI/Attempts in the past Drug and Alcohol Treatment History What has worked best? Are you receiving any form of mental health care currently? Inpatient or Outpatient? |
|
|
Family Psychiatric History
|
Any blood relative been treated for a psychiatric disorder?
Diagnoses Somatic Treatments Outpatient Treatments Hospitalizations Family history of completed suicide What has worked best for them? |
|
|
Past Medical History
|
Are there any illnesses for which you are receiving treatment?
Ask: HTN, Thyroid, OCPs, Kidney, Diabetes Are you currently taking any prescription medications? Are you taking any OTC medications? Are you taking any herbal remedies? Have you ever had a head injury that resulted in a LOC? Have you ever had a seizure? Are you currently allergic to any medications? Have you ever had a bad reaction to a psychiatric medication? |
|
|
Past Social History
|
B/R
Birth Order Intact Family? Parents’ Occupation Relationship with family of origin Who lives at home? Relationship with current family Educational Level Employment History Legal History Sexual Risk Factors (HIV RF) Traumatic and Abuse History Religion and role in life Who is your source of support? Who knows you best? Who is the most important person in your life? How have your psychiatric symptoms affected your life? |
|
|
Five Minute Warning
|
Check that you have asked:
S/HI Depression/<ania Psychosis Substance HIV RF Abuse and Trauma History Follow-Up Questions THEN: MSE |
|
|
Mental Status Examination
|
Mood
MMSE 2x6 (<70); 2x24 (70-85); 2x48 (>85) Recall from MMSE Past four Presidents Similarities x 2; Proverb (“glass houses”) Do you think you need treatment? How do other people see you right now? What will make all of this better? |
|
|
Time Killer Questions
|
What type of person do you think you are?
What do your friends and family like about you? What do you like about yourself? What do you do for fun? Describe for me a typical day… |
