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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…