Psych Interview (see attached doc for alt formatting) ID – Age, Married? Employment, Nationality RFR and Method CC – Subjective in quotations “Police brought me” HPI: - Start w/ most recent
- “What is different today compared to other days”
- Also collateral Hx
- EtOH/Substance
Mood up/down Anxiety | Psychosis | Substance Use Gambling | Legal SI/HI Dependents | Safety: - “Have you ever had thoughts that life is not worth living?”
- “Have you ever had thoughts about killing yourself?
- Passive Vs. Active
- Self-Care (Driving, Stove, getting lost)
PΨHx: - Age of first Ψ contact
- Hospitalization
- Past Suicide
MSE - Appearance (Clothes, Hygeine, etc..)
- Dressed Appr? Well kempt?
- Behaviours
- Psychomotor, ticks?
- Good posture, eye contact?
- Speech
- Rate, tone, flow?
- Mood (NOW)
- What patient says “I don’t know”
- “1..10 worst to best ever felt”
- Neutral, Euphoric, Depressed, Anxious, Irritable
- Affect (Look at face)
- “Responding to interal stimuli?”
- “Euthymic” full, flat, blunted, in appro.
- Thought Content
- Ideas, Worries, “Repetitive thoughts?”
- Thought insertion/withdrawal
- Delusions? Halluc?
- “No Evidence of psychotic sx?”
- Suicidal/Homicidal ideation?
| Allergies Meds: + Adherence Substances PMHx: head Injuries? Seizures? FH/ FΨHx: - Make Family Tree w/ ages, deaths, names
- Relationships with each
- History of psych problems?
SHx/PPH: - Anything in childhood contributing?
- Axis I vs Axis II
- Birth-development-childhood-school-relationships-etc
- Friends/supports
- Employment
Descriptor | Descr | Thought Blocking | Talks then stops abruptly | Goal Directed | Answers brief, direct | Circumstantial | Talks around, but answers | Tangential | Never to point | Loose Associations | Ideas slip off track to other | Word Salad | Random words | - Perception
- Hallucations
- Illusions (misinterpret)
- Cognition (Can tell a story?)
- Say if “formally tested”
- Orientation (T/P/P)
- Concentration/Attention
- Memory
- Insight (Understand what’s going on?)
- “Do you have a mental illness?”
- “why are you here?
- Judgement
- “Do you think you need tx?”
- “If you smelled smoke in theatre what would you do?” “found addressed mail”
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Axis I – Clinical Disorders Axis II – Pesonality Disorders (Mental retardation?) Axis III – General Medical Conditions Axis IV – Psychosocial + Environmental Axis V – Global Assessment of Functioning Acronyms Depression: - M – Mood (Dysphoric) “Depressed, sad, hopeless?”
- S – Sleep (insomnia: initial, middle, terminal)
- I – Interest: loss of interest “Decreased sex drive,…”
- G – Guilt
- E – Energey Level
- C – Concentration
- A – Appetite/ Weight changes?
- P – Psychomotor retardation/agitation “Restless? Agitated? Slowed down?”
- S - Suicidal
Mania - G – Grandiosity (inflated self-esteem?)
- S – Sleep
- T – Talkative, pressured?
- P – Painful cons. (money, sex, substance, speeding)
- A – Activities goal directed (productivity)
- I – Ideas that race/flight
- D – Distracted Easily
Delusions – False fixed belief - Delusions of Reference(TV/radio messages for you)
- Delusions of Persecution(People trying to hurt you?)
- Delusions of Grandiosity(special abilities? Powers?)
- Somatic Delusions(Illness, not found by doctors?)
| - Delusions of Guilt(done terrible, deserve punishment?)
- Erotomania(someone secretly in love w you?)
- Delusions of control(someone controlling you?)
- Thought insertion(thoughts in head put from outside?)
- Thought withdrawal(thoughts taken from head)
- Thought broadcasting(others hear thinking)
- Delusions of mind reading
Hallucinations – - visual, auditory, tactile, olfactory, gustatory
Anxiety - S– Sweating
- T – Trembling
- U – Unsteady/Dizzy
- D – Derealization (feel not real)
- E – Excessive HR/palpitations
- N – Nausea, abdo discomfort
- T – Tingling/Numbness
- S – Shortness of Breath
- FEAR – Fear of losing control, going crazy, dying
- The 3 C’s – Chest Pain, Choking, Chills/HotFlashes
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