/

history taking
-
Sexual relationship marital hx → puberty / menarche
→ razreen
normal 1 abnormal sexual practice ?

past 1 current relationship

-
Name ; sex ; age ; ethnicity ; religion ; marital status ;
current employment status ; language .
* important to know more about the partner & their relationship .

2 It
helps you to understand better & consider rather than

CC detail ( what
-0
symptoms + duration know in current post ?
making judgemental conclusions

main
-

↳
.

Reason for admission what's the job scope ? )

↳ suicidal / homicidal / •
IMPORTANT esp .
if involving the
-

Substance hx -0 current consumption [ familiarise wl the drugs ]

suggested

§§§€Imgyn
Voluntary .
safety of others .
anyone sth ?

psych .
/ social / legal effects

HOPI -0 sources ;+

(
(↳
(
syndromes onset duration
nmdrgnwyaypsqgyppgmguyng , a ?
-

, seventy , fluctuation , .
, game
money

fcx ) impairment -
social 1 interpersonal / occup 1 study . ) Maslow hierarchy D HOW frequent what way ?
/
.

,
0 of needs ?
tried stop ?
gruagnoifodnuaged
ever to

qq.ae
relevant Huesymp .
-

or not 1 cause ? -
what happened after ?

D precipitating factors / stressors # ychiatny

-
Social conditions -
D Accom

¥
. .

of current
ep
.
Household composition ) ask in
detach
numbers
financial problems
.

past D contact dx
Psychiatric tlx 1st psych ?
-
-
& Any debts
↳
¥
.

past eps
.

of relapse
Prev .
tx & side effects
-

Forensic hx

reasons for non .

compliance
Pre morbid personality altitudes to others
-

.
-0

§¢
Past med / surgical hx self
-
" "

Predominant mood Caffeot ) -

cheerful ? optimism .

Family hx -0
Genealogical chart ← draw the family tree

¥
- .

↳ parents if dead
lgyagrf.agajanfee.sn?jmsYEsYap.ngstyies
&
siblings -

age now ,
-
COD , Occup .

, personality , quality .

D
of financial 1 social Faith ( religious If power ?
standing atheist of higher
relationship ,
or not ) . ; any sense

any place to turn & surrender ?

Family hx of mental illness
suggestive
support system

personal hx -
D
Looting for
predisposing 1 perpetuating factors

Birth & perinatal hx -0 Wanted 1 unwanted pregnancy ask depending on the risk
- .

↳ birth abnormalities factors specific db

←
pregnancy & For that .

Only ask relevant ques .

Infancy , toddlers , childhood hx -

b dev .
milestones

¥
serious illness

hx physical 1 sex .
1 emotional abuse

Prolonged separation
Emotional prob .

-
Education hx → achievements ; bullying ; friends .

-
Work hx -0 earlier 1 present jobs ; satisfaction ?
 &,-:
⑧ = A PROF . MR

• =
A dr Salmi

MENTAL STATE EXAMINATION -

DR . AZREEN 7) insight

⑥ Focusing On symptoms t
signs t behaviour during interview • Awareness I attribution I acceptance ? / adherence to the m ②
di cations .

[ You CURRENT mental state at that ] Aware of Observed by others

1/4
are
assessing the time • the phenomena
.

*
↳
keep in mind -
mental state can
change rapidly .
if yes , normal or not ? Report :
good insight
poor msrght
1) Appearance behaviour 8) etc
msrafht
&
partial
. .

Level of if needed MSE test I @

psych
•
consciousness a : neuro .
test .

, ,

• General appearance • PE

Face
•
eye contact expression • Ix -0
biological i Urine for
drugs
-

•
posture & movement
↳ psychosocial
3 comp :
•
motor -

chore Oa theosis , tardive dyskinesia , echopraxia '

tics
① speed I
floury talkative .

speech
af
Attitude ② poverty
.

to Amount
•
examination \ Give provisional dx & diff dx
mute
Tf a
.

.
.

③ Loudness I voi
Speech
.

2)
④ Tone

• Production -

spontaneity ; speed ; loudness ; quantity ;

quality .
'
828587,85%3
mm typical of depression .

mood
• Forms neologism i punning & Clang assoc expressive dysphasia is more sustained type of important in IX
-

Iget
ash wife
.

✓
.

changesaffect
emotion Rarely instant
changes in an
.

content nah nepal

Psychosocial the
• .

ilx
-

?
-

easily .

\
feel lately
"
'
'
How do you
3) Mood affect
ask :
from past workup hospital

isconcnetethinking.SC
&

y reports .

•
mood by 'sCpt
claim )
asking the patient
⇐¥I*
=

affect by
•
yourobservati.cn on the pt 's expression
=

5) thought disturbances

• if already mentioned in speech -

no need . ( one way you can do is in speech -
talk abt form .
In
thought -
talk about content ) .

Delusions -

•types I themes

•
Non d elution at phobias obsession suicidal thoughts
-

, , .

• Abnormal thought forms -

fluency fear , funny words judgement , Insight , Cag ni .

4)
I
.

perceptual disturbances
perception how you perceive the normal sensory stimulus -

Hallucinations
Illusions

•
•
Pseudo hallucinations C e.g .
in bereavement period after someone 's death , you still sense it .
Normal . )

Depersonalization of Feels like

"
body yourself
"
out see from outside
experience you can
=
• .

a Derealisatian =
surrounding feels not real .

6) Test for cognitive function ability to think / conduct problem solving

=

+
Orientation : time , place , person
+ Memory : short -
term ,
immediate memory , long term
!
← must correlate

Attention Serial 75 serial Ss

digit word
+ & Concentration : ; ; span ; reverse spelling

+
Intelligence & general knowledge -
ask about current events .

means

+ Abstraction C- opposite of abstract thinking impaired abstract

thinking
+
Judgement -

give a common situational dilemma and see their decision -

making
(

((
if found wallet
tested judgement .

social judgement .

personal judgement .