Escolar Documentos
Profissional Documentos
Cultura Documentos
1. Identifying information:
- Socio-demographic summary
- Name
- Age
- Marital status
- Living arrangements
- Occupation or how do they support themself?
- Voluntary or involuntary patient
2. History of Presenting Complaint:
- Symptoms
- Onset
- Duration/course
- Precipitants
- Exaggerating/alleviating factors
- Impact of illness of patients social, occupational, financial functioning
- Note current and previous treatment (dose and duration)
3. Psychiatric review of systems:
- Depression:
o Mood
o Energy or psychomotor disturbance
o Interest or enjoyment
o Motivation
o Appetite/weight change
o Sleep disturbance
o Hopeless/helpless themes and guilt
o Indecisiveness or poor concentration
o Suicidal ideation
- Mania: (now or in the past)
o Particularly happy or elevated
o Decreased need for sleep
o Grandiosity
o Pressured speech, flight of ideas or racing thoughts
o Distractibility
o Increase in goal-directed activity or psychomotor agitation
o Excessive involvement in pleasurable activity with high potential
for painful consequences
- Psychosis:
o Ideas of reference: t.v. or radio talking specifically about you?
o Hallucinations: hear voices when no-one is around?
o Paranoia:
Feel like people are taking particular notice of you?
Feel that someone might want to hurt you?
Difficulty concentrating
o Negative symptoms: lack of motivation, low mood etc
- Anxiety:
o Feel worried or nervous about everyday things or going out in
public places?
o Heart racing, shortness of breath, sweaty etc
o Particularly concerned about a particular thing or things (OCD)
4. Medical History
OSCE Stations:
1.