CMN 548 Module 1 study guide
GUIDE SADOCK Chapter 7.1 - 7.2, 7.6
Complete the following desk which outlines the factors of the initial psychiatric
interview:
Identifying statistics Topic
Name, age, sex, marital status, faith, training, deal with, telephone variety, occupation, source of
referral
Identifying statistics Questions
Be direct in obtaining identifying statistics. Request precise answers.
Identifying data Comments and beneficial tips
If affected person can't cooperate, get records from member of the family or buddy; if referred
via a physician, acquire clinical record.
Chief criticism (CC) subject matter
Brief assertion in affected person's very own phrases of why affected person is inside the
sanatorium or is being visible in consultation
Chief grievance (CC) questions
Why are you going to see a psychiatrist? What brought you to the medical institution? What
appears to be the problem?
Chief complaint (CC) remarks and helpful pointers
Record answers verbatim; a bizarré complaint points to psychotic technique.
History of present illness (HPI):
Development of signs and symptoms from time of onset to give; relation of lifestyles events,
conflicts, stressors: drugs; trade from preceding level of functioning
History of present illness (HPI): questions
,When did you first notice something happening to you? Were you disillusioned approximately
anything when symptoms began? Did they begin or gradually?
History of present illness (HPI): feedback and beneficial recommendations
Record in patient's personal phrases as an awful lot as possible. Get records of previous
hospitalizations and remedy. Sudden onset of signs might also indicate drug-caused sickness.
Previous psychiatric and medical issues:
Psychiatric disorders; psychosomatic; scientific, neurologic illnesses (e.G., craniocerebral
trauma, convulsions).
Previous psychiatric and medical disorders: QUESTIONS
Did you ever lose recognition? Have a seizure?
Previous psychiatric and scientific issues: comments and beneficial suggestions
Ascertain quantity of infection, remedy, medicines, consequences, hospitals, doctors. Determine
whether illness serves a few additional cause (secondary benefit).
Substance use/abuse
Substance use issues can mimic or result in psychiatric syndromes, raise threat of suicide and
violence, and have crucial impact on secure medication prescribing.
Various gear may be used to aid in collecting the substance use history. Examples consist of the
normally used CAGE questionnaire which has been changed to encompass other pills (and now
known as CAGE-AID)
Past scientific records
The interviewer is interested by acquiring an accounting of primary medical problems both to
increase a complete records and to identify contamination that would mimic a psychiatric
disorder, make contributions to the context of the presentation or factor into treatment planning.
Family History (FH): subject matter
Psychiatric, medical, and genetic infection in mother, father, siblings; age of mother and father
and occupations; if deceased, date and motive; feelings about every family member, budget .
,Because many psychiatric illnesses have a genetic predisposition, if no longer purpose, a
cautious assessment of family history is crucial to the evaluation and may useful resource in
prognosis and setting up predicted diagnosis .
Family History (FH): query
Have any members on your family been depressed? Alcoholic? In a intellectual health center?
In jail? Describe your residing situations. Did you have your very own room?
Family History (FH): feedback and beneficial guidelines
Genetic loading in anxiety, melancholy, schizophrenia. Get medicine records of own family
(medicinal drugs effective in own family participants for similar disorders can be powerful in
patient).
Developmental and social history
The developmental and social history reviews the ranges of the affected person's existence
from gestation to the prevailing with an eye fixed in the direction of information the essential
exposures, relationships, and occasions that fashioned the person's life story.
It is frequently useful to review the social records chronologically; doing so gives a natural flow
to the questions and guarantees a complete records.
Review of systems
As in a widespread medical interview, the review of systems is meant to capture any
modern-day physical signs and symptoms and signs and symptoms no longer already
recognized within the HPI or beyond clinical records (which include Table 7.1-2 and is prepared
by means of asking sentinel questions on the principal systems of the frame).
Overview of systems: sleep
Sleep section troubles (initial, middle, terminal insomnia), general sleep time, unusual sleep
occasions
evaluate of systems: temper melancholy
Depression: chronic unhappiness, decreased hobby or pleasure in traditional sports,
tearfulness, decreased or immoderate sleep, decreased or elevated appetite, weight reduction
or advantage, low strength, decreased concentration, low libido, immoderate or inappropriate
guilt, psychomotor change (slowing or agitation), bad self-appraisal, helpless and hopeless
, wondering thoughts of demise or suicide. A commonplace mnemonic used to don't forget the
symptoms of predominant depression is SIGECAPS (Sleep, Interest, Guilt, Energy,
Concentration, Appetite, Psychomotor agitation or slowing, Suicidality).
Overview of systems: mood Hypomania/mania
Hypomania/Mania: increased, expansive or irritable temper, decreased want for or inability to
sleep, immoderate electricity, marked boom in aim and pride directed hobby, boom quantity and
pace of speech and idea, grandiosity, heightened libido, impulsivity and/or recklessness in
behaviors consisting of spending and sex
evaluation of systems: tension
Anxiety
Experience of panic attacks, somatic symptoms of anxiety, phobic, or social avoidance
assessment of structures: psychosis
Experience of hallucinations, delusions, disorganized behavior, speech or idea, bad signs and
symptoms
review of systems: obsessive-compulsive
Repetitive intrusive and unwanted thoughts, compulsive behaviors to neutralize tension,
hoarding behaviors
assessment of systems: trauma
Traumatic exposure; intrusive and avoidance signs and symptoms, bad alterations in cognitions
and mood, immoderate arousal and reactivity
assessment of systems: behavior
Substance use, gambling, impulse manage issues, disordered ingesting, repetitive self-damage
mental popularity exam
The MSE is the practical equivalent of the physical examination in different areas of medication.
It is a systematic series of the observations (e.G., symptoms consisting of blunt affect or fast
speech) and suggested intellectual reviews (e.G., symptoms together with depressed mood or
