Psychiatric history and mental state examination

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Psychiatric history and mental state examination This article is a guide to taking a psychiatric history and the mental state examination. History of presenting complaint Each problem should have the following considered: o Severity o Intensity o Effect upon life Onset and course Triggers Treatment received and effects Past psychiatric history Precipitants Treatment State between episodes Past medical history This is the same as a usual history Drug history This is the same as a usual history, however specific notice should be taken to previous or current psychiatric drugs
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Family history
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Unformatted text preview: This is the same as a usual history Social and personal history • Ages, occupations and relationships with: o Father o Mother o Siblings • Early development? • Schooling / friends? • Qualifications? • Occupations? • Sexual history? o Abuse? o Orientation o Marriage • Social circumstances: o Housing, past and present o Money o Forensic history Personality • What are you like: o Now? o Before (premorbid)? • Main mood • Hobbies / friends • Habits: o Alcohol o Smoking o Drugs • Reaction to stress • Relationships with others...
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