0
www.drjayeshpatidar.blogspot.com
 Name Age Sex Marital Status Religion Occupation Socio-economic status Address Informant Information (Relevant o...
 – In patient’s own words & in information’sown words.Eg: - Sleeplessness X 3 weeks- Loss of appetite & hearing voices X ...
 Onset - Acute (within a few hours)-Subacute (within a few days)- Gradual (within a few weeks) Duration – days, weeks or...
 Number of episode with onset & course Complete or incomplete remission Duration of each episode Treatment details & i...
a) Past Medical History:b) Past Surgical Historyc) Obstetrical History (Female)www.drjayeshpatidar.blogspot.com
 Family genogram – 3 generations include onlygrandparents. But if there is a family history include the particulargenera...
 Pre-natal history – Maternal infection- Exposure to radiation etc.– Check ups– Any complications Natal history: - Types...
 Behaviour during childhood:- Excessive temper tantrums- Feeding habit- Neurotic symptoms- Pica- Habit disorders- Excreto...
 Schooling- Age of going to school- Performance in the school-Relationship with teachers(Specifically look for learning d...
 Sexual history- Age of attaining puberty (female-menstrualcycles are regular)-Source & extent of knowledge about sex, an...
(Personality of a patient consistsof those habitual attitudes & patterns of behaviourwhich characterize an individual. Per...
1. Attitude to others in social, family & sexualrelationship:Ability to trust other, make & sustainrelationship, anxious o...
3. Moral & religious attitudes & standards:Evidence of rigidity orcompliance, permissiveness or overconsciousness, conform...
6. Fantasy life:Enquire about content of day dreams & dreams.Amount of time spent in day dreaming.7. Reaction pattern to s...
www.drjayeshpatidar.blogspot.com
www.drjayeshpatidar.blogspot.com
Upcoming SlideShare
Loading in...5
×

Psychiatric history taking

1,864

Published on

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
1,864
On Slideshare
0
From Embeds
0
Number of Embeds
26
Actions
Shares
0
Downloads
126
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Transcript of "Psychiatric history taking"

  1. 1. www.drjayeshpatidar.blogspot.com
  2. 2.  Name Age Sex Marital Status Religion Occupation Socio-economic status Address Informant Information (Relevant or not) adequate or notwww.drjayeshpatidar.blogspot.com
  3. 3.  – In patient’s own words & in information’sown words.Eg: - Sleeplessness X 3 weeks- Loss of appetite & hearing voices X 2 weeks- talking to self X 2 weekswww.drjayeshpatidar.blogspot.com
  4. 4.  Onset - Acute (within a few hours)-Subacute (within a few days)- Gradual (within a few weeks) Duration – days, weeks or months Intensity / same / increasing or decreasing Precipitating factors – yes / no (if yes explain) History of current episode (explain in detail regarding thepresenting complaints) Associated disturbances – include present medicalproblems(eg: Disturbance in sleep, appetite, IPR & socialfunctioning, occupation etc).www.drjayeshpatidar.blogspot.com
  5. 5.  Number of episode with onset & course Complete or incomplete remission Duration of each episode Treatment details & its side effects if any Treatment outcomes Detail if any precipitating factors if presentwww.drjayeshpatidar.blogspot.com
  6. 6. a) Past Medical History:b) Past Surgical Historyc) Obstetrical History (Female)www.drjayeshpatidar.blogspot.com
  7. 7.  Family genogram – 3 generations include onlygrandparents. But if there is a family history include the particulargenerationwww.drjayeshpatidar.blogspot.com
  8. 8.  Pre-natal history – Maternal infection- Exposure to radiation etc.– Check ups– Any complications Natal history: - Types of delivery-Any complications-Breath & cried at birth Mile Stones: - Normal or delayedwww.drjayeshpatidar.blogspot.com
  9. 9.  Behaviour during childhood:- Excessive temper tantrums- Feeding habit- Neurotic symptoms- Pica- Habit disorders- Excretory disorders etc. Illness during childhood- Look specifically for CNS infections- Epilepsy-Neurotic disorder Malnutritionwww.drjayeshpatidar.blogspot.com
  10. 10.  Schooling- Age of going to school- Performance in the school-Relationship with teachers(Specifically look for learning disability & attention deficit)- Look for conduct disorders Eg. Truancy, stealing Occupational history- Age of joining job- Relationship with superiors, subordinates & colleagues- Any changes in the job – if any give detail- Reasons for changing jobswww.drjayeshpatidar.blogspot.com
  11. 11.  Sexual history- Age of attaining puberty (female-menstrualcycles are regular)-Source & extent of knowledge about sex, anyexposures- Marital status: with genogram.www.drjayeshpatidar.blogspot.com
  12. 12. (Personality of a patient consistsof those habitual attitudes & patterns of behaviourwhich characterize an individual. Personalitysometimes changes after the onset of an illness.Get a description of the personality before theonset of the illness. Aim to build up a picture ofthe individual, not a type. Enquire with respect tothe following areas)www.drjayeshpatidar.blogspot.com
  13. 13. 1. Attitude to others in social, family & sexualrelationship:Ability to trust other, make & sustainrelationship, anxious or secure, leader orfollower, participation, responsibility, capacity to makedecision, dominant or submissive, friendly or emotionallycold, etc. difficulty in role taking –gender, sexual, familial.2. Attitudes to self:Egocentric, selfish, indulgent, dramatizing, critical, depreciatory, over concerned, self conscious, satisfaction ordissatisfaction with work. Attitudes towards health &bodily functions. Attitudes to past achievements &failure, & to the future.www.drjayeshpatidar.blogspot.com
  14. 14. 3. Moral & religious attitudes & standards:Evidence of rigidity orcompliance, permissiveness or overconsciousness, conformity, or rebellion. Enquire specificallyabout religious beliefs.4. Mood:Enquire about stability of mood, mood swing, whetheranxious, irritable; worrying or tense. Whether lively orgloomy. Ability to express & control feelings oranger, anxiety, or depression.5. Leisure activities & hobbies:Interest in reading, play, music, movies etc. enquireabout creative ability. Whether leisure time is spent along orwith friends. Is the circle of friends large or small?www.drjayeshpatidar.blogspot.com
  15. 15. 6. Fantasy life:Enquire about content of day dreams & dreams.Amount of time spent in day dreaming.7. Reaction pattern to stress:Ability to toleratefrustrations, losses, disappointments, & circumstancesarousing anger, anxiety or depression. Evidence for theexcessive use of particular defense mechanism such asdenial, rationalization, projection, etc.8. Habits:Eating, sleeping & excretory functionswww.drjayeshpatidar.blogspot.com
  16. 16. www.drjayeshpatidar.blogspot.com
  17. 17. www.drjayeshpatidar.blogspot.com
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×