Dr. Ziad Arandi

1. Psychiatric Case History & Mental State
‫ﺔ‬ّ‫ﻔﺴﻴ‬ّ‫اﻟﻨ‬ ِ‫اض‬‫ﺮ‬‫ﻟﻸﻣ‬ ِ‫ﺔ‬ّ‫اﻟﻌﻘﻠﻴ‬ ِ‫اﻟﺤﺎﻟﺔ‬ ُ‫ﺤﺺ‬َ‫ﻓ‬‫و‬ ِ‫ﻳﺮﻳﺔ‬‫ﺮ‬ّ‫اﻟﺴ‬ ِ‫اﻟﺤﺎﻟﺔ‬ ُ‫ة‬‫ﺳﻴﺮ‬
DR : ZIAD ARANDI
AL-NAJAH NATIONAL UNIVERSITY / NAB
Psychiatric Case History & Mental State
Examination
‫ﺔ‬ّ‫ﻔﺴﻴ‬ّ‫اﻟﻨ‬ ِ‫اض‬‫ﺮ‬‫ﻟﻸﻣ‬ ِ‫ﺔ‬ّ‫اﻟﻌﻘﻠﻴ‬ ِ‫اﻟﺤﺎﻟﺔ‬ ُ‫ﺤﺺ‬َ‫ﻓ‬‫و‬ ِ‫ﻳﺮﻳﺔ‬‫ﺮ‬ّ‫اﻟﺴ‬ ِ‫اﻟﺤﺎﻟﺔ‬ ُ‫ة‬‫ﺳﻴﺮ‬
NAL UNIVERSITY / NABLUS
‫ﻋﺮﻧﺪي‬ ‫ﻳﺎد‬‫ز‬ ‫اﻟﺪﻛﺘﻮر‬
‫اﻟﻮﻃﻨﻴﺔ‬ ‫اﻟﻨﺠﺎح‬ ‫ﺟﺎﻣﻌﺔ‬/‫ﻧﺎﺑﻠﺲ‬
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Psychiatric Case History & Mental State
‫ﺔ‬ّ‫ﻔﺴﻴ‬ّ‫اﻟﻨ‬ ِ‫اض‬‫ﺮ‬‫ﻟﻸﻣ‬ ِ‫ﺔ‬ّ‫اﻟﻌﻘﻠﻴ‬ ِ‫اﻟﺤﺎﻟﺔ‬ ُ‫ﺤﺺ‬َ‫ﻓ‬‫و‬ ِ‫ﻳﺮﻳﺔ‬‫ﺮ‬ّ‫اﻟﺴ‬ ِ‫اﻟﺤﺎﻟﺔ‬ ُ‫ة‬‫ﺳﻴﺮ‬
‫ﻋﺮﻧﺪي‬ ‫ﻳﺎد‬‫ز‬ ‫اﻟﺪﻛﺘﻮر‬
‫اﻟﻮﻃﻨﻴﺔ‬ ‫اﻟﻨﺠﺎح‬ ‫ﺟﺎﻣﻌﺔ‬

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‫ﻟﻠﺤﺎﻟﺔ‬ ‫ﻳﺔ‬‫ﺮ‬‫ﻳ‬‫ﺮ‬‫اﻟﺴ‬ ‫اﻟﺴﻴﺮة‬
)Psychiatric Case History(
‫اﻟﺸﺨﺼﻴﺔ‬ ‫اﻟﻤﻌﻠﻮﻣﺎت‬)Personal Information(
*‫اﻹ‬‫ﺳﻢ‬)Name: (*‫اﻟﻌﻤﺮ‬)(Age:
*‫ا‬‫ﻟﺠﻨﺲ‬)Sex:(*‫اﻹﻗﺎﻣﺔ‬ ‫ﻣﻜﺎن‬)Residency:(
*‫اﻟﻌﻤﻞ‬)Job:(*‫ا‬‫اﻹ‬ ‫ﻟﺤﺎﻟﺔ‬‫ﺟﺘﻤﺎﻋﻴﺔ‬)Marital State(:
‫اﻟﺘﺤﻮﻳﻞ‬)( Referral:
‫ﻣﻦ‬ ‫ﻣﺤﻮل‬)Referred From: (
‫اﻟﺘﺤﻮﻳﻞ‬ ‫ﺳﺒﺐ‬)Cause Of Referral: (
‫ﺋﻴﺴﻴﺔ‬‫ﺮ‬‫اﻟ‬ ‫اﻟﺸﻜﻮى‬)aintChief Compl: (
urationDComplaint
‫ﺗﻔ‬‫ﺎ‬‫اﻟﺤﺎﻟﻴﺔ‬ ‫اﻟﺸﻜﻮى‬ ‫ﺻﻴﻞ‬)History Of Present Illness:(
‫اﻟﺒﺪاﻳﺔ‬ ‫وﻗﺖ‬)Time Of Onset:(
‫اﻟﺰﻣﻨﻴﺔ‬ ‫اﻟﻤﺪة‬)Duration(:
‫اﻟﺒﺪاﻳﺔ‬ ‫ﻃﺒﻴﻌﻴﺔ‬)Mode Of Onset(:*‫ﻣﻔﺎﺟﺊ‬ ‫ﺑﺸﻜﻞ‬)Suddenly(
*‫ﺗ‬‫ﺪرﻳﺠﻲ‬)(Gradually
‫اﻟﺒﺪاﻳﺔ‬ ‫ﻋﻨﺪ‬ ‫اﻟﻤﺤﻴﻄﺔ‬ ‫اﻟﻈﺮوف‬)Circumstances At Onset:(

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‫اﻟﺘﻘﻠﺒﺎت‬)Fluctuations(:
‫ـ‬‫ﺑ‬ ‫ﺗﺤﺴﻨﺖ‬)Improved By:(
‫ـ‬‫ﺑ‬ ‫ﺳﺎءت‬)(Worsened By:
‫اﻟﺸﺨﺺ‬ ‫ﻋﻠﻰ‬ ‫ﺗﺄﺛﻴﺮﻫﺎ‬)Impact On Self: (
‫ﻳﻦ‬‫ﺮ‬‫اﻵﺧ‬ ‫ﻋﻠﻰ‬ ‫ﺗﺄﺛﻴﺮﻫﺎ‬)Impact On Others: (
‫اﻟﻤﺼﺎﺣﺒﺔ‬ ‫اﻷﺧﺮى‬ ‫اﻷﻋﺮاض‬)Associated Disturbances: (
‫اﻟﻨﻮم‬)Sleep(
‫اﻟﺸﻬﻴﺔ‬)Appetite(
‫اﻟﺠﻨﺴﻴﺔ‬ ‫اﻟﺮﻏﺒﺔ‬)Sexual Drive(
‫اﻟﻌﺎﺋﻠﻲ‬ ‫ﻳﺦ‬‫ر‬‫اﻟﺘﺎ‬)Family History: (
‫اﻷ‬‫ب‬)Father(:
‫اﻟﻮﻓﺎة‬ ‫ﻳﺦ‬‫ر‬‫ﺗﺎ‬ ‫أو‬ ‫اﻟﻌﻤﺮ‬)Age Or Date Of Death: (
‫اﻟﻮﻓﺎة‬ ‫ﺣﻴﻦ‬ ‫اﻟﻌﻤﺮ‬)Age Of Death: (
‫اﻟﻮﻓﺎة‬ ‫ﺳﺒﺐ‬)Cause Of Death: (
‫اﻟﺼﺤﺔ‬)Health: (
‫اﻟﻤﻬﻨﺔ‬)Occupation: (
‫اﻷب‬ ‫ﺷﺨﺼﻴﺔ‬)Personality: (
‫ﻳﺾ‬‫ﺮ‬‫اﻟﻤ‬ ‫ﻣﻊ‬ ‫ﻋﻼﻗﺘﻪ‬)Relation To Patient: (
‫اﻷم‬)Mother(:
‫اﻟﻮﻓﺎة‬ ‫ﻳﺦ‬‫ر‬‫ﺗﺎ‬ ‫أو‬ ‫اﻟﻌﻤﺮ‬)Age Or Date Of Death: (
‫اﻟﻮﻓﺎة‬ ‫ﺣﻴﻦ‬ ‫اﻟﻌﻤﺮ‬)Age Of Death: (
‫اﻟﻮﻓﺎة‬ ‫ﺳﺒﺐ‬)Cause Of Death: (
‫اﻟﺼﺤﺔ‬)Health: (
‫اﻟﻤﻬﻨﺔ‬)Occupation: (
‫ﺷﺨﺼﻴﺔ‬‫اﻷم‬)Personality: (
‫ﻋﻼﻗﺘﻬ‬‫ﺎ‬‫ﻳﺾ‬‫ﺮ‬‫اﻟﻤ‬ ‫ﻣﻊ‬)Relation To Patient: (

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‫اﻷﺧﻮة‬)Siblings: (
‫و‬ ‫اﻟﻌﺪد‬‫اﻷﺳﻤﺎء‬)Number & Name(s): (
‫اﻟﻌﻤﺮ‬)Age(s): (
‫اﻟﻤﻬﻨﺔ‬)Occupation(s): (
‫اﻹ‬ ‫اﻟﺤﺎﻟﺔ‬‫ﺟﺘﻤﺎﻋﻴﺔ‬)Marital State(s): (
‫ﻳﺾ‬‫ﺮ‬‫اﻟﻤ‬ ‫ﻣﻊ‬ ‫ﻋﻼﻗﺘﻬﻢ‬)Relation To Patient: (
‫اﻟﻌﺼﺒﻴﺔ‬ ‫اﻷﻣﺮاض‬‫اﻟﻌﺎﺋﻠﺔ‬ ‫ﻓﻲ‬ ‫اﻟﻨﻔﺴﻴﺔ‬ ‫و‬)s& Neurological DisorderPsychiatric
In The Family: (
‫إ‬‫ﻧﻔﺴﻴﺔ‬ ‫اﺑﺎت‬‫ﺮ‬‫ﺿﻄ‬)Psychiatric Disorders: (
‫إ‬‫ﺷﺨﺼﻴﺔ‬ ‫اﺑﺎت‬‫ﺮ‬‫ﺿﻄ‬)Personality Disorder: (
‫اﻟﺼﺮع‬ ‫داء‬)Epilepsy: (
‫ﻛﺤﻮﻟﻲ‬‫إدﻣﺎن‬)Alcoholism: (
‫أﺧﺮى‬ ‫ﻋﺼﺒﻴﺔ‬ ‫أﻣﺮاض‬)Other Neurological Disorder: (
‫ﻃﺒﻴﻌﻴﺔ‬ ‫ﻏﻴﺮ‬ ‫ﻛﺎت‬‫ﺣﺮ‬)Abnormal Movement: (
‫اﻟﻨﺼﻔﻲ‬ ‫اﻟﺼﺪاع‬)Migraine: (

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‫اﻟﺸﺨﺼﻴﺔ‬ ‫اﻟﺴﻴﺮة‬)Personal History(:
‫اﻟﺘﻄﻮر‬‫اﻟﺒﺎﻛﺮ‬)Early Development:(
‫اﻟﻤﻴﻼد‬ ‫ﻳﺦ‬‫ر‬‫ﺗﺎ‬(D.O.B):
‫اﻟﻮﻻدة‬ ‫ﻣﻜﺎن‬(Place O.B ):
‫اﻟﻮﻻدة‬ ‫ﻋﻨﺪ‬ ‫اﻟﻮزن‬)Weight At Birth: (
‫إ‬ ‫أﻳﺔ‬‫ﺧﺘﻼﻓﺎت‬)Abnormality During:(
‫أ‬‫اﻟﺤﻤﻞ‬ ‫ﺛﻨﺎء‬)During Pregnancy(
‫أ‬‫اﻟﻮﻻدة‬ ‫ﺛﻨﺎء‬)During Birth(
‫اﻟﻌﺎدات‬ ‫ﻋﻠﻰ‬ ‫ﻳﺐ‬‫ر‬‫اﻟﺘﺪ‬ ‫ﻓﻲ‬ ‫ﺻﻌﻮﺑﺎت‬)Difficulties in Habit Training (delays):(
‫ﺑﺎرزة‬ ‫ﻋﻼﻣﺎت‬)Achievement Milestones: (
‫اﻟﻤﺸﻲ‬ ‫ﺳﻦ‬)Walking(
‫اﻟﻜﻼم‬ ‫ﺳﻦ‬)Talking(
‫اﻹ‬ ‫و‬ ‫اﻟﺘﺒﻮل‬ ‫ﻋﻠﻰ‬ ‫اﻟﺴﻴﻄﺮة‬ ‫ﺳﻦ‬‫ﺧﺮاج‬)Sphincter Control(
‫أ‬ ‫اﻟﺴﻠﻮك‬‫اﻟﻄﻔﻮﻟﺔ‬ ‫ﺛﻨﺎء‬)Behavior during childhood: (
‫ﻋﺼﺒﻴﺔ‬ ‫ﺧﻮاص‬)neurotic traits(
‫اﻷ‬ ‫ﻗﺮط‬‫ﻇﺎﻓﺮ‬)nail biting(
‫اﻹ‬ ‫ﻣﺺ‬‫ﺻﺒﻊ‬)thumb sucking(
‫ﺑﻮﻟﻲ‬ ‫ﺳﻠﺲ‬)bed wetting(
‫اﻟﺸﺪﻳﺪ‬ ‫اﻟﺤﺰن‬)fear(
‫أ‬ ‫ﺻﻌﻮﺑﺎت‬‫اﻟﻨﻮم‬ ‫ﺛﻨﺎء‬)sleep difficulties(

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‫اﻟﻤﺪرﺳﻲ‬ ‫اﻟﺴﺠﻞ‬)school: (
‫اﺳﺔ‬‫ر‬‫اﻟﺪ‬ ‫ﺑﺪاﻳﺔ‬ ‫ﻋﻨﺪ‬ ‫اﻟﺴﻦ‬)Age began(
‫اﻟﻤﺪرﺳﺔ‬ ‫ﻧﻬﺎﻳﺔ‬ ‫ﻋﻨﺪ‬ ‫اﻟﺴﻦ‬)age finished(
‫اﻟﻤﺪرﺳﺔ‬ ‫ﻧﻮع‬)‫ﺧﺎﺻﺔ‬‫أ‬‫و‬‫ﺣﻜﻮﻣﻴﺔ‬(School (Private or Governmental)
‫اﻟﻐﻴﺎب‬)Prolonged absence(
‫ﺗﻜﺮرت‬ ‫ﺳﻨﻮات‬)Years repeated(
‫ﺧﺎﺻﺔ‬ ‫ﺻﻌﻮﺑﺎت‬)Specific difficulties(
‫اﻷ‬ ‫ﻛﺴﺐ‬‫ﺻﺪﻗﺎء‬)friends(
‫اﻷ‬ ‫ﺗﺠﺎﻩ‬ ‫اﻟﺴﻠﻮك‬‫واﻟﺰﻣﻼء‬ ‫ﺳﺎﺗﺬة‬)Attitude to peers and teachers(
‫اﻹ‬‫ات‬‫ر‬‫ﺧﺘﺒﺎ‬)Examinations(
‫اﻟﻤﺆﻫﻼت‬)Qualifications(
‫اﻟﻌﺎﻟﻲ‬ ‫اﻟﺘﻌﻠﻴﻢ‬)Higher education(
‫اﻟﻌﻤﻞ‬ ‫ﺳﺠﻞ‬)Occupation:(
‫اﻟﻌﻤﻞ‬‫اﻟﺤﺎﻟﻲ‬)current job:(
‫ﻧﻮﻋﻪ‬)type: (‫ﻣﻜﺎﻧﻪ‬)place: (‫ﻣﺪﺗﻪ‬)duration(:
‫ﻗﻨﺎﻋﺘﻪ‬)satisfaction:(
‫اﻟﺰﻣﻨﻲ‬ ‫ﺑﺎﻟﺘﺮﺗﻴﺐ‬ ‫اﻟﻌﻤﻞ‬ ‫ﻗﺎﺋﻤﺔ‬)Chronological list of jobs:(
‫ﻧﻮﻋﻪ‬)type:(‫ﻣﻜﺎﻧﻪ‬)place:(‫ﻣﺪﺗﻪ‬)duration:(
‫ﻗﻨﺎﻋﺘﻪ‬)satisfaction(
‫اﻟﺘﻐﻴﻴﺮ‬ ‫ﺳﺒﺐ‬)reason for changing(:

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‫اﻟﺠﻨﺴﻴﺔ‬ ‫اﻟﺴﻴﺮة‬)Psychosexual history(
‫اﻟﺒﻠﻮغ‬ ‫ﺳﻦ‬)Age of puberty(
‫اﻟﺸﻬﺮﻳﺔ‬ ‫اﻟﺪورة‬)menstrual cycle(
‫أ‬ ‫ﺗﺎرﻳﺦ‬‫ﻃﻤﺚ‬ ‫ول‬)menarche(‫اﻟﻴﺄ‬ ‫ﺳﻦ‬ ‫ﻳﺦ‬‫ر‬‫ﺗﺎ‬‫س‬)menopause(
‫إ‬‫ﻧﺘﻈﺎﻣﻬﺎ‬)regulation(
‫أي‬‫إ‬ ‫اﺑﺎت‬‫ﺮ‬‫إﺿﻄ‬‫اﻓﻘﺔ‬‫ﺮ‬‫ﻣ‬ ‫ﻧﻔﻌﺎﻟﻴﺔ‬)emotional disturbance(
‫ﻣﻨﻬﺎ‬ ‫ﻣﻮﻗﻔﻪ‬ ‫و‬ ‫اﻟﺴﺮﻳﺔ‬ ‫اﻟﻌﺎدة‬)Masturbation:(
‫إ‬‫ﺷﺎذ‬ ‫ﺟﻨﺴﻲ‬ ‫ﻫﺘﻤﺎم‬(any sexual disorder or deviation )
‫اﻟﺰوﺟﻴﺔ‬ ‫اﻟﺴﻴﺮة‬)Marital history: (
‫ﻓﺘﺮة‬‫اﻟﺰواج‬)duration(
‫اﻟﺸﺮﻳﻚ‬ ‫ﻋﻤﺮ‬Spouse age)(
‫ﻳﻚ‬‫ﺮ‬‫اﻟﺸ‬ ‫ﻣﻬﻨﺔ‬)occupation(
‫ﻳﻚ‬‫ﺮ‬‫اﻟﺸ‬ ‫ﺷﺨﺼﻴﺔ‬)character(
‫ﻟﻠﻤﺴﺘﻘﺒﻞ‬ ‫اﻟﺨﻄﻂ‬)plans for the future(
‫اﻟﺰوﺟﻴﺔ‬ ‫اﻟﻌﻼﻗﺔ‬)relationship(
‫أ‬ ‫إﻧﻔﺼﺎل‬‫ﻃﻼق‬ ‫و‬)Past separations and divorces(
‫اﻟﺴﺎﺑﻖ‬ ‫اﻟﻨﻔﺴﻲ‬ ‫اﻟﻤﺮض‬)Past psychiatric Hx(
‫ﻧﻮﻋﻪ‬)type(
‫ﺗﺎرﻳﺨﻪ‬)date(
‫اﻟﻌﻼج‬)treatment(
‫ﻣﺴﺘﺸﻔﻰ‬ ‫دﺧﻞ‬ ‫ﻫﻞ‬)hospitalization(
‫أ‬‫ﺳﻤﺎء‬‫أ‬‫اﻟﺘﺸﺨﻴﺺ‬ ‫ﻃﺒﺎء‬)names of doctors(
‫اﻟﺘﺸﺨﻴﺺ‬)diagnosis(
‫اﻷ‬‫و‬ ‫اﻟﺤﺎﻟﻴﺔ‬ ‫اﻟﺠﺴﻤﺎﻧﻴﺔ‬ ‫ﻣﺮاض‬‫اﻟﺴﺎﺑﻘﺔ‬)physical health(

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‫اﻟﺸﺮﻋﻲ‬ ‫اﻟﻄﺐ‬)Forensic history(:
‫واﻟﻐﺮاﻣﺎت‬ ‫اﻟﺮﺳﻮم‬)charges(
‫أ‬ ‫اﻟﻤﺜﻮل‬‫ﻣﺎم‬‫اﻟﻤﺤﻜﻤﺔ‬)Court appearance(
‫أ‬‫ﻣﺮاﻗﺒﺔ‬ ‫واﻣﺮ‬)Probation orders(
‫اﻻﺟﺘﻤﺎﻋﻲ‬ ‫اﻟﻮﺿﻊ‬)Social conditions(
‫اﻟﻤﻨﺰل‬)home(:
‫أ‬‫ﻳﻦ‬)where: (‫ﻣﻦ‬ ‫ﻣﻊ‬)with whom: (
‫اﻟﻌﻤﻞ‬)work: (
‫أ‬‫ﻳﻦ‬)where: (‫ﻣﻦ‬ ‫ﻣﻊ‬)with whom: (
‫أ‬‫اغ‬‫ﺮ‬‫اﻟﻔ‬ ‫وﻗﺎت‬)Leisure: (
‫أ‬‫ﻳﻦ‬)where: (‫ﻣﻦ‬ ‫ﻣﻊ‬):(with whom
‫اﻟﻤﺎﻟﻲ‬ ‫اﻟﻮﺿﻊ‬(financial circumstance):
‫اﻟﻘﻨﺎﻋﺔ‬)Satisfaction(
‫اﻟﻘﻨﺎﻋﺔ‬ ‫ﻋﺪم‬)Dissatisfaction(
‫ﻋﺎﻃﻔﻴﺔ‬ ‫ﻣﺸﺎﻛﻞ‬ ‫ﻟﻮﺟﻮد‬ ‫دﻻﺋﻞ‬)Evidence of emotional conflict in(
o‫اﻟﻌﺎﺋﻠﺔ‬)family(
o‫اﻟﻌﻤﻞ‬)Work(

9. 8| P a g e
‫اﻟﺸﺨﺼﻴﺔ‬(Personality):
‫ﺗﺠﺎﻩ‬ ‫اﻟﻤﻮاﻗﻒ‬‫و‬ ‫اﻟﻨﻈﺮ‬ ‫وﺟﻬﺔ‬(Attitude To):
‫اﻟﻤﺠﺘﻤﻊ‬(Society)‫اﻟﻌﺎﺋﻠﺔ‬(Family)
‫اﻵ‬ ‫اﻟﺠﻨﺲ‬‫ﺧﺮ‬(Opposite Sex)‫اﻷﺧﻼق‬(Morals)
‫اﻟﺪﻳﺎﻧﺎت‬(Religions)‫اﻟﻤﺒﺎدئ‬(Standards)
‫اﻹدﻣﺎن‬(Addiction):
‫اﻟﻜﺤﻮل‬: (Alcohol)
‫اﻟﺤﺎﻟﻲ‬ ‫اﻟﻮﻗﺖ‬(Currently):‫اﻟﻤﺎﺿﻲ‬(Past):
‫اﻟﻤﺮات‬ ‫ﻋﺪد‬(How Often):
‫اﻟﻜﻤﻴﺔ‬(How Much):
‫اﻟﻤﺪة‬(How Long):
‫اﻹﻧﻘﻄﺎع‬ ‫أﻋﺮاض‬(Any Withdrawal Symptoms):
‫اﻟﻤﻀﺎﻋﻔﺎت‬(Complications):
‫ﺗﺒﻎ‬/‫ات‬‫ر‬‫ﻣﺨﺪ‬(Tobacco/Drugs)
‫اﻟﺤﺎﻟﻲ‬ ‫اﻟﻮﻗﺖ‬(Currently)‫اﻟﻤﺎﺿﻲ‬(Past):
‫اﻟﻤﺮات‬ ‫ﻋﺪد‬(How Often):
‫اﻟﻜﻤﻴﺔ‬(How Much):
‫اﻟﻤﺪة‬(How Long):
‫اﻹﻧﻘﻄﺎع‬ ‫أﻋﺮاض‬(Any Withdrawal Symptoms):
‫اﻟﻤﻀﺎﻋﻔﺎت‬(Complications):

10. 9| P a g e
‫اﻟﻌﻘﻠﻴﺔ‬ ‫اﻟﺤﺎﻟﺔ‬ ‫ﻓﺤﺺ‬)( Mental State Examination
‫واﻟﺴﻠﻮك‬ ‫اﻟﻤﻈﻬﺮ‬:-(General appearance & Behavior )
‫اﻟﻤﺸﻲ‬(Gait):
‫ﻳﻊ‬‫ﺮ‬‫ﺳ‬(Fast)‫ﺑﻄﻲء‬(Slow)‫ﻣﻤﻴﺰ‬(Special Character)
‫اﻟﻤﻼﺑﺲ‬(Clothes):
‫ﻟﻨﻔﺴﻪ‬ ‫ﻣﻬﻤﻞ‬)Self-Neglected(
‫ﻋﺎدي‬ ‫ﻏﻴﺮ‬ ‫أو‬ ‫ﻋﺎدي‬)Usual or Unusual: (-
‫اﻷﻟﻮن‬)(Color
‫اﻟﺘﻨﺎﺳﻖ‬)(Combination
‫ـ‬‫ﻟ‬ ‫ﻣﻨﺎﺳﺒﺔ‬)Appropriate for: (
‫اﻟﻌﻤﺮ‬)Age(‫اﻟﺠﻨﺲ‬)(Sex‫اﻟﻤﻨﺎﺳﺒﺔ‬)Occasion(
‫ﻛﻲ‬‫اﻟﺤﺮ‬ ‫اﻟﻨﺸﺎط‬(Motor Activity):
‫ﻋﺎدي‬(Usual)
‫ﻋﺎدي‬ ‫ﻏﻴﺮ‬: (Unusual)
‫اﻟﻨﺸﺎط‬ ‫ﻗﻠﻴﻞ‬(Underactive)
‫اﻟﻨﺸﺎط‬ ‫ﻛﺜﻴﺮ‬(Overactive)
‫ﻃﺒﻴﻌﻲ‬ ‫ﻏﻴﺮ‬(Abnormal Form)-:Ticks, Mannerism, Stereotypes
‫اﻹﺟﺘﻤﺎﻋﻴﺔ‬ ‫اﻷﻟﻔﺔ‬(Social Manner):

11. 10| P a g e
‫ﻣﻨﺎﺳﺒﺔ‬(Appropriate)‫ﻗﻠﻴﻠﺔ‬(Diminished)‫زاﺋﺪة‬(Increased)
‫اﻟﻮﺟﻪ‬ ‫ﺗﻌﺎﺑﻴﺮ‬(Facial Expressions):
-‫اﻟﺮأ‬‫س‬-(Head)‫اﻟﺸﻌ‬‫ﺮ‬(Hair) -‫اﻟﺤﻮاﺟﺐ‬(Eyebrows) -‫اﻟﻔﻢ‬(Mouth)
-‫اﻟﻮﺟﻪ‬ ‫ﺟﻠﺪ‬-(Skin Of Face)‫اﻟﺸﻌﻮر‬(Affect)
-‫ﺑﺎﻟﻌﻴﻦ‬ ‫اﻟﻌﻴﻦ‬ ‫ﺻﻠﺔ‬:(Eye Contact)
‫ﻣﺘﺠﻨ‬‫ﺐ‬(Avoidant)
‫ﺑﺎﻷرض‬ ‫ﻣﺤﺪق‬(Gazing to Ground)
‫ﺿﻌﻴﻔﺔ‬ ‫أو‬ ‫ﺟﻴﺪة‬(Good Or Poor)
‫اﻟﻘﻮام‬(Body Posture):-
‫ﻣﻨﺘﺼﺐ‬(Upright)‫ﻣﻨﺤﻨﻲ‬(Leaning Forward)
‫اف‬‫ﺮ‬‫اﻷﻃ‬ ‫ﻛﺔ‬‫ﺣﺮ‬(Limb Movements):
‫ﺑﺎﻟﺠﺴﺪ‬ ‫ﻣﻠﺘﺼﻘﺔ‬(Kept Close To Body)
‫ﺑﺎﻟﻴﺪﻳﻦ‬ ‫رﺟﻔﺔ‬(Hand Tremor)
‫إ‬‫ﻛﻴﺔ‬‫ﺣﺮ‬ ‫ﻳﻤﺎءات‬(Gesture Movements)
‫ﺟﺎﻣﺪة‬ ‫واﻟﻴﺪﻳﻦ‬ ‫اﻟﻜﺘﻒ‬ ‫ﻛﺔ‬‫ﺣﺮ‬(Shoulders & Arms Held Rigid)

12. 11| P a g e
‫اﻟﻜﻼم‬:-(Speech)
‫اﻟﺴﺮﻋﺔ‬(Speed/Rate) :
‫ﻃﺒﻴﻌﻴﺔ‬(Normal)‫ﺑﻄﻴﺌﺔ‬(Slow)‫ﺳﺮﻳﻌﺔ‬(Fast)
‫اﻟﻜﻤﻴﺔ‬(Quantity) :
‫ﻃﺒﻴﻌﻴﺔ‬)(Normal‫ﻗﻠﻴﻠﺔ‬(Little)‫ﻛﺜﻴﺮة‬(Much)
‫اﻟﺼﻮت‬(Volume)-:
‫ﻃﺒﻴﻌﻲ‬(Normal)‫ﻣﻨﺨﻔﺾ‬(Low)‫ﻣﺮﺗﻔﻊ‬(Loud)
‫اﻟﻨﻐﻤﺔ‬( Tune ):-
‫ﻃﺒﻴﻌﻴﺔ‬)(Normal‫ﺧﻔﻴﻔﺔ‬(Low Pitch)‫ﻋﺎﻟﻴﺔ‬(High Pitch)
‫إ‬‫اﻟﻜﻼم‬ ‫اب‬‫ﺮ‬‫ﺿﻄ‬(Speech Topics):
‫اﻟﻜﻼم‬ ‫ﺧﻠﻂ‬(Word-Salad)‫ﻣﺒﻬﻢ‬(Vagueness)
‫اﻷﻓﻜﺎر‬ ‫ﺗﻄﺎﻳﺮ‬)(Flight Of Ideas‫اﻟﻔﺤﻮى‬ ‫ﻓﻘﻴﺮة‬(Poverty Of Thoughts)
‫ﺑﺴﺮﻋﺔ‬ ‫ﻳﺘﺪﻓﻖ‬(Pressure Of Speech)‫اﺑﻂ‬‫ﺮ‬‫ﻣﺘ‬ ‫ﻏﻴﺮ‬(Dissociation)
‫ﺗﻤﺘﻤﺔ‬(Muttering)‫ﻫﻤﺲ‬(Whispering)
‫ﺻﺮاخ‬(Shouting)‫ﺟﺪﻳﺪة‬ ‫ﻟﻐﺔ‬(Neologism)

13. 12| P a g e
‫اج‬‫ﺰ‬‫اﻟﻤ‬( Mood ):-
‫واﻟﻤﻮﺿﻮﻋﻲ‬ ‫اﻟﺬاﺗﻲ‬)(Subjective & Objective:
‫ﺳﻌﻴﺪ‬)(Happy‫ﻣﺮح‬)(Cheerful‫ﻣ‬‫ﻨﺘﺸﻲ‬)(Elated‫ﻣﺘﺤﻤﺲ‬)Euphoric(‫اﻟﻔﺮح‬ ‫ﻏﺎﻳﺔ‬ ‫ﻓﻲ‬)Ecstasy(
‫ﺳﻌﻴﺪ‬ ‫ﻏﻴﺮ‬)Unhappy(‫ﻳﻦ‬‫ﺰ‬‫ﺣ‬)Sad(‫ﻣﻜﺘﺌﺐ‬)Depressed(‫ﻳﺎﺋﺲ‬)Despair(‫اﻧﺘﺤﺎري‬)Suicidal(
‫ﻗﻠﻖ‬)Anxious(‫ﻣﺘﻮﺗﺮ‬)Tense(‫ﺳﺮﻳﻊ‬‫اﻹﻧﻔﻌﺎل‬)(Irritable‫ﺧﺎﺋﻒ‬)Fearful(‫رﻫﺎﺑﻲ‬)Phobic(‫ﻣ‬‫ﺬﻋ‬‫ﻮ‬‫ر‬)Panic(
‫اﻟﻨﻮم‬)Sleep:(
‫ﻣﺒﻜﺮ‬ ‫وﻗﺖ‬ ‫ﻓﻲ‬)Early(
‫ﻣﺘﻮﺳﻂ‬)Mid(
‫اﻷرق‬ ‫ﻣﻦ‬ ‫ﻳﻌﺎﻧﻲ‬ ‫و‬ ‫ﻣﺘﺄﺧﺮ‬ ‫وﻗﺖ‬ ‫ﻓﻲ‬)Late And Feeling On Getting Up(
‫اﻟﻨﻬﺎري‬ ‫اﻟﺘﺒﺎﻳﻦ‬)Diurnal Variation(
‫اﻟﺸﻬﻴﺔ‬)Appetite(
‫اﻷﻣﻌﺎء‬ ‫اﺑﺎت‬‫ﺮ‬‫اﺿﻄ‬)Bowel Disturbances(
‫اﻟﻮزن‬)(Weight
‫اﻻﻫﺘﻤﺎﻣﺎت‬)Interests(
‫اﻟﻤﺘﻌﺔ‬)(Enjoyment
‫اﻟﺠﻨﺴﻴﺔ‬ ‫اﻟﺮﻏﺒﺔ‬)(Libido

14. 13| P a g e
‫ﻳﺔ‬‫ﺮ‬‫اﻟﻔﻜ‬ ‫واﻹﻫﺘﻤﺎﻣﺎت‬ ‫اﻹﻧﺸﻐﺎﻻت‬)(PreoccupationalThoughts:-
‫ﻣﺮﺿﻴﺔ‬ ‫أﻓﻜﺎر‬)Morbid Thoughts(
‫اﻟﻤﻘﻠﻘﺎت‬)(Worries
‫أﻓﻜﺎر‬‫وﺳﻮاﺳﻴﺔ‬)Obsessional thoughts(
‫ﻳﺔ‬‫ر‬‫اﻧﺘﺤﺎ‬ ‫أﻓﻜﺎر‬)(Suicidal thoughts
‫اﻟﺘﻔﻜﻴﺮ‬ ‫إﺿﻄﺮاﺑﺎت‬)Thought Disorders: (-
‫اﻟﻤﺤﺘﻮى‬)Content(:
‫اﻟﻀﻼﻻت‬ ‫أﻧﻮاع‬: ( Delusions Types)-
‫اﻟﻌﺪﻣﻴﺔ‬ ‫ﺿﻼﻻت‬)Delusions of passivity(
‫اﻟﺘﺄﺛﻴﺮ‬ ‫ﺿﻼﻻت‬)Delusions of influence(
‫ﺿﻼﻻت‬‫اﻷﻓﻜﺎر‬ ‫اءة‬‫ﺮ‬‫ﻗ‬)Delusions of thought reading(
‫ﺿﻼﻻت‬‫اﻷﻓﻜﺎر‬ ‫زراﻋﺔ‬)Delusions of thought insertion(
‫اﻷﻓﻜﺎر‬ ‫إزاﻟﺔ‬ ‫ﺿﻼﻻت‬(Delusions of thought withdrawal)
‫اﻹﺿﻄﻬﺎد‬ ‫ﺿﻼﻻت‬(Persecutory delusions)
‫اﻟﻌﻈﻤﺔ‬ ‫ﺿﻼﻻت‬(Grandiose delusions)
‫اﻟﻐﻴﺮة‬ ‫ﺿﻼﻻت‬(Jealous delusions)
‫ﺟﺴﺪﻳﺔ‬ ‫ﺿﻼﻻت‬(Somatic delusions)
‫اﻟﺬﻧﺐ‬ ‫ﺿﻼﻻت‬(Delusions of guilt)
‫اﻟﺘﺤﻜﻢ‬ ‫ﺿﻼﻻت‬(Delusions of control)

15. 14| P a g e
‫اك‬‫ر‬‫اﻹد‬ ‫اﺑﺎت‬‫ﺮ‬‫إﺿﻄ‬Disorders of Perception:-
‫اﻟﻬﻼوس‬)Hallucinations(–:
-Visual Hallucinations
-Auditory Hallucinations
-Olfactory Hallucinations
-Tactile Hallucinations
-Gustatory hallucination
‫اﻟﺨﺪاع‬)Illusions(
‫اك‬‫ر‬‫اﻹد‬ ‫ﻋﺪم‬)Derealization(
‫ﺑﺎﻟﻔﻌﻞ‬ ‫اﻟﺮؤﻳﺔ‬)De Javu(
‫اﻟﺸﺨﺼﻴﺔ‬ ‫ﺗﺒﺪد‬)Depersonalization(
‫ﺑﺎﻹ‬ ‫اﻟﻮﻋﻲ‬‫ﻧﺎﺣﻴﺔ‬ ‫ﻣﻦ‬ ‫ﺿﻄﺮاب‬) :(Awareness of disturbance in
‫اﻟﺘﻔﻜﻴﺮ‬)Thinking(
‫اﻟﺤﺠﺐ‬)Blocking(

16. 15| P a g e
‫اﻟﻤﻔﺎﻫﻴﻢ‬‫اﻟﻤﻌﺮﻓﻴﺔ‬)Cognitive Functions(:-
‫اﻟﺘﻮﺟﻪ‬‫ـ‬‫ﻟ‬)Orientation to: (-
‫اﻟﻮﻗﺖ‬)(Time:-
-‫ﻳﺦ‬‫ر‬‫اﻟﺘﺎ‬)Date(
-‫اﻟﻴﻮم‬)day(
-‫اﻟﻔﺼﻞ‬)Season(
‫اﻟﻤﻜﺎن‬)Place: (-
-‫اﻟﺤﺎﻟﻲ‬ ‫اﻟﻤﻜﺎن‬)Location now(
-‫اﻟﻤﺪﻳﻨﺔ‬ ‫ﻣﻮﻗﻊ‬)City Location(
-‫اﻟﻤﻨﺰل‬ ‫ﻋﻨﻮان‬)Home Address(
‫اﻷﺷﺨﺎص‬)( Person:-
-‫اﻻﺳﻢ‬)Name: (
-‫اﻟﻌﻤﺮ‬)Age: (
)‫ﺗﻮﺟﻪ‬ ‫ﺳﻮء‬ ‫ﻫﻨﺎك‬ ‫ﻳﻜﻮن‬ ‫ﺧﻄﺄﻳﻦ‬ ‫ﻣﻦ‬ ‫أﻛﺜﺮ‬)More than 2 errors = disorientation accordingly(
‫اﻹ‬‫ﻛﻴﺰ‬‫واﻟﺘﺮ‬ ‫ﻧﺘﺒﺎﻩ‬)Attention & concentration: (-
‫اﻷرﻗﺎم‬ ‫ﻣﺪى‬ ‫اﺧﺘﺒﺎر‬)Serial seven test(‫اﻟﺴﻨﺔ‬ ‫أﺷﻬﺮ‬ ‫أو‬)Months of Year(
)‫ﺛﻼﺛﺔ‬ ‫أو‬ ‫ﺧﻄﺄﻳﻦ‬ ‫ﻣﻦ‬ ‫أﻛﺜﺮ‬،‫ﺿﻌﻒ‬ ‫وﺟﻮد‬ ‫ﻋﻠﻰ‬ ‫ﻣﺆﺷﺮ‬ ‫دﻗﻴﻘﺘﻴﻦ‬ ‫ﻣﻦ‬ ‫أﻛﺜﺮ‬ ‫أو‬(
More than 2-3 errors, or more than 2 minutes may indicate impairment)(

17. 16| P a g e
‫اﻟﺬاﻛﺮة‬)Memory: (-
‫اﻟﺬاﻛﺮة‬‫اﻟﻤﺪى‬ ‫ﻗﺼﻴﺮة‬)Short-term Memory: (
‫ﺷﻔﻬﻲ‬)Verbal(:
‫ﻟﻠﺨﻠﻒ‬ ‫و‬ ‫ﻟﻸﻣﺎم‬ ‫اﻷرﻗﺎم‬ ‫ﻣﺪى‬)Digits Spans Forward & backward(
109
56318
729416
8294175
51964278
759318260
N.B. ranges (7+2)
‫ﺷﻔﻬﻲ‬ ‫ﻏﻴﺮ‬)non verbal: (
‫ﻳﺔ‬‫ﺮ‬‫اﻟﺒﺼ‬ ‫اﻟﺬاﻛﺮة‬)Visual memory(
‫اﻟ‬‫ﺬاﻛﺮة‬‫اﻟﻤﺪى‬ ‫ﻣﺘﻮﺳﻄﺔ‬)Intermediate memory: (
‫واﻟﻌﻨﻮان‬ ‫اﻻﺳﻢ‬)Name & Address(
Mr. John Edwards
67 Melbourne grove
London SE 25
N.B. ranges (1-2)
‫اﻟ‬‫ﺬ‬‫اﻟﻤﺪى‬ ‫ﻃﻮﻳﻠﺔ‬ ‫اﻛﺮة‬)Long-term memory: (

18. 17| P a g e
‫ﺷﺨﺼﻲ‬)Personal(
‫ﻳﺨﻲ‬‫ر‬‫ﺗﺎ‬)Historical(
‫اﻟﺬﻛﺎء‬)intelligence: (-
‫اﻷﻣﺜﺎل‬)Proverbs(:
o‫اﻟﻤﻌﻴﺸﺔ‬ ‫ﻧﺼﻒ‬ ‫اﻟﺘﺪﺑﻴﺮ‬)A stitch in time saves nine(
o‫ﻣﺎت‬ ‫ﻓﺎت‬ ‫اﻟﻠﻲ‬)No use crying over spelt milk(
o‫ﺑﺎﻟﺤﺠﺎرة‬ ‫اﻟﻨﺎس‬ ‫ﻳﺮﻣﻲ‬ ‫ﻻ‬ ‫زﺟﺎج‬ ‫ﻣﻦ‬ ‫ﺑﻴﺘﻪ‬ ‫ﻛﺎن‬‫ﻣﻦ‬)People in glass houses
should not throw stones(
‫اﻟﻤﺮﺿﻴﺔ‬ ‫اﻟﺒﺼﻴﺮة‬)Insight: (-
Has insight Partial insight No insight
‫اﻟﻤﺮض‬:‫ﻋﺼﺒﻲ‬ ،‫ﺟﺴﺪي‬ ،‫ﻋﻘﻠﻲ‬)Illness: (mental, physical, and nervous(
‫؟‬ ‫ﻋﻼج‬ ‫إﻟﻰ‬ ‫ﺑﺤﺎﺟﺔ‬ ‫أﻧﻪ‬ ‫ﻳﻌﺘﻘﺪ‬ ‫ﻫﻞ‬)Does he think he needs treatment ?(
‫ﺻﻌﻮﺑﺎت‬)Difficulties(
‫آﻓﺎق‬)Prospects(
‫ﻟﻠﻤﺮﻳﺾ‬ ‫اﻟﻤﻘﺎﺑﻞ‬ ‫ﻓﻌﻞ‬ ‫ردة‬)The interviewer's reaction to thepatient(:-

19. 18| P a g e
‫ﻋﺮﻧﺪي‬ ‫زﻳﺎد‬ ‫اﻟﺪﻛﺘﻮر‬ ‫ﻗﺒﻞ‬ ‫ﻣﻦ‬ ‫وﺗﻨﻘﻴﺤﻪ‬ ‫اﻟﻤﻠﻒ‬ ‫ﻫﺬا‬ ‫إﻋﺪاد‬ ‫ﺗﻢ‬-‫ﻣﺪﻳﻨﺔ‬ ‫ﻓﻲ‬ ‫ﺳﺎﺑﻘﺎ‬ ‫اﻟﻨﻔﺴﻴﺔ‬ ‫اﻟﺼﺤﺔ‬ ‫ﻛﺰ‬‫ﻣﺮ‬ ‫ﻣﺪﻳﺮ‬
‫اﻟﻮﻃﻨﻴﺔ‬ ‫اﻟﻨﺠﺎح‬ ‫ﺟﺎﻣﻌﺔ‬ ‫ﻓﻲ‬ ‫اﻟﺼﺤﺔ‬ ‫وﻋﻠﻮم‬ ‫اﻟﻄﺐ‬ ‫ﻛﻠﻴﺔ‬‫ﻓﻲ‬ ‫اﻟﻨﻔﺴﻴﺔ‬ ‫اﻟﺼﺤﺔ‬ ‫ﻣﺴﺎق‬ ‫وﻣﺪرس‬ ‫ﻧﺎﺑﻠﺲ‬.
‫ﻟﻠﻌﺎم‬ ‫اﻟﺼﺤﺔ‬ ‫وﻋﻠﻮم‬ ‫اﻟﻄﺐ‬ ‫ﻛﻠﻴﺔ‬‫ﻓﻲ‬ ‫اﻟﺮاﺑﻌﺔ‬ ‫اﻟﺴﻨﺔ‬ ‫ﻃﻼب‬ ‫ﺑﻮاﺳﻄﺔ‬ ‫اﻟﻤﻠﻒ‬ ‫ﺗﺤﺮﻳﺮ‬ ‫ﺗﻢ‬2014-2015‫ﺗﺤﺖ‬
‫اﻟﺪﻛﺘﻮر‬ ‫إﺷﺮاف‬.