By Salina Chan, R3 2013. Components of an accurate psychiatric diagnosis 1.History – HPI and especially past psychiatric history 2.Collateral 3.Psychiatric.

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Presentation transcript:

By Salina Chan, R3 2013

Components of an accurate psychiatric diagnosis 1.History – HPI and especially past psychiatric history 2.Collateral 3.Psychiatric interview 4.Mental Status Exam 5.Biological workup

6. Personality testing 7. Insight & judgment on MSE 8. Appearance & behaviour on MSE 9. Affect & mood on MSE 10. Physical Exam

A = Appearance S = Speech E = Emotion P = Perception T = Thought form and thought content I = Insight and judgment C = Cognition

Level of Consciousness Appearance Behavior Cooperation Reliability Affect Thought form Parameters to ask about Orientation Cognitive functions Suicidal/homicidal thoughts Knowledge base Perception Mood Thought content

Specific Movement Abnormalties Akathisia Automatisms Catatonia Choreoathetoid mvmts Compulsions Dystonia & EPS Tardive Dyskinesia Tremors Negative Symptoms

Type/Quality Range/Variability Degree/Intensity Stability/Mobility Appropriateness Congruence Mood TypeQuality Reactivty Intensity Stability/Duration Pattern

Disturbances of Quality of size Micropsia Macropsia Dysmegalopsia Disturbances in intensity of perception Hyperacusis Visual hyperaesthesia

Designed to show thoughts of persecution

Awareness of having illness Understanding of factors contributing to illness Appreciation that various signs and symptoms part of disease Awareness of illness impacts on other ppl and society Acknowledgment of need for txn Judgment 1. Appraising the situation 2. Surveying the alternatives 3. Weighing the alternatives 4. Deliberating about selection 5. Making a commitment to a choice

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