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P SYCHIATRIC DISORDERS (M ENTAL I LLNESSES ) C LINICAL A SSESSMENT.

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Presentation on theme: "P SYCHIATRIC DISORDERS (M ENTAL I LLNESSES ) C LINICAL A SSESSMENT."— Presentation transcript:

1 P SYCHIATRIC DISORDERS (M ENTAL I LLNESSES ) C LINICAL A SSESSMENT

2 C LINICAL A SSESSMENT The Psychiatric History The Mental State Examination Physical Examination Investigations Differential Diagnosis

3 T HE P SYCHIATRIC H ISTORY Presenting complaint History of presenting compliant Past psychiatric history Past medical history Medication history Family history Personal history Social history Drug and alcohol history Forensic history Premorbid personality

4 M ENTAL S TATE E XAMINATION Appearance and Behaviour Speech Mood and affect Thoughts Perception Cognitive state Insight

5 P HYSICAL E XAMINATION, PHYSICAL INVESTIGATIONS, PSYCHOMETRY Physical examination and investigations Full physical examination Blood pressure Levels of consciousness Appropriate laboratory investigations Psychological investigations

6 D IFFERENTIAL D IAGNOSIS Compiling a differential diagnosis is the first step in diagnostic process Redefining the diagnosis is the next step in which a provisional diagnosis is m ade


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