History taking in psyc presentation made by one of finest girl I know

Best way to take history in psychiatry

1. How to take psychiatric history D R VINEETA HO AT DEPARTMENT OF PSYCHIATRY

2. What is Psychiatry? Psychiatry is the branch of medicine that deals with the diagnosis, management and prevention of mental disorder. Psych : soul or mind Iatros : healer

3. What is Mental Health: A person is said to have Mental Health who: Is able to function/cope normally Meets the responsibilities Expresses balanced attitude towards day to day challenges/problems

4. HOW DO WE DISTINGUISH PSYCHITRIC ILLNESS FROM ORGANIC History/symptoms: VIA TOPP (visual hallucinations, incontinence, ataxia, tempreture/fever, olfactions, pupilary dilataion/constriction, planters upgoing) Physical examination Investigation

5. PS Psychiatric History/Interview Psychiatric History/Interview

6. Preparing The Setting Safety Privacy Try to avoid interruptions Arrange seating so sitting at angle to patient Writing materials Box of tissues.

7. Starting the Interview Put the patient at ease Introduce yourself and explain role Introduce to anyone who is accompanying patient Inform them about the length of interview Need to take notes Confidentiality

8. Components of a Psychiatric History 1- Demographic Data Name Age Sex Marital Status Religion Occupation Socioeconomic status Address 2- Name(s) of informant(s) and their relationship to patient

9. 3. Presenting Complaints In patient’s own words and in informant’s own words Ex:Hearing of voices when pt: is alone for 3 weeks Aggressive behaviour for one month

10. Components of a Psychiatric History 4- History of present illness: Onset Duration Intensity Preciptating factors History of current episode Associated disturbance (distrubance in sleep,appetite,social functioning, occupation)

11. Components of a Psychiatric History 7- Past History: Number of episodes with onset and outcome Complete or incomplete remission Duration of each episode Treatment detail and its side effect if any Treatment outcomes Detail of any precipitating factors if present

12. Components of a Psychiatric History 5. Family History: Parents and siblings Social position of family Summarize it as family tree

13. Components of a Psychiatric History 6- Personal History: Mother’s pregnancy and the birth Early development Childhood: separation, emotional problems, illnesses, education Occupation Relationships and sex Children Social circumstances Substance use Forensic history Premorbid personality

14. PRE MORBID PERSONALITY : Personality of a patient consist of those habitual attitudes and patterns of behaviour which characterize an individual. Personality sometime changes after onset of an illness. Get a description of personality before onset of illness.

15. THANK YOU Enquire with respect to: Attitude to others and social, family and sexual relationship Attitude to self Moral and religious attitude and standards Mood Leisure activities and hobbies Fantasy life Reaction patterns to stress