Professional Documents
Culture Documents
Complete OSCE Skills For Medical and Surgical Finals
Complete OSCE Skills For Medical and Surgical Finals
INTERVIEW
Safety comes first Collateral historian Open ended questions
HISTORY
Demographic details Mode of referral and current treatment.
Eg. AB, a 30YO U/E Divorced lady. Lives with 8YO Da in council flat. R/B GP due to concern
@ suicidal risk. Complied with fluoxetine last 2 weeks.
PRESENTING COMPLAINT
‘shopping list’ & then more detail:
Includes: mood, risk, anxiety, panic attacks, psychotic sympts, bizarre behaviour, alcohol,
drugs, biological sympts, DVM
Level of dysf(x) / typical day
FAMILY HISTORY
PERSONAL HISTORY
Birth and brought up. Milestones and childhood neurotic traits
School: behaviour, social relationships, academic achievements
Occupation: durations and reasons for changes
Sexual / Relationship history: duration, quality
Alcohol / Drugs Forensic Hx
Premorbid personality Current social circumstances
PAST PSYCHIATRIC HX
Ed Psychologists, counsellors, GP, Psychiatrist
Past admissions: status, duration, benefit, diagnosis
Past / Current medical & psychological treatments: compliance, tolerance, duration
Thoughts: Cognitions: past, future, present (esteem, worthless, useless, guilt, hopeless)
Suicidal Ideation eg.‘how bad can you end up feeling?’
Preoccupations, OCD sympts
Psychotic sympts (delusions v overvalued ideas, thought interference, passivity)
Cog.F(x): OTPP
Concentration: Serial 7’s, Mths b’wards, ‘WORLD’ b’wards
STM (N&A) / LTM