Professional Documents
Culture Documents
Was her aggression associated with Tell me a little about your diet and what you were
substance use? talking around the time you had the incident with your
father?
You said you use wee. How old were you when you first
smoked?
When… what…?
Rule out medical cause Records review
Delusions or Hallucinations Have you ever been in a situation where you have seen
something that other people did not see or heard?
Observation
Elevated mood Do you ever have periods of time where your problems
go away? Weight off your shoulders
Manic Symptoms Do you ever feel like you can do anything? What do you
do?
Inflated self esteem
Decreased need for sleep How would you describe your sleep?
More talkative How many hours did you sleep last night?
Flight of ideas Has there ever been a time when you went for long
Distractibility periods without needing to sleep? How long?
Increased goal directed activity
Excessive involvement in How’s your thinking? What it is like to make decisions?
pleasurable or risky activities How would you make a PB&J sandwich? MMSE
Change in appetite Have you ever felt like you want to sleep all day?
Insomnia or hypersomnia
Agitation Poetry, goals, how often are you able to work on it , get
Suicidal ideation in the way?
Conduct/ Attention What were you like before your mom died?
What was it like for you when you went to school
before ?
School when locked up? How did you do? What was it
like to learn?
Anxiety and Trauma related
symptoms
Identity Disturbance Lose time? Ever find yourself somewhat and not sure
how you got there?
Tolerance and withdrawal
Cannabis (use disorder)