Psychopharmacology Ch 4

Identifying information, presenting problem, chief complaint, personal/family history, summary of psychometric information, diagnostic assessment, proposed treatment goals and methods, other information

What is the outline for obtaining a patient’s history?

Attitude and behavior, stream of mental activity, emotional reactions, mental trend and thought content, mental capacity, general fund of knowledge, and judgment and insight

What sources should a full mental status exam (MSE) include?

Person, place, and time

What is included in oriented x3?

Beck Depression Inventory II

21 items, easy to score

The Hamilton Depression Inventory

Available in 17 or 21 item format; better for assessing somatic, less cognitive-related depression

PHQ-9 Patient Health Questionaire

Simple 11-question instrument; available online; helps to determine if the patient is experiencing depression

Geriatric Depression Inventory

Helpful to use with an older population

Beck Anxiety Inventory

Brief, easy to score, and helpful in differentiating between generalized anxiety and panic disorder

State-Trait Anxiety Inventory

Helpful in determining if the anxiety is one of an emotional reaction “state” versus more of a personality “trait”

GAD-7

7-question instrument; helps clinician to determine if generalized anxiety disorder may be present; also available online

Minnesota Multiphastic Personality Inventory (MMPI-2)

Consists of 567 true/false questions over 10 clinical scales including depression, somatization, anxiety, antisocial tendencies, paranoia, mania, and psychoticism

The Million Clinical Multi-axial Inventory-IV

A shorter test with 195 items; better for assessing the presence of a personality disorder; maps well on the DSM-5

The Personality Assessment Inventory (PAI)

Consists of 344 items; shorter version, called the PAS or personality assessment screener, contains only 22 items and takes less than six minutes

Document the name of the patient’s primary care provider (PCP) and the date of last physical, take a complete history of of any treatment for the presenting problem, prepare a mental status assessment

What are the steps to structuring an initial interview?