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Psychiatric History - Patient Profile (Mode of arrival)
Brought by family, ambulance, police.
Psychiatric History - HPI (Open question example)
Tell me about your problem.
Psychiatric History - HPI (4 P's framework)
Predisposing, precipitation, perpetuating, protective factors.
Psychiatric History - Perception (Auditory hallucination characteristics)
Voice: male or female, known or unknown. Person: 1st (own), 2nd (you), 3rd (he or she). Commanding (risk for suicide/homicide).
Psychiatric History - Perception (Visual hallucinations)
More in neurological causes (Lewy body dementia), delirium or drug intoxication.
Psychiatric History - Perception (Olfactory hallucinations)
Temporal lobe epilepsy.
Psychiatric History - Perception (Tactile/somatic hallucinations: bugs crawling)
Substance induced psychosis (cocaine).
Psychiatric History - Perception (Hypnagogic vs Hypnopompic)
Hypnagogic: while falling asleep (non-pathological alone). Hypnopompic: while waking up (can be normal variant).
Psychiatric History - Perception (Depersonalization vs Derealization)
Depersonalization: detached from their body. Derealization: feeling outer environment is unreal.