Introduction to Psychiatry and Biopsychosocial Model of Disease

What are the eleven parts of the mental status exam?

1) General Appearance
→ their age and how they appear/present

2) Attitude
→ are the patients cooperative or uncooperative | how the patients act towards you

3) Behavior/Motor
→ things like their posture and how their body moves while speaking with you

4) Speech
→ their rate, rhythm, and articulation of speech

5) Mood
→ how do they feel right now

6) Affect
→ how would you assess their mood if you didn’t ask how they felt - just based on their expression

7) Though Process
→ how the patients think and can you follow their line of though
→ are they able to stay on topic 

8) Thought Content
→ what are these patients thinking about?
→ do they have delusions?

9) Cognition
→ general consciousness, orientation and attention 

10) Insight
→ awareness of their mental situation

11) Judgement
→ patient’s decision making ability

What is the Biopsychosocial Model?

Model is subdivided into biological, psychological, and social compartments that influence the presentation of a disease

Biology
→ family history or genetic predisposition
→ substance or medication influence
→ abnormal lab/imaging findings

Psychology
→ personality structure and defense mechanisms

Social
→ Housing, Family, and Employment

This model influences our treatment modalities, we want to make sure to address all issues that are found in all aspects of disease

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