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Psychiatric History Mnemonic

17K views 6 replies 7 participants last post by  drhouse 
#1 ·
Hi!! Im preparing the CS and i had some difficulties going through the Psychiatric cases so i decided to make a mnemonic for that, so this my mnemonic for PSYCH HX taking, hope this help.
Psychiatric Hx TRIM DR. WADE ASAP
Talk to (someone to talk to when he is in distress), traumatic episodes; think (why is he here)
routine, daily
Interests and hobbies
Mood throughout the day and memory loss
Delusions and hallucinations
Realize, he has a problem
Weight, willing to get help
Appetite
Diet
Energy
Attitude towards life
Suicide
Affinity to his family
Plan (gun or pills)
 
#7 ·
Better way

I would go like
O:eek:nset
D:duration
P:progression
A
A
A
Social history: as might be related to drugs. and will get an idea about his day to day home and work life. keep questions open-ended. e.g. How is everything at work/home?

Mood:SIGE CAPS for depression

PSYCH type encounter:
Hallucination: content, what he thinks of the content
Delusions: reason for delusional belief

If schzo/delusional, can go like:
-what do you think is the reason you are here?
-do you realise you have a problem?
-do you want to get help?
-have you talked to any of your family or friends about this?

Can modify depending on encounter. Just memorise how to ask for hallucination and delusion details and insight and willingness. Otherwise normal social and depression history will do.

Good luck.
 
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