CMN548 UNIT 1: PSYCHIATRIC HISTORY
AND PSYCHIATRIC ASSESSMENT | 124
QUESTIONS AND ANSWERS | 2026
UPDATE | WITH COMPLETE SOLUTION
Elements of the psychiatric interview-2 - ANSWERS-patient history
(subjective info) and mental status exam (objective info)
Sadock -Complete psychiatric assessment - ANSWERS-1) *Identifying data*:
pt name.sex/,arital status/race/ethnicity/occupation.
*2) Source and reliability:* Where information is coming from
(patient/chart/family) how reliable information is- use own judgment
*3) Chief Complaint*: Pts own statement of why they are here>
*4)HPI History of present illness:* chronological description of current
episode include changes in habits/interests/physical health/relationships.
Length of time /fluctuations in severity/stressors involved.
What alleviates symptoms, triggering factors-why now? Any interventions
(therapy/medications tried).
*Include Psychiatric Review of Systems: *
Mood/anxiety/psychosis/other
*Mood- depressive symptoms*- sadness/tearfulness/difficulty concentrating
sleep/appetite.
USE SIGECAPS
,S- Sleep
I-Interest
G-Guilt
E-Energy
C-Concentration
A-Appetite
P- psychomotor agitation/slowing
S- Suicidality
*Mood-Mania* impulsivity/reckless behavior/grandiosity/decreased need for
sleep/excessive spending/hyper-sexuality, talkativeness/racing thoughts
/excessive energy
*Mood-mixed: *irritability/liability
*ANXIETY *
*Generalized anxiety sx *
( where when who/how long/how frequent
*Panic D/O-*
somatic sx, agoraphobic, SOB, trouble swallowing/sense of doom
*OCD symptoms:*
checking/rituals/organizing rational vs irrational beliefs
*PTSD:*
nightmares, startle response/flashbacks/avoidance
,*Social Anxiety Symptoms/Simple phobias*
*Psychosis*
*Hallucinations*
- Auditory/visual olfactory/tactile
*Paranoia*
*Delusions*
- TV,radio, thought broadcasting/referential thinking/
*Patient perceptions:*
spiritual beleifs/reality testing
*Other:* ADHD -hyperactivity Eating D/O.
*5)Past Psychiatric History:*
All psych illnesses/course/ past treatments hospitalizations. Medications used
how long a trial - Side effects problems with treatment. Past Suicide attempt
Identifying data - ANSWERS-patient's name, age, sex, marital status/
significant other, race, ethnicity, occupation
source and reliability - ANSWERS-clarify where the information came from
and how reliable the data are
, chief complaint - ANSWERS-Patient's presenting condition in their own words
The history of present illness definition - ANSWERS-the chronological
description of the evolution of the symptoms of the current episode
History of present illness: What to include - ANSWERS-*Chronological
description of the evolution of the symptoms of the current episode.
*Any changes that have occurred:* interests, relationships, behaviors,
personal habits, physical health.
*Ask open ended questions to get the info ("Can you tell me what brings you
here today?")
*Length of time that the current sx have been present
*Fluctuations of sx in severity or nature of sx over time?
*Presence of absence of stressors
*Factors that alleviate or exacerbate sx
*Has the person already sought treatment? (if so, who patient saw, what was
done, how often, modality, continuing treatment?)
Essential question to ask for the history of present illness interview -
ANSWERS-*What symptoms
*Severity of sx
*How long sx present
AND PSYCHIATRIC ASSESSMENT | 124
QUESTIONS AND ANSWERS | 2026
UPDATE | WITH COMPLETE SOLUTION
Elements of the psychiatric interview-2 - ANSWERS-patient history
(subjective info) and mental status exam (objective info)
Sadock -Complete psychiatric assessment - ANSWERS-1) *Identifying data*:
pt name.sex/,arital status/race/ethnicity/occupation.
*2) Source and reliability:* Where information is coming from
(patient/chart/family) how reliable information is- use own judgment
*3) Chief Complaint*: Pts own statement of why they are here>
*4)HPI History of present illness:* chronological description of current
episode include changes in habits/interests/physical health/relationships.
Length of time /fluctuations in severity/stressors involved.
What alleviates symptoms, triggering factors-why now? Any interventions
(therapy/medications tried).
*Include Psychiatric Review of Systems: *
Mood/anxiety/psychosis/other
*Mood- depressive symptoms*- sadness/tearfulness/difficulty concentrating
sleep/appetite.
USE SIGECAPS
,S- Sleep
I-Interest
G-Guilt
E-Energy
C-Concentration
A-Appetite
P- psychomotor agitation/slowing
S- Suicidality
*Mood-Mania* impulsivity/reckless behavior/grandiosity/decreased need for
sleep/excessive spending/hyper-sexuality, talkativeness/racing thoughts
/excessive energy
*Mood-mixed: *irritability/liability
*ANXIETY *
*Generalized anxiety sx *
( where when who/how long/how frequent
*Panic D/O-*
somatic sx, agoraphobic, SOB, trouble swallowing/sense of doom
*OCD symptoms:*
checking/rituals/organizing rational vs irrational beliefs
*PTSD:*
nightmares, startle response/flashbacks/avoidance
,*Social Anxiety Symptoms/Simple phobias*
*Psychosis*
*Hallucinations*
- Auditory/visual olfactory/tactile
*Paranoia*
*Delusions*
- TV,radio, thought broadcasting/referential thinking/
*Patient perceptions:*
spiritual beleifs/reality testing
*Other:* ADHD -hyperactivity Eating D/O.
*5)Past Psychiatric History:*
All psych illnesses/course/ past treatments hospitalizations. Medications used
how long a trial - Side effects problems with treatment. Past Suicide attempt
Identifying data - ANSWERS-patient's name, age, sex, marital status/
significant other, race, ethnicity, occupation
source and reliability - ANSWERS-clarify where the information came from
and how reliable the data are
, chief complaint - ANSWERS-Patient's presenting condition in their own words
The history of present illness definition - ANSWERS-the chronological
description of the evolution of the symptoms of the current episode
History of present illness: What to include - ANSWERS-*Chronological
description of the evolution of the symptoms of the current episode.
*Any changes that have occurred:* interests, relationships, behaviors,
personal habits, physical health.
*Ask open ended questions to get the info ("Can you tell me what brings you
here today?")
*Length of time that the current sx have been present
*Fluctuations of sx in severity or nature of sx over time?
*Presence of absence of stressors
*Factors that alleviate or exacerbate sx
*Has the person already sought treatment? (if so, who patient saw, what was
done, how often, modality, continuing treatment?)
Essential question to ask for the history of present illness interview -
ANSWERS-*What symptoms
*Severity of sx
*How long sx present
