Scribd
Upload
13 views15 pages

History

The document outlines the diagnosis of mental illness, detailing tools such as history taking, mental state examination, and psychodiagnostic testing. It emphasizes the importance of manuals like ICD-10 and DSM-5 for classification and diagnosis. Additionally, it covers the process of history taking, including patient identification, presenting complaints, and personal and family history, to assess the patient's mental health comprehensively.

Uploaded by

smarakneupane
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
13 views15 pages

History

The document outlines the diagnosis of mental illness, detailing tools such as history taking, mental state examination, and psychodiagnostic testing. It emphasizes the importance of manuals like ICD-10 and DSM-5 for classification and diagnosis. Additionally, it covers the process of history taking, including patient identification, presenting complaints, and personal and family history, to assess the patient's mental health comprehensively.

Uploaded by

smarakneupane
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Diagnosis Of mental illness

Tools
• History and Mental State Examination

• Physical Examination

• Psychodiagnostic testing

• Laoratory Investigations & Neuroimaging


Manuals
• International Statistical Classification of
Diseases and Related Health Problems (ICD-
10) - Chapter V(F)-classification of mental
and behavioural disorders (WHO)

• Diagnostic and statistical manual of mental


disorders-fifth edition-DSM 5 (APA)
History Taking
• Starting the interview

• Introduce yourself fully.


• Put patient at ease and build a rapport.
• Confidentiality issues.
indentification
• Name:
• Age:
• Sex:
• Marital Status:
• Educational Status:
• Occupation:
• Religion:
• Caste:
• Residence:
Present address :
Permanent address:
• Source of referral:

• Informant (name, age, relationship, intimacy


and length of acquaintance with the patient)
Reliability of information:
Adequacy of information:
• PRESENTING COMPLAINTS: (with
duration)

• Patient’s:

• Informant’s:
HISTORY OF PRESENT ILLNESS:

• Duration
• Onset
• Course of illness : continuous or episode or
continous with exacerbations
• Progression of severity
• Precipitating factor
• Description of presenting complaints in detail.
• Relevant positive and negative points.
• Biological symptoms : comparison past and
present :sleep, appetite, loss of weight, libido,
• personal care, work performance, personality
changes.
• Treatment history and its effect on course and
severity of illness.
PAST HISTORY

• Psychiatric

• Medical
FAMILY HISTORY
Family of origin
Describe with a family chart.
Presence or absence or mental illness, alcohol or
drug abuse among close relatives.
Relationship among them; quality of
relationship; family dynamics.
PERSONAL HISTORY

 childhood, adolescent, adult


• Antenatal, natal
• Events after birth: crying, breathing, cyanosis,
icterus, high temperature, convulsions, or any
other abnormalities.
• Milestones: motor, language, psychosocial
• Childhood temperaments
 Presence of neurotic symptoms: e.g. thumb
sucking, bed wetting, temper tantrums etc.
 Academic history
 Sexual history
 Menstrual history
 Work history
 Patient’s family. Marriage, children,
relationship, dynamics, presence of mental
illness or alcohol or drug abuse.
PREMORBID PERSONALITY

Characteristics possessed by a person that uniquely


influences his or her cognitions, emotions, motivations
and behaviors in various situations.

Hobbies and leisure activities


Attitude and relation to family, friends, work
Mood

You might also like