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    Psychiatric Work-Up Template For Students

    Uploaded by

    Tommy Fu
    The document appears to be a psychiatric evaluation that includes sections on the patient's chief complaint, history of present illness, past psychiatric history, family history, medical history, social history, mental status exam, differential diagnosis, biopsychosocial formulation, and treatment plan. Key details include symptoms of mood disorders like depression and mania, psychosis, substance use, anxiety, sleep issues, and risk factors from the patient's history.

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    Psychiatric Work-Up Template For Students

    Uploaded by

    Tommy Fu
    181 views2 pages
    The document appears to be a psychiatric evaluation that includes sections on the patient's chief complaint, history of present illness, past psychiatric history, family history, medical history, social history, mental status exam, differential diagnosis, biopsychosocial formulation, and treatment plan. Key details include symptoms of mood disorders like depression and mania, psychosis, substance use, anxiety, sleep issues, and risk factors from the patient's history.

    Original Description:

    Work up template for psychiatry. Useful for medical students.

    Original Title

    Psychiatric Work-Up Template for Students

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    The document appears to be a psychiatric evaluation that includes sections on the patient's chief complaint, history of present illness, past psychiatric history, family history, medical history, social history, mental status exam, differential diagnosis, biopsychosocial formulation, and treatment plan. Key details include symptoms of mood disorders like depression and mania, psychosis, substance use, anxiety, sleep issues, and risk factors from the patient's history.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    181 views2 pages

    Psychiatric Work-Up Template For Students

    Uploaded by

    Tommy Fu
    The document appears to be a psychiatric evaluation that includes sections on the patient's chief complaint, history of present illness, past psychiatric history, family history, medical history, social history, mental status exam, differential diagnosis, biopsychosocial formulation, and treatment plan. Key details include symptoms of mood disorders like depression and mania, psychosis, substance use, anxiety, sleep issues, and risk factors from the patient's history.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    Patient:

    Risk:
    Source:
    CC:
    HPI:
    MDD
    Sleep

    Mania
    Distractible

    Interest
    Guilt
    Energy

    Impulse
    Grandiosity
    Flight ideas

    Psychosis
    Hallucination
    s
    Persecution
    Reference
    Control

    Concentratio
    n
    Appetite
    Psychomotor
    Suicide

    Activity

    Grandeur

    Sleep
    Talkative

    Guilt
    Somatic

    Anxiety
    Worry

    ADHD
    Movement

    OCD
    Magical

    Abuse
    Physical

    Substance
    Caffeine

    Anxiety
    Tension
    Concentratio
    n
    Hyperarousal

    Organization
    Activity
    Talkative

    Religious
    Somatic
    Contaminatio
    n
    Aggression

    Emotional
    Sexual

    Tobacco
    Alcohol
    Marijuana

    Energy
    Restlessness
    Sleep

    Past Psychiatric History:


    Family History:
    Past Medical History:
    I. Pregnancy/birth
    II. Development/head trauma/neurological disorders
    III. Early intervention
    IV. Other medical issues
    V. Medications/allergies
    Social History:

    Mental Status Exam:

    Sexual
    Hoarding

    Cocaine
    LSD/PCP
    MDMA/X
    Meth
    Opiates

    DDx:
    Biopsychosocial Formulation (Assessment)
    I. Biological

    II. Psychological

    III. Social

    IV. Safety/Risk

    V. Determine Appropriate Level of Care

    Plan
    I. Additional Information

    II. Problem List

    III. Tests/Labs/Referrals

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