P s y c h i a t r y i n a P a g e

A P o n g P o c k e t M o d

H P I
M o o d S I G E C A P S D I G F A S T
P s y c h o s i s A / V H D e l u s i o n s
A n x i e t y S I / H I
S u b u s e , s o m a z n , c o g n , p e r s n l t y

P H x
H o s p
S u i c i d e ?
M e d s

P P
H E A D S
W o r k
A b u s e
L e g a l
P M H
H e a d i n j u r y
S e i z u r e
E n d o
F H x

S u i c i d e
S u b u s e
MSE
ABC STAMP LICKER
Appearance
Behavior
Cooperation
Speech
Thought content/process
Affect
Mood
Perceptions(AH/VH)
LOC
Insight
Cognition
Knowledgefund
Endings(SI/HI)
Reliability

Axis
I: psychdx
II: personality/MR
III: genmed
IV: social stressors
V: GAF

Ddx
Org, drug-induced, drug w/drawal, , personality d/o
4 Ps
Predisposingfactors (Past)
Precipitatingfactors (~Present)
Perpetuatingfactors(~Future)
Protectivefactors
Psychotic
Schizophrenia 2+/5 >6 mo
1. AH/VH
2. Delusions
3. Speech
4. Behavior
5. 5 (-) As


Schizophreniform 2+/5 1-6 mo
Brief Psychotic d/o 1+/5 <1 mo

Delusional d/o >1 mo
s other schizo sx
Persecutory
Grandiose
Erotomania
Somatic
J ealous
Mixed
Unspecified



ADD - hyperactivity, distractibility, restlessness

A- FLiP NiK
Affect flat
Alogia
Apathy
Anhedonia
Akinesia
Types
Paranoid
Disorganized
Catatonia
Undifferentiated
Residual
Mood

MD d/o 5+ 2+epi sig
SIGECAPS >2wk dsfxn
>2mo apart

DIGFAST
BP I d/o 3/4 >1 wk manic/
Irritability mixed
BP II d/o x4 d hypomanic
No sig dysfxn

Cyclothymia 2yr hypomanic
Dysthymic
Not sx freefor >2mo
Less severesx than BP I/II
May beborderline

Dysthymia=Di year (2+yr)
Bereavement =Bi mo (<2 mo)

Medcondition.
Medication/substanceuse.
Anxiety

GAD xs anxiety Qday
Moreoften than not
3+/6

P d/o PA peak in 10 min
w/ 4+PANICS
in baseline fxn/
anticip/anxiety/
worry

Social phobia >6mo
Specific phobia

OCD >1
o
/d

PTSD >1 mo
<3mo(acute), >3mo(chronic), p6mo(delayedonset)
AcuteS d/o w/in 1 mo of event
Sx <1 mo
Intrusion (flashbacks)
Constriction (numbing3+)
Hypervigilance(arouse2+)
RED IMI
Restless/onedge
Easy fatigue
Diff conc/mindblank
Irritability
MuscleTN
Insomnia
PANICS
Palpitations
Paraesthesias
ABD distress
Nausea
Intensefear of dying
lIghtheadedness
CP, Chills, Choking
Sweating
Shaking
SOB
Anhedonia Hypervig
Amnesia insomnia
Affect flat inc startle
Detachment irritability
P e r s o n a l i t y d / o
M E D I C : m a l a d a p t i v e , e n d u r i n g , d e v n f r o m n o r m ,
i n f l e x i b l e , c a u s e s i m p s o c i a l f x n g
A P S S : P a r a n o i d , S c h i z o i d , S c h i z o t y p a l
B B A N H : B r d r l n , A n t i s o c l , N r c s t c , H s t r n c
C D O A : D e p e n d e n t , O C P D , A v o i d a n t

S u b s t a n c e d e p e n d e n c e 3 + / 4
1 . T o l e r a n c e
2 . W i t h d r a w a l
3 . L a r g e r / l o n g e r t h a n d e s i r e d
4 . P e r s i s t e n t d e s i r e t o c u t d o w n
5 . S i g E t o o b t a i n / u s e / r e c o v e r
6 . D e c s o c i a l / o c c u p l / r e c n l ( d y s f x n )
7 . C o n t i n u e d u s e d e s p i t e h a r m

S u b s t a n c e a b u s e 1 + i n 1 y r
1 . R e c u r r e n t u s e m a j o r w o r k / s c h o o l / h o m e
o b l i g a t i o n f a i l u r e
2 . R e c u r r e n t u s e i n p h y s i c a l l y h a z a r d o u s s i t n
3 . R e c u r r e n t s u b - r e l a t e d l e g a l p r o b l e m s
4 . C o n t i n u e d u s e i n s p i t e o f p e r s i s t e n t
p r o b l e m s c a u s e d b y u s e
l o s s o f C o n t r o l , C r a v i n g , C o m p u l s i v e u s e , C o n t u s e
d e s p i t e h a r m
E a t i n g d / o
A n o r e x i a n e r v o s a ( r e s t r i c t i n g / b i n g e - p u r g e )
W t l o s s > 1 5 % , I B W < 8 5 %
I n t e n s e f e a r o f w e i g h t g a i n
D i s t u r b a n c e o f b o d y i m a g e
A m e n o r r h e a ( 1
o
1 4 / 1 6 y r , 2
o
3 / 9 m o )
L a n u g o , m e l a n o s i s c o l i ( w / l a x a t i v e a b u s e )

B u l i m i a n e r v o s a ( p u r g e / n o n - p u r g e )
R e c u r r e n t b i n g i n g
o L a r g e r a m t t h a n m o s t
o L a c k o f c o n t r o l
R e c u r r e n t i n a p p c o m p e n s a t i o n
o V o m i t i n g
o L a x a t i v e / d i u r e t i c / e n e m a a b u s e
o F a s t i n g / e x e r c i s e
2 x / w e e k x 3 m o
D i s t u r b a n c e o f b o d y i m a g e

S o m a t i z a t i o n d / o
R e c i p e 4 P a i n : C o n v e r t 2 S t o m a c h s t o 1 S e x
S x : 4 p a i n , 1 c o n v e r s i o n , 2 G I , 1 S e x
N o r m a l i z a t i o n : W i t h a l l t h e s t r e s s y o u v e b e e n u n d e r , I w o n d e r i f
y o u v e b e e n d r i n k i n g m o r e l a t e l y .
S y m p t o m a s s u m p t i o n : W h a t k i n d s o f w a y s h a v e y o u t h o u g h t
a b o u t h u r t i n g y o u r s e l f ? W h a t s o r t o f d r u g s d o y o u u s u a l l y u s e
w h e n y o u d r i n k ?
T r a n s i t i o n i n g : E a r l i e r y o u m e n t i o n e d t h a t y o u d i d n t k n o w h o w
m u c h m o r e o f t h i s y o u c o u l d t a k e - - H a v e y o u h a d t h o u g h t s o f
w a n t i n g t o e s c a p e i t b y d y i n g ?
P i g g y - b a c k i n g : D e p r e s s i o n s o m e t i m e s c a u s e s p e o p l e t o h a v e
s t r a n g e e x p e r i e n c e s , l i k e h e a r i n g v o i c e s o r f e e l i n g t h a t o t h e r s a r e
t r y i n g t o h a r m t h e m . H a s t h a t h a p p e n e d t o y o u ?
A r e y o u d e p r e s s e d ? D o y o u h a v e a n y p r o b l e m s s l e e p i n g ?
o H o w h a s y o u r d e p r e s s i o n a f f e c t e d y o u r l i f e o v e r t h e p a s t
c o u p l e w e e k s ? F o r e x a m p l e , h o w h a s i t a f f e c t e d y o u r
S I G E C A p s ?
o W i t h a l l t h e d e p r e s s i o n y o u v e b e e n d e a l i n g w i t h , h a v e y o u
e v e r t h o u g h t y o u d b e b e t t e r o f f d e a d ? D o y o u h a v e a p l a n ?
o W h e n w a s t h e l a s t t i m e y o u r e m e m b e r N O T f e e l i n g
d e p r e s s e d ?
o H a v e y o u h a d p e r i o d s o f f e e l i n g s o h a p p y o r e n e r g e t i c t h a t
y o u r f r i e n d s s a i d y o u w e r e t a l k i n g t o o f a s t o r t h a t y o u w e r e
t o o h y p e r ?
D o y o u h a v e a d r i n k n o w a n d t h e n ? C A G E .
o A s i d e f r o m d r i n k i n g , w h a t s o r t s o f r e c r e a t i o n a l d r u g s d o y o u
u s e r e g u l a r l y ? M a r i j u a n a ? I c e ? C o c a i n e ? H e r o i n ? L S D ?
E c s t a s y ?
D o y o u t e n d t o b e a n a n x i o u s o r n e r v o u s p e r s o n ?
o D o y o u h a v e a n x i e t y o r p a n i c a t t a c k s ? A p a n i c a t t a c k i s a
s u d d e n f e a r a n d n e r v o u s n e s s t h a t m a k e s y o u r h e a r t p o u n d
a n d m a k e s y o u a f r a i d y o u r e g o i n g t o d i e o r g o c r a z y . H a v e
y o u h a d t o l i m i t w h e r e y o u c a n g o b e c a u s e o f y o u r a n x i e t y ?
o D o y o u h a v e s x o f O C D l i k e c h e c k i n g t h i n g s r e p e a t e d l y o r
w a s h i n g y o u r h a n d s o v e r a n d o v e r ? D o y o u r c o m p u l s i o n s
s i g n i f i c a n t l y i n t e r f e r e w i t h y o u r a b i l i t y t o l i v e y o u r l i f e ?
H a v e y o u e v e r f e l t l i k e y o u a r e o v e r w e i g h t ? H a v e y o u d i e t e d ?
U s e d l a x a t i v e s ? M a d e y o u r s e l f t h r o w u p ? D o y o u g o o n e a t i n g
b i n g e s i n w h i c h y o u e a t a n u n u s u a l l y l a r g e a m o u n t o f f o o d w i t h i n a
t w o - h o u r p e r i o d a n d f e e l t h a t y o u c a n t c o n t r o l y o u r e a t i n g ?
H a v e y o u e v e r h e a r d o r s e e n p e o p l e c o m i n g i n t o y o u r h o u s e ? H a v e
p e o p l e b e e n h a r a s s i n g y o u o r t r y i n g t o h a r m y o u ?
o W h e n y o u m i s p l a c e t h i n g s , d o y o u s o m e t i m e s t h i n k t h a t
t h e y v e b e e n s t o l e n ?
o H a v e d r u g s e v e r c a u s e d y o u r m i n d t o p l a y t r i c k s o n y o u , l i k e
s e e i n g t h i n g s o r h a v i n g p a r a n o i d i d e a s ?