Psychiatry
General history taking
HOPC -
quote the patient
onset
relevant negatives ( voices - any commenting on his action etc ) , mood congruent / mood incongruent psychotic features
Impact of the illness - because of him hearing voices - he hardly out of the house / fail exams
coping strategies -
anything that make its worse
Risk
own safety ? - wander off / forget own address / active plan to commit suicide
risk to others - threaten to kill neighbiurs
sleep
apetite
concentration / performance at work
relationship with family members/ partners / colleagues and neighbours
Past medical history / Past medication history / history of admission to ward / history of going respite / history of previous suicidal attempt
Alcohol / substance use history
tolerance ?
dependency - history of trying to stop - methods used - description of experience of trial to stop the substance