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In the Name of Allah:

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‫د کنفرانس موضوع ‪ - :‬تاریخچه‬
‫رهنما استاد ‪ - :‬ترینر متخصص ډاکتر سید عبداالحد قریشی‬
‫د کنفرانس وړاندي کوونکي ‪ - :‬محمد سرور‪ -‬د اول کال ترینی‬
‫صنف ‪ - :‬اول‬
‫روغتون ‪ - :‬روانی روغتیا‬

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Outlines:
1- Parts of the initial psychiatric interview
2- Elements of initial psychiatric interview
3- History taking and parts of history
 Identifying data
 Source and reliability
 Chief complaints
 History of present illness
 Past psychiatric history

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 Substance ,Use, Abuse, and , Addiction
 Past medical history
 Family history
 Developmental and social history
 Review of system

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History-Taking:

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Parts of the initial Psychiatric Interview :
1- Identifying data
2- Source and reliability
3- Chief Complaint
4- Present illness
5- Past Psychiatric History
6- Substance use and abuse
7- Past medical history
8- Family history

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9- Developmental and Social history
10- Review of System
11- Mental State Examination
12- Physical Examination
13- Formulation
14- DSM-5- Diagnosis
15- Treatment plan

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Elements of initial Psychiatric Interview:

1- Patient History (Subjective)


2- Mental State Examination (Objective)

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Parts of History:

1- Identifying- Data
 Name
 F/Name
 Age
 Sex
 Marital State
 Religion
 Occupation
 Referral Source
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2- Source and Reliability ‫سرچینه او ډاډتوب‬
3-Chief/Presenting Complaints ‫د ناروغ عمده شکایات‬

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4- History of Present illness ‫د اوسنۍ ناروغۍ تاریخچه‬
 Chrono-logical order ‫زمانی ترتیب‬
 Symptom definition, duration, and onset
 Definition of symptoms by patient
 Predisposing factors

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 Precipitating factors (Triggering factors) ‫تسریع کوونکی فکتورونه‬
 Perpetuating factors ‫دوامداره کوونکی عوامل‬

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 The essential questions to be answered in the history of present
illness include
What(symptoms)
How much(severity)
How long
And associated factors
 Psychiatric review of system ‫ترڅو د ناروغۍ تشخیص صحیح او یا رد کړو‬

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5-Past Psychiatric history:
 Past Psychiatric illnesses and its duration
Symptoms onset condition
Triggering factors
Treatment place
Treatment duration

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Treatment types
ECT
Alternative therapy

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Response to treatment and form of treatment like,
Outpatient
Day Patient
Inpatient
Side effects of treatment

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6- Substance Use, Abuse , and Addiction:
 A careful review of substance use, abuse , and addiction is essential to
the psychiatric interview
 This information may be difficult for the patient to discuss

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 Substance have been used like, alcohol, drugs
 Routes of use
Oral
Snorting
IV

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7- Past medical history:
 Past medical illnesses
 Past operation
 Hospitalization

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 Mimic of psychiatric disorder( hyperthyroidism resembling of Anxiety
disorder)
 Influence the choice of treatment of psychiatric disorder(renal
disorders and the use of lithium carbonate)

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8- Family history:
 Familial disease (Genetic predisposition)
 Family background
Educational state
Social status
 Family history of sucide is a significant risk factor for suicidal behavior
in the patient

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 Medical illnesses also present in the patient family history,
May be also important in both the diagnosis and treatment of the
patient
Eg, diabetes or hyperlipidemia affecting the choice of antipsychotic……..

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 The family history is important in identifying potential support as well
as stressor for the patient

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9- Developmental and social history:
 Prenatal or birthing history and developmental milestones
 Childhood history
Number and quality of friendships
School history
Behavioral problems at school
Childhood physical and sexual abuse

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 Work history
Types of jobs
Performance at job
Reason for changing jobs
And current work status

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 Marriage and relationship history
 Relationships with all family members
 Legal history

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10-Review of systems :
Generally the review of system is organized by the major systems of the
body.

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Thanks a million

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