History of presenting complaint
Reason for referral
What is the main problem / Which problems are the worst?
How has it affected you?
When did you last feel well?
Past psychiatric history
Current treatment / care
Drugs + alcohol
Family history (incl. psychiatric)
Still alive / How did they die?
Relationship with brothers + sisters
Delivery + early development
Relationships with family
Describe themselves before they got ill
Mental state assessment
Appearance and behaviour
Describe to someone who's never seen them before
Don't say "normal"
Mannerisms, EPSEs, Posturing, Eye contact, Preentation
Quantity, Rate, Volume, Rhythm
Content (quote if possible)
Words, Meanings, Appropriateness
Mood and affect
Subjective vs Objective
Mood (climate) vs Affect (weather)
Sleep, Appetite, Libido, Psychomotor, Anxiety, Restlessness, Aggitation, Appropriateness, Congruence
Flight, Crowding, Retardation, Circumstantiality
Withdrawal, Insertion, Broadcasting
Delusions (Fixed, Unshakeable)
Persecution, Grandeur, Religious, Control
Ideas + beliefs
Sensory systems (all)
Distortions (Still identified correctly)
Illusions (Mis-interpreted stimuli)
Hallucinations (Absence of stimuli)
Pseudohallucinations (Perceive thoughts or memories as voices)
Level of consciousness
Qualitative (vs Quantitative
Twilight state, Perseverence, Confabulation, Fugue, Deja vu