PSYCHIATRY CLERKSHIP

Psychiatry can be a very educational experience as one wanders into the realm of affective, personality, mental and substance abuse disorders. Many students have found that to be successful in the rotation one must be able to conduct clear, concise goal oriented interviews and have a highly descriptive vocabulary to match the pathology you see. The forms below, such as the "Psychiatric Evaluation and "Daily Soap Note" will assist you to organize your interviews. The "Descriptive Terms" is basically a vocabulary sheet which is helpful in choosing just the right word to describe the emotions, activities and feelings of your patients.

Psychiatric Evaluation

Crisis Evaluation

Daily Soap Note

Mini Mental Status Exam

Global Assessment of Functioning

Descriptive Terms


PSYCHIATRIC EVALUATION

IDENTIFICATION

CHIEF COMPLAINT

PRESENTING ILLNESS

PERSONAL HISTORY

FAMILY HISTORY

MEDICAL/SURGICAL HISTORY

MENTAL STATUS EXAM


CRISIS INTERVENTION

IDENTIFICATION INFORMATION

REFERRAL SOURCE

PRESENTING PROBLEM

MENTAL STATUS EXAM

SUBSTANCE ABUSE

FAMILY HISTORY

PRIOR TREATMENT HISTORY

COLLATERAL INFORMATION FROM FAMILY, MD INTERVIEW

DIAGNOSTIC IMPRESSION

PLAN


DAILY SOAPNOTE

S:

O:

A:

P:


Descriptive Terms

VERBAL HOSTILITY
PHYSICAL HOSTILITY
HOSTILE ATTITUDE
venomusmurderousmalicious
abusiveassaultiveembittered
threateningdestructivesurly
derisivecombativeprovocative
derogatoryhot bloodedresentful
scronfuleven temperedirritable
argumentativepeaceablepetulant
criticalharmlessgrudging
nagginginhibitedcivil
outspokenplacatedagreeable
frankcringinggentle
tactful
concillatory
softspoken
gracious
complimentary
ingratiating
flattering
fawning

SEXUAL ATTITUDE
PHYSICAL SEXUALITY
GUILT
LewdAssaultiveself-condeming
LustfulWantonself-reproachful
EroticOver-activeremorseful
SensualSolicitingashamed
RomanticPassioniatechagrined
UnsureAssertiveregretful
PrimAmorousconcerned
PrudishPermissiveindifferent
Ashamedhesitantunfeeling
Puritanicalpassiveunreformed
Disgustedrestrainedcynical

inhibitedunrepetent

apthetichardened

abstinenceshameless

MOOD
ANXIETY
IDEATION
euphoric terrifiedDelusional
elatedpanickyruminative
frivolousagitatedday-dreaming
bouyanttremulousfanciful
gayapprehensivemusing
jovialtensecontemplative
light-heartedfretfulthoughtful
cheerfuluneasymatter-of-fact
placidcomposedliteral
sobercalmunreflective
seriousnon-chalantunimaginative
solemnunconcernedstolid
gravecoolvacuus
gloomybland
broodingstoic
disconsolate

hopeless

SELF ESTEEM
EMOTIONAL WARMTH
SOCIABILITY
self-exalting over-indulgentintrusive
pompousdotingmeddlesome
conceitedaffectionategregarious
boastfulsentimentalcomradrie
vaintendercompanionable
cockysympatheticaggreeable
confidentkindlyaccessible
self-respectingconsideratehesitant
modestcoolreserved
unassumingunresponsivebashful
humbledetachedreticent
self-doubtingunfeelingshrinking
self-effacinghardenedseclusive
forlornrejectingwithdrawn
self-debasingfrigidsolitary

IMPULSIVENESS
AMBITION
FLEXIBILITY
incontinent grandiosespineless
recklesspretentiousover-suggestible
rashaspiringyielding
impetuousenterprisingdocile
excitablepersistentchangeable
hastyeageramendable
abruptcontentadaptable
restlessself satisfiedconventional
spontaneouscomplacentpersistent
self-possessedlackadaisialhabit-bound
cool-headedindifferentstubborn
controlledlistlessperservering
restrainedindolentunbending
staidapatheticmulish
sluggishlethargicintractable


Global Assesment Function and Mini Mental Status Forms Coming Soon!