Psychiatry review of systems

How do you do a “head to toe” assessment for a psychiatric problem? Apart from ensuring that their symptoms are not secondary to a medical illness, you will want to screen for other psychiatric disorders during your interview. The AAFP has a summary article about the psychiatry interview and they suggest the following mnemonic: “Depressed Patients Seem Anxious, SClaim Psychiatrists”

D = Depression and other mood disorders (e.g. bipolar, dysthymia)

P = Personality disorders (e.g. borderline personality disorder, obsessive compulsive personality disorder, etc.)

S = Substance abuse disorder

A = Anxiety disorders (general anxiety disorder, panic disorder, obsessive-compulsive disorder)

S = Somatization disorder and/or eating disorder

C = Cognitive disorder (dementia, delay, delirium)

P = Psychotic disorder (schizophrenia, mood disorder with psychotic features)



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