14.01 Psych

14.01 Mood disorders [PDF link]: Depression (including seasonal affective disorder), Suicide, Bipolar disorder (mania, manic, hypomania)

External links

• Patient health questionnaire (PHQ9): MDCalc

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Extra notes

Mental state exam (MSE) – documentation + more notes on Geeky Medics

• Appearance and behaviour
  Comment on personal hygiene, appropriateness of clothes, stigmata of disease, weight
  Comment on engagement, rapport, eye contact, etc

• Speech
  Rate, quantity, tone, volume, etc

• Mood and affect
  Objectively (observed, i.e., affect) – euthymic, anxious, etc
  Subjectively (what pt says) – depressed, low mood, normal, etc
  Comment on congruency

• Thoughts
  Content: delusions, obsessions, compulsions, overvalued ideas
  Possession: insertion, withdrawal, broadcasting

• Perception
  Hallucinations, pseudo-hallucinations, illusions, depersonalisation, derealisation

• Insight and judgement

• Risk
  To self (± neglect), to others