Initial Psychiatric Assessment: A Practical Guide To The Clinical Interview Page 3
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47. PERSONAL HX
Place of birth:
As a child: (family structure, parents’ occupations, relationship with parents, siblings, friends, abuse)
As a teen: (friends, relationships, school, activities, sex, trouble, relationship with parents)
As an adult: (work, finances, education, relationships, family, goals for future, trends in functioning)
8. MSE
9. FOLSTEIN MMSE
Appearance:
Orientation:
/10
Time:
year
Behavior:
season
month
Speech:
date
day
Emotion: Affect and mood
Place: floor
building
Perception:
city
province
Thought process:
country
Thought content:
Immediate recall:
/3
Attention:
/5
Concentration:
Delay recall:
/3
Naming:
/2
Memory:
Repetition:
/1
3-stage command:
/3
Insight:
Reading:
/1
Copying:
/1
Judgment:
Writing:
/1
Suicide:
Total:
/30
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