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DEPRESSION Psychiatry OSCE histories Winter 2015

WIPE
PC
Can you tell me about whats been going on recently?
When did you first notice any changes and how has it developed?
Do you have any idea what could have triggered this?
Has anything like this happened before?
How has it affected your life jobs, friends, family, spare time
So there are a few things that can happen along with low mood, have you been:
-

Changes in sleep or early waking?


What about your appetite? Have you noticed changes in your weight?
Finding it hard to concentrate on things?
Not enjoying things as much as you used to?
Do you find youre negative about yourself?
This is always a difficult question to bring up but have you ever thought about
harming yourself?
Does anything make it better or worse?

FH
Have you or any of your family had any mental illness in the past?
What medications did you take? What happened?
DH
Are you on any medications right now? What about over the counter? Any allergies?
LH
Do you work at the moment? Who is at home?
Are you a smoker? Do you drink alcohol? How much a week? Do you find it helps with
how youre feeling?
Have you ever taken any drugs?
ICE
Do you have any ideas what has caused this? Is there anything in particular you are
worried about? What is the main thing you want from today?
Insight
What do you think about everything thats been going on? Do you think you might be
unwell?
When was the last time you felt well physically and mentally?

ROS depression, personality, substance, anxiety, somatisation, cognitive,


psychotic

Schizophrenia Psychiatry OSCE histories Winter 2015


WIPE
PC
Can you tell me about whats been going on recently? How long has it been going on?
Do you think anything triggered this? How has it affected your life jobs, friends, family,
spare time
Insertion, broadcasting, withdrawal, passivity, auditory hallucinations, 2 nd, 3rd, running
commentary, delusional perception
Do you feel thoughts are being placed inside you by an outside force?
Do you feel your thoughts are being broadcast from their head to where other people can
hear you?
Do you feel like your thoughts have been removed from your head? Under external
control?
Do you hear things that you dont think other people can hear?
Do you know the voices? How loud are they? When do they occur? What kind of
things do they say? Do they tell you to harm yourself or others? Do they
commentate on what youre doing?
Do you have any ideas that you think other people dont understand?
Speech Incoherence, Thought blocking, Neologisms Affect Alogia, Avolition, Anhedonia
FH
Have you or any of your family had any mental illness in the past?
What medications did you take? What happened?
LH
Do you work at the moment? Who is at home?
How is your apetite? Have you lost weight?
Are you a smoker? Do you drink alcohol? How much a week? Do you find it helps with
how youre feeling?
Have you ever taken any drugs?
ICE
Do you have any ideas what has caused this? Is there anything in particular you are
worried about? What is the main thing you want from today?
Insight
What do you think about everything thats been going on? Do you think you might be
unwell?

When was the last time you felt well physically and mentally?
ROS depression, personality, substance, anxiety, somatisation, cognitive,
psychotic