Definition of psychological state
Psychological condition is a syndrome in which the person suffers disorders that manifest as psychological impairment in the person’s feelings, emotions, cognitive abilities, and behaviors, which affect the patient’s social, practical, and educational life.
There are many mental illnesses that a person may suffer, also known as mental illnesses, the most common of which are: anxiety disorders, mood disorders including depression, eating disorders, obsessive-compulsive disorder, mental disorders associated with stress or trauma, Children such as attention deficit and hyperactivity.
Diagnosis of the psychological state
The diagnosis of the mental state begins by taking the patient’s main information, such as his name, gender, age, social status, work, and place of residence. This information is important for the patient to know, to document his / her information and to link his / her illness with his or her personal data. The person who gives the patient information, and whether the information is taken from the patient himself or from a relative.
The question is then about the patient’s condition with full description, because if the patient’s main problem is insomnia, insomnia is different in each case psychological than the other, for example, does the patient mean that he was sleeping at 10 pm and became sleep at the twelfth, or That he woke up at five in the morning and became woken at three in the morning, all this information has implications, the first case is called initial insomnia (in English: Initial Insomnia) and indicates that the patient suffers from anxiety, the second case is called terminal insomnia (Terminal Insomnia) This is the case with patients with b Depression.
The patient is then asked about his or her use of any narcotic substances, or if he is diagnosed with medication, whether he is taking psychotropic drugs or not; because most of the relapses that occur to psychiatric patients are due to the patients’ sudden discontinuation of their prescribed medication. The question is whether you thought of suicide or thought of killing anyone, or if you recently said that you are hungry, how you see your activity and energy, in addition to any change in the number of hours you sleep, whether it’s an increase or a decrease. The condition that he suffers on his working life is Alimentation with people.
It is necessary to ask the patient about the factors that have occurred in his life, and may have led to the symptoms of psychological suffering, such as exposure to shock, or addiction to a particular material, also must be asked about the patient’s social life, as a source of income, It is also necessary to ask about the patient’s beliefs, whether or not he has experienced a similar condition, or if a person has experienced any psychiatric illness or attempted suicide, if there is any history of psychological illness in the family; , Because it can give a signal to the doctor about the possible drug to be used A. In the case of the patient, the possibility of patient response to him.
Clinical examination of psychiatric illness
Examine the appearance and behavior of the patient
The appearance of the patient is assessed in terms of gender, age, appearance of age, and evaluation of the patient’s clothing, whether it is suitable for the age and gender of the patient, whether the patient is clean or not, noting any strange odor from it, such as alcohol, And attention to the size of the focus of the eye, and attention to the presence of any bruises for hidden places and effects of injection, because this raises the possibility of the patient’s use of drugs or prohibited substances, or any signs of attempted suicide as a wound at the wrist area.
The patient’s behavior is evaluated by attention to the presence of any involuntary movements, as well as attention to avoid the patient visual communication; when the patient avoids visual communication with the doctor and with around him; this indicates that the patient in the case of depression, and also must evaluate the patient in general ; Is it quiet or inflamed, or is there any jerk in the hands or not.
Examination of the patient’s speech
Does the patient speak quickly or slowly or normally, in addition to the height or low voice, and speaks with the degree of normal voice, and whether he speaks understandable words or not, and attention to the severity of the tone spoken by the patient.
Examine the patient’s mood
The patient’s mood is assessed from two viewpoints: the doctor’s point of view and the patient’s point of view. First, the patient is asked about his temperament, how he feels, and then the patient’s mood is assessed from the doctor’s perspective. Patient from case to case, be happy and laugh and then cry after seconds.
Examine the patient’s thoughts
The examination of the patient’s thoughts is divided into two parts: examining the contents of the patient’s thoughts and examining the patient’s thinking process. As for the examination of the process of patient thinking, it is to see how the patient uses the language to communicate ideas that revolve in his mind, where the evaluation of the logic of the patient’s ideas, whether they are meaningful ideas or revolve around a certain idea and does not reach the meaning required, and the extent of coherence and clarity of ideas and logic, The patient is distracted in the presentation of his ideas, as if he continues to cycle in a vicious circle without reaching the desired idea, in addition to note the volatile thoughts in the patient.
The content of the ideas is examined so that the type of ideas expressed by the patient can be described. For example, delusion patients are thought to be erroneous beliefs believed by the patient, stable, unshakable, unacceptable in the patient’s society, The doctor can not change it by logic, or his ideas may reflect the phobia of something. Terrorism means patient suffering and fear of something permanently, and this fear is illogical, or his ideas may reflect suicidal thoughts or the patient’s suffering from alien ideas frequently.
Examination of cognitive disorders
By means of the question of three main things: hallucinations, delusions, alienation from reality or dissipation of personality. As for hallucination, it means that the patient is aware of the existence of something without the presence of something external that incites this perception, and hallucinations can be visual or auditory or auditory or sensory Or delusions, but delusions mean that there is an external influence, but the patient perceives this effect as something else, and alienation from reality or dissipation of the personality means that the patient feels like separate from his surroundings or his mind and ideas.
Examine the patient’s perception
This section is divided into a group of sections which is the examination of the patient’s awareness, whether he is awake or feel dizzy or tired, and then examine the orientation: This is done by asking the patient about where he is now and the time and the person who asks him, and the examination of memory, By asking the patient a question that depends on his concentration and attention, such as asking the doctor to repeat the patient’s words or numbers, then examine the modern memory by asking about something happened hours or days ago, and examining the distant memory by asking the patient about something happened long ago, The patient’s ability to read, write and evaluate Hungarian concepts is examined Typically when the patient; so are examined abstract concepts when the patient; by asked about the similarities between several words, and the understanding of such simple.
Examine the patient’s ability to make good judgment
To examine the patient’s ability to judge a particular situation, to know the patient’s ability to guess the consequences of things; by giving the patient a case and evaluate the manner of governance, and usually asked about a situation related to the case, for example the question of the patient about the behavior that will do if there is a circumstance in The street.
Examine the patient’s insight
By examining the patient’s awareness and understanding of the nature of his illness and being mentally ill and that he needs treatment, where the doctor tries to know the extent of the patient’s understanding of the effects of the psychological illness on his relationships with others and his life, and the extent of the patient’s desire to change, and the importance of examining the patient’s insight to assess the commitment of the patient With the treatment prescribed by the doctor.