Psychiatric History (Last Updated - 6/21/2003)
1) Identifying Information
2) Chief Complaint
3) History of Present Illness
4) Past Psychiatric History
5) Past Medical History
6) Past Pertinent Medications
7) Current Pertinent Medications
8) Allergies
9) Substance Use
10) Family History
11) Social History (w/ Military History if @ the VAH)
12) Mental Status Exam (MSE):
   -General Appearance and Behavior
   -Mood
   -Affect
   -Speech
   -Thoughts
   -Perceptions
   -Sensorium (Mini Mental Status Exam (MMSE))
   -Judgment
   -Insight
13) Diagnostic Impressions
   -Axis I - Current Clinical Diagnoses
   -Axis II - Personality Disorders or Traits and MR
   -Axis III - General Medical Conditions (GMC's)
   -Axis IV - Psychosocial and Environmental Stressors
   -Axis V - Global Assessment of Functioning (GAF)
14) Recommendations

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