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Other names: Eskalith, Lithotabs

PSYCHIATRIC DIMENSIONS OF MEDICAL PRACTICE:
CLINICAL ASSESSMENT-FAMILY PSYCHIATRIC HISTORY
A screening psychiatric history and mental status examination are easy to do and often provide useful information. They alert physicians to potential problems and help to explain why patients are thinking, feeling, or acting in certain ways. The areas for assessment listed below are relevant to the topics discussed in subsequent articles. I have assumed that physicians routinely inquire about the use of alcohol and illicit drugs, as well as the misuse of prescribed medications.
Family psychiatric history-A family history of psychiatric disorder is best evaluated as part of the general family history. Once the physician has established a line of questioning (e.g., “Has anyone in your family had a stroke?”), the patient is unlikely to be surprised or embarrassed when asked, “Has anyone in your family had emotional problems?” The information obtained may be important in understanding the patient’s current mental state. If, for example, her mother and sister were both treated for major depression, the physician must give additional consideration to the possibility that the patient’s dysphoric mood is the symptom of an affective disorder, rather than demoralization produced by her medical illness.
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