What is the delineation between assessment and diagnosis? On assessment, the psychiatrist use different types of test to diagnose the mental state of the client. What are the different ways to assess to mental state of the client? Psychiatric history Weeks before the treatment both the patient and the family are interviewed to have a good ph Clinical interview Is one way to assess the mental state of the patient.
The psychiatrist must consider the appearance, the demeanour whether the patient is cooperative or not, the coherence of his thinking if the answer the patient is relevant to the question (abnormalities in speech and thinking), if there are hallucinations and delusions, the mood, the manic symptoms, if the person is hostile or aggressive. Listening is very important. Analyzing skills is also important especially if the patient has delusions or hallucinations, the psychiatrist must be able to interpret what the patient says, the voices that he or she hears, the deluded, grandiose and great ideas.
If the person is depressed you must be able to know if the person has suicidal tendencies or if the person has plans to kill somebody. Through interviews, the psychiatrist also consider the memory of the patient whether it is intact. To measure this, she would be asking several questions like if they remembered what they just ate before going in the clinic or what happened last year. If they could not remember, it can be a significant sign of suffering. Observations Psychological tests House-tree-person exam 60-item personality questionnaire
Intelligence tests Memory tests A patient must also be given memory tests and the psychiatric history comes in in this point because if the person has undergone stroke, then the possibility that the person will have a low memory skills is high. Mathematical problems and answering general questions like “who is the president today? ” Mental Status Exam In the MSE the person is tested if his judgment is sound and other types of tests are given. It also used to understand the patient’s feelings. In this test, the patients are asked if they feel sick.
Some would believe that “nasangkayan” hira as the cause of them having the mental illness. Another question asked to know whether a patient is well is the answer they will give when asked what they will do if they have money. Through this test, the psychiatrist will know what the patient is suffering. DSM and ICD DSM and ICD are both manuals for diagnosing mental illnesses. The DSM is from the USA while the ICD is made in the Philippines created by the UP. Challenges More on the treatment part than the assessment and diagnosis.
To find out what medicines are beneficial to the patients. On the stigmatization Before today, Filipinos would believe that there is no wrong with them psychiatrically speaking. The family does not realize that there is psychological behaviour problem because they do not believe so and in fear when having the idea of going to a psychiatrist, thinking that they will be named as “may sira ha ulo”. In light of this, more people nowadays are not afraid to go to the psychiatrist for check-up because they are more understanding, open-minded and oriented.