1. Psych H&P
-CC
-HPI
-Past psych history (hospitalizations, psychiatrists, diagnoses, meds)
-Substance use history
-Past medical/surgical history
-Meds/allergies
-Family psych history
-Social history (family structure, childhood, employment, school)
-Mental status exam
2. Mental status exam: 
-Appearance: dress, grooming, notable markings (tattoos, scars)
-Behavior: sitting calmly, tremors, abnormal movements. Cooperative or not.
-Mood: in their own words
-Affect: in/congruent with mood, quality (full, constricted, blunted, flat), lability (slow, labile)
-Speech: rate, quantity
-Thought process: linear, in/coherent, tangential/circumstantial, flight of ideas, word salad, neologisms, clanging, loosening of associations
-Thought content: delusions, hallucinations, preoccupations, obsessions/compulsions, phobias,
-Cognition: A&O x3, memory, attention/concentration (serial 7s, WORLD backwards), knowledge
-Insight: good/fair/poor
-Judgement: good/fair/poor
3. MMSE 
-A&Ox 3
-Memory: 3 words, short and long term memory
-Concentration: serial 7s, world backwards
-Language: naming, object recognition
-Visuospatial: clock face, draw 2 interlinking pentagons
-Writing: write a sentence
-Understanding: follow 2 step commands.
4. DSM-IV axes (now obsolete with DSM-V)
-Axis I: psych conditions incl substance abuse
-Axis II: personality disorders + mental disability
-Axis III: general medical conditions
-Axis IV: social conditions
-Axis V: global assessment of function
5. Schizophrenia diagnosis (DSM-V)
-2 or more of the following lasting for a month (less if treated): hallucinations, delusions, disorganized behavior, disorganized thought, negative symptoms
-Overall symptoms lasting > 6 mos
-Significantly affect life, not due to other reason
6. Schizophrenia epidemiology/genetics:
-1% prevalence
-12% risk if one first-degree family member has it
-40% risk if both parents have it
-50% concordance in monozygotic twins
7. Variations on a theme: 
-Delusional disorder: non-bizarre delusion for >1 month, normal functioning, doesn't meet schizophrenia criteria.
-Brief psychotic disorder: Schizophrenia symptoms<1 month
-Schizophreniform disorder: 1-6 mos
-Schizophrenia: >6 mos
-Schizoaffective: schizophrenia + mood disorder (major depression, bipolar); the mood sx occur only when the schizophrenia symptoms occur.
8. Major depression diagnostic criteria:
-Depressed mood
-S: sleep
-I: interest, loss (anhedonia)
-G: guilt/worthlessness/hopelessness
-E: energy down
-C: concentration down
-A: appetite up or down.
-P: psychomotor agitation/slowing
-S: suicidal thoughts
-Need 5/9 of the above, must include either depressed mood or anhedonia, for at least 2 weeks-- one of these is a "major depressive episode"
-To diagnose major depressive disorder, you need at least one major depressive episode, plus no episodes of mania or hypomania, and no other explanations, and cause major impairment.
9. Mania criteria: 
-Elevated/irritable mood plus:
-D: distractibility
-I: insomnia
-G: grandiosity
-F: flight of ideas
-A: activity
-S: speech (pressured)
-T: thoughtlessness
Need 3 out of the above, or 4 if irritable mood, lasting at least 7 days (mania) or 4 days (hypomania). Mania renders someone non-functional, hypomania does not.
10. Bipolar 
Bipolar I: One episode of mania (per DSM-V, no need for past depressive episode)
Bipolar II: One episode of hypomania
**Bipolar III: When a depressed person gets pushed into mania by SSRIs : not everyone believes this is a thing