Posted: January 13th, 2023
Lucas Callahan Bipolar Disorder Subjective Data Collection
Subjective Data Collection: 69 of 69 (100.0%)
Hover To Reveal…
Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.
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Found:
Indicates an item that you found.
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Available:
Indicates an item that is available to be found.
Category
Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this patient.
Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.
Chief Complaint
Finding:
Asked about chief complaint
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Finding:
Reports being brought in by police
(Found)
Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about their chief complaint will allow the patient to voice any concerns or symptoms the patient may have in their own words.Example Question:
What brings you to the emergency room?
History of Present Illness
Finding:
Followed up on incident
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Finding:
Reports looking into cars for government agents chasing him
(Found)
Pro Tip: Asking a patient the details about their current health issues allows you to fully comprehend them. Details of their illness will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
What were you doing when the police found you? -
Finding:
Reports having been in a grocery store parking lot
(Found)
Pro Tip: Asking a patient the details about their current health issues allows you to fully comprehend them. Details of their illness will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
Where were you when the police found you? -
Finding:
Reports knowing the police stopped him for running around and looking in cars
(Found)
Pro Tip: Asking a patient the details about their current health issues allows you to fully comprehend them. Details of their illness will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
Do you know what caused the police to bring you in? -
Finding:
Denies having hurt himself or others
(Available)
Pro Tip: Asking a patient the details about their current health issues allows you to fully comprehend them. Details of their illness will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
Were you hurting anyone? -
Finding:
Denies having done anything illegal
(Available)
Pro Tip: Asking a patient the details about their current health issues allows you to fully comprehend them. Details of their illness will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
Were you doing anything illegal?
Finding:
Followed up on government agents
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Finding:
Reports government is trying to imprison him for being enlightened
(Found)
Pro Tip: Asking a patient the details about their current health issues allows you to fully comprehend them. Details of their illness will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
What is the reason that government agents are following you? -
Finding:
Reports government sees his enlightenment as a threat to their secrets
(Found)
Pro Tip: Asking a patient the details about their current health issues allows you to fully comprehend them. Details of their illness will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.Example Question:
What is the reason that government agents are following you?
Finding:
Asked about anxiety or paranoia
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Finding:
Reports last depressive period ended a couple months ago
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.Example Question:
When did your last period of depression end? -
Finding:
Reports last depressive period was a long one
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.Example Question:
How long was your last period of depression?
Finding:
Asked about details of depression diagnosis
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Finding:
Reports being diagnosed by psychiatrist
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.Example Question:
Who diagnosed you with depression? -
Finding:
Reports diagnosed 3 years ago
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.Example Question:
When were you diagnosed with depression?
Finding:
Asked about reason for seeing psychiatrist
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Finding:
Reports being made to see the psychiatrist following a suicide attempt
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.Example Question:
What did you see the psychiatrist for?
Finding:
Asked about how depression was treated
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Finding:
Reports psychiatrist prescribed antidepressants
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.Example Question:
Did the psychiatrist prescribe anything for your depression?
Finding:
Asked about hospitalizations
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Finding:
Reports being hospitalized after suicide attempt
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.Example Question:
Were you hospitalized after your suicide attempt? -
Finding:
Reports being hospitalized 3 years ago
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.Example Question:
When were you hospitalized?
Finding:
Asked about allergies
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Finding:
Denies allergies
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.Example Question:
Do you have any allergies?
Home Medications
Finding:
Asked about effectiveness of medication
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Finding:
Reports antidepressants were not effective
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
Were the antidepressants effective? -
Finding:
Reports antidepressants caused side effects
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
Did the antidepressants cause any side effects? -
Finding:
Reports stopping the antidepressant regimen
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
Did you continue taking the antidepressants? -
Finding:
Reports not consulting a healthcare provider before stopping regimen
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
Did you consult your healthcare provider before stopping the antidepressants?
Finding:
Followed up on medication side effects
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Finding:
Reports not wanting to discuss side effects
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
What kind of side effects did the antidepressants cause?
Finding:
Followed up on details of the medication prescription
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Finding:
Denies remembering details of the medication prescription
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
What was the name of the antidepressant?
Finding:
Asked about home medications beside antidepressants
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Finding:
Denies home medications beside antidepressants
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.Example Question:
Do you take any other medications?
Ask Suicide Screening Questions
Finding:
Followed up on suicide attempt
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Finding:
Reports attempt occurred 3 years ago
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.Example Question:
When was your suicide attempt? -
Finding:
Reports not wanting to discuss the suicide attempt
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.Example Question:
How did you attempt suicide?
Finding:
Asked about other suicide attempts
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Finding:
Denies other suicide attempts
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.Example Question:
Have you had other suicide attempts?
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Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.
Example Question:
Do you ever think others would be better off without you? -
Finding:
Reports not wanting to discuss this belief
(Available)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.Example Question:
Do you ever think others would be better off without you?
Finding:
Asked about thoughts of suicide
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Finding:
Denies current thoughts of suicide
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.Example Question:
Are you having suicidal thoughts right now? -
Finding:
Reports previous thoughts of suicide during depressive episodes
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.Example Question:
Have you ever had suicidal thoughts? -
Finding:
Reports that thoughts of suicide are permanently behind him
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.Example Question:
Do you ever have suicidal thoughts?
Finding:
Asked about current plans for suicide
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Finding:
Denies recent plan to attempt suicide
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.Example Question:
Have you recently planned to commit suicide? -
Finding:
Reports last suicidal plans were before suicidal attempt 3 years ago
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.Example Question:
Have you ever planned to commit suicide?
Finding:
Asked about self-harming without intending to die
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Finding:
Reports only self-injury was the suicide attempt
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.Example Question:
Have you ever self-harmed?
Finding:
Asked about homicidal urges
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Finding:
Denies homicidal urges
(Found)
Pro Tip: Asking a patient if they are experiencing homicidal urges may be uncomfortable, but it is important for determining a patient’s mental health, issues with rage or violence, and the safety levels of the patient and the people in their lives.Example Question:
Do you ever feel homicidal urges?
Mood Disorder Questionnaire
Finding:
Asked about perception of mental health
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Finding:
Reports feeling like his depression is over
(Found)
Pro Tip: Utilizing the Mood Disorder Questionnaire (MDQ) is an effective means of gathering relevant information about a patient’s mental health, helping you screen them for signs of Bipolar Disorder. By discussing these relevant topics such as mood changes, associated behaviors, and changes to lifestyle and relationships, you can determine what diagnosis, education, and interventions the patient needs.Example Question:
How do you feel about your depression? -
Finding:
Reports feeling like mental health is exceptional
(Found)
Pro Tip: Utilizing the Mood Disorder Questionnaire (MDQ) is an effective means of gathering relevant information about a patient’s mental health, helping you screen them for signs of Bipolar Disorder. By discussing these relevant topics such as mood changes, associated behaviors, and changes to lifestyle and relationships, you can determine what diagnosis, education, and interventions the patient needs.Example Question:
How would you describe your mental health? -
Finding:
Reports feeling mental health treatment is unnecessary
(Available)
Pro Tip: Utilizing the Mood Disorder Questionnaire (MDQ) is an effective means of gathering relevant information about a patient’s mental health, helping you screen them for signs of Bipolar Disorder. By discussing these relevant topics such as mood changes, associated behaviors, and changes to lifestyle and relationships, you can determine what diagnosis, education, and interventions the patient needs.Example Question:
Do you think you need mental health treatment?
Finding:
Asked if others notice mood or energy shifts
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Finding:
Reports not paying attention to others’ perception of him
(Found)
Pro Tip: Utilizing the Mood Disorder Questionnaire (MDQ) is an effective means of gathering relevant information about a patient’s mental health, helping you screen them for signs of Bipolar Disorder. By discussing these relevant topics such as mood changes, associated behaviors, and changes to lifestyle and relationships, you can determine what diagnosis, education, and interventions the patient needs.Example Question:
Has anyone commented on your mood and energy shifts?
Finding:
Asked about excessive irritability or anger
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Finding:
Reports feeling angry only when people “interfere with the vibes”
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