Unmada Nidana: Difference between revisions

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==== Case Paper Format Points ====

The format for the clinical assessment of manovahasrotas or The psychiatric assessment.

The format for the clinical assessment of ''manovahasrotas'' or The psychiatric assessment:

Every psychiatric history should cover the following points:

1. Complaints

#Complaints

2. History of present illness

#History of present illness

3. Previous disorders and the nature and extent of treatment.

#Previous disorders and the nature and extent of treatment.

4. Family history, important for genetic aspects and family influences, helping in understanding the familial traits.

#Family history, important for genetic aspects and family influences, helping in understanding the familial traits.

5. Personal history: childhood development, adolescent adjustment, level of education and adult coping patterns.

#Personal history: childhood development, adolescent adjustment, level of education and adult coping patterns.

6. Sexual history

#Sexual history

7. Current life functioning

#Current life functioning

8. Current medications, alcohol or drug abuse

#Current medications, alcohol or drug abuse

9. Personality: is defined as the sum of those characteristics that make a person into individual he is. These characteristics include behaviour, both actions and reactions; attitude to self; ways of relating to others, both socially and sexually, attitude to authority, level of independence, mood, fantasy life, religious beliefs and moral altitudes and interests and hobbies.

#Personality: is defined as the sum of those characteristics that make a person into individual he is. These characteristics include behaviour, both actions and reactions; attitude to self; ways of relating to others, both socially and sexually, attitude to authority, level of independence, mood, fantasy life, religious beliefs and moral altitudes and interests and hobbies.

The mental status examination:

1. Appearance: note unusual modes of dress, use of makeup etc. very helpful for evaluation of bhootonmada and vataja unmada

===== The mental status examination =====

2. Activity and behavior: Gait, gestures, co-ordination of bodily movements. ~~akṣibhruvauṣṭhāṁsahanvagrahastapādāṅgavikṣēpaṇamakasmāt~~

#Appearance: note unusual modes of dress, use of makeup etc. very helpful for evaluation of ''bhootonmada'' and ''vataja unmada''

3. Affect: outward manifestation of emotion such as depression, anger, fear or lack of emotional response eg. krodha, sudeen

#Activity and behavior: Gait, gestures, co-ordination of bodily movements. ''akshibhruvaushthamsahanvagrahastapadangavikshepanamakasmat''

4. Mood: the patients report of feelings and observable emotional manifestations eg. rahasyakamata, narivivikta priyata, amarsha

#Affect: outward manifestation of emotion such as depression, anger, fear or lack of emotional response eg. ''krodha, sudeen''

5. Speech: coherence, spontaneity, articulation, hesitancy in answering and duration and response. Eg. vaka mandam pratihatavacchyam

#Mood: the patients report of feelings and observable emotional manifestations eg. ''rahasyakamata, narivivikta priyata, amarsha''

6. Content of thought: Association, obsession, depersonalization, delusions, hallucinations, Paranoid, ideation, anger, fear or unusual experiences. Eg. amartya vaka vikrama virya cheshta dnyanadi vidnyan baladibhi

#Speech: coherence, spontaneity, articulation, hesitancy in answering and duration and response. Eg. ''vaka mandam pratihatavacchyam''

7. Cognition:

#Content of thought: Association, obsession, depersonalization, delusions, hallucinations, Paranoid, ideation, anger, fear or unusual experiences. Eg. ''amartya vaka vikrama virya cheshta dnyanadi vidnyan baladibhi''

a) Orientation to person, place, time and circumstances.

#Cognition:

~~b) remote~~ and recent memory and recall

##Orientation to person, place, time and circumstances.

c) Calculation

##Remote and recent memory and recall

d) General knowledge

##Calculation

e) Ability to identify by naming, reading and writing

##General knowledge

f) Right to Left differentiation

##Ability to identify by naming, reading and writing

g) Judgment regarding common sense problems

##Right to Left differentiation

##Judgment regarding common sense problems

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 ==== Case Paper Format Points ====
 <div style="text-align:justify;">
-The format for the clinical assessment of manovahasrotas or The psychiatric assessment.
+The format for the clinical assessment of ''manovahasrotas'' or The psychiatric assessment:
 Every psychiatric history should cover the following points:
-.	Complaints
+#Complaints
-.	History of present illness
+#History of present illness
-.	Previous disorders and the nature and extent of treatment.
+#Previous disorders and the nature and extent of treatment.
-.	Family history, important for genetic aspects and family influences, helping in understanding the familial traits.
+#Family history, important for genetic aspects and family influences, helping in understanding the familial traits.
-.	Personal history: childhood development, adolescent adjustment, level of education and adult coping patterns.
+#Personal history: childhood development, adolescent adjustment, level of education and adult coping patterns.
-.	Sexual history
+#Sexual history
-.	Current life functioning
+#Current life functioning
-.	Current medications, alcohol or drug abuse
+#Current medications, alcohol or drug abuse
-.	Personality: is defined as the sum of those characteristics that make a person into individual he is. These characteristics include behaviour, both actions and reactions; attitude to self; ways of relating to others, both socially and sexually, attitude to authority, level of independence, mood, fantasy life, religious beliefs and moral altitudes and interests and hobbies.
+#Personality: is defined as the sum of those characteristics that make a person into individual he is. These characteristics include behaviour, both actions and reactions; attitude to self; ways of relating to others, both socially and sexually, attitude to authority, level of independence, mood, fantasy life, religious beliefs and moral altitudes and interests and hobbies.
-The mental status examination:
-.	Appearance: note unusual modes of dress, use of makeup etc. very helpful for evaluation of bhootonmada and vataja unmada
+===== The mental status examination =====
-.	Activity and behavior: Gait, gestures, co-ordination of bodily movements. akṣibhruvauṣṭhāṁsahanvagrahastapādāṅgavikṣēpaṇamakasmāt
+#Appearance: note unusual modes of dress, use of makeup etc. very helpful for evaluation of ''bhootonmada'' and ''vataja unmada''
-.	Affect: outward manifestation of emotion such as depression, anger, fear or lack of emotional response eg. krodha, sudeen
+#Activity and behavior: Gait, gestures, co-ordination of bodily movements. ''akshibhruvaushthamsahanvagrahastapadangavikshepanamakasmat''
-.	Mood: the patients report of feelings and observable emotional manifestations eg. rahasyakamata, narivivikta priyata, amarsha
+#Affect: outward manifestation of emotion such as depression, anger, fear or lack of emotional response eg. ''krodha, sudeen''
-.	Speech: coherence, spontaneity, articulation, hesitancy in answering and duration and response. Eg. vaka mandam pratihatavacchyam
+#Mood: the patients report of feelings and observable emotional manifestations eg. ''rahasyakamata, narivivikta priyata, amarsha''
-.	Content of thought: Association, obsession, depersonalization, delusions, hallucinations, Paranoid, ideation, anger, fear or unusual experiences. Eg. amartya vaka vikrama virya cheshta dnyanadi vidnyan baladibhi
+#Speech: coherence, spontaneity, articulation, hesitancy in answering and duration and response. Eg. ''vaka mandam pratihatavacchyam''
-.	Cognition:
+#Content of thought: Association, obsession, depersonalization, delusions, hallucinations, Paranoid, ideation, anger, fear or unusual experiences. Eg. ''amartya vaka vikrama virya cheshta dnyanadi vidnyan baladibhi''
-a)	Orientation to person, place, time and circumstances.
+#Cognition:
-b)	remote and recent memory and recall
+##Orientation to person, place, time and circumstances.
-c)	Calculation
+##Remote and recent memory and recall
-d)	General knowledge
+##Calculation
-e)	Ability to identify by naming, reading and writing
+##General knowledge
-f)	Right to Left differentiation
+##Ability to identify by naming, reading and writing
-g)	Judgment regarding common sense problems
+##Right to Left differentiation
+##Judgment regarding common sense problems
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