6. The History of the Present Illness

  1. Barbara Schildkrout

Published Online: 1 SEP 2011

DOI: 10.1002/9781118083598.ch6

Unmasking Psychological Symptoms: How Therapists Can Learn to Recognize the Psychological Presentation of Medical Disorders

Unmasking Psychological Symptoms: How Therapists Can Learn to Recognize the Psychological Presentation of Medical Disorders

How to Cite

Schildkrout, B. (2011) The History of the Present Illness, in Unmasking Psychological Symptoms: How Therapists Can Learn to Recognize the Psychological Presentation of Medical Disorders, John Wiley & Sons, Inc., Hoboken, New Jersey. doi: 10.1002/9781118083598.ch6

Publication History

  1. Published Online: 1 SEP 2011
  2. Published Print: 3 AUG 2011

ISBN Information

Print ISBN: 9780470639078

Online ISBN: 9781118083598

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Keywords:

  • history;
  • diagnosis;
  • chief complaint;
  • signs;
  • symptoms;
  • insight;
  • mental state

Summary

It is challenging to take a history with the goal of identifying a patient's diagnosis. The chief complaint may be different from the important factors to follow. What exactly are the patient's signs and symptoms, and how have these evolved over time?

Patients vary in their degree of insight about changes in their mental state and about possible precipitating or causal circumstances. Some individuals are unaware that there is a problem at all. At times it is difficult to decipher how much the individual has changed and how much the circumstances have changed.