Neuropsychiatry App

Mood	Depression Elation and Mania
Anxiety	Restlessness Autonomic sx
Psychosis	Delusions Hallcinations
Personality and Social Conduct	Avolition: Lack of motivation [get-up-and-go behaviour] Apathy: deterioration of eating, grooming, hygiene, table manners Asociality / Dysociality loss of social graces -> faux pas, dirty jokes, inappropriate sexual behaviour Childish / ego centric behaviour Disinhibition Lack of empathy -> [eg, diminished response to other people’s needs or feelings; diminished social interest, interrelatedness, or personal warmth] Impulsivity Emotional Blunting
Behaviors	perseverative, stereotyped, compulsive/ritualistic behavior [eg, simple repetitive movements or complex compulsive or ritualistic behaviors]
Sleep	Insomnia Hypersomnia Parasomnia OSA
Appetite	Incr or Decr Appetite / Wt gain, Wt loss Craving for sweet food Stereotypical pattern [Timing/Type/Anorexia/Bulimia/Rumination]
Risk	Suicide Safety

Attention	Lose track of thoughts? difficulty following TV program or movie? gets easily distracted?
Memory	Anterograde Misplace objects? Repeat questions and/or conversations? Rapidly forget what is told to him/her? Use compensatory strategies (eg, makes notes as reminders)? Mix up dates? Forget appointments? Leave stove on/faucet running? Semantic forget names? Retrograde recollects past personal events?
Language	Have word-finding difficulty (eg, peoples’ names, common words/objects)? Make speech sound/word errors (phonemic and/or semantic paraphasias)? Show comprehension deficits (eg, with complex oral instructions, simple oral instructions, written text)? Have pronunciation/articulation deficits? Show loss of word meaning? Have slurred speech? Not always make sense when speaking? Have reduced speech?
Calculation and Executive function [plan, set goal, execute, monitor]	Have difficulty planning/organizing (eg, vacations)? Have difficulty multitasking (eg, planning or cooking a meal)? Show poor judgment/bad decisions? Have difficulty with problem solving? Show mental rigidity or inflexibility? difficulty handling money, shopping, bank, bills?
Visuo-spatial/geographic orientation	Have trouble navigating (eg, gets lost in familiar places, in unfamiliar territory, own household)? Have prosopagnosia (ie, trouble recognizing familiar faces, objects/buildings)? Have trouble finding objects in a refrigerator or drawer or directly in front of them? Have trouble parking the car, resulting in new dents, or drive too close to others?
Neglect	able to respond to people and objects on both sides? unaware of sensory stimuli on one side of the body?
Visual perception	color identification problem?
ADL / IADL [if not already covered]	able to do shopping, housework, accounting, food prep, telephone? need help with dressing, eating, ambulation, toileting, hygiene?

When was the first problem observed?
Onset – Acute, Insidious, Stuttering
Enquire about particular difficulties in various day to day settings
- work
- housework
- driving
- using money
- hobbies
- social encounters

Birth and early development
Organ systems review: heart, lung, liver, kidney, skin, joint, eye, thyroid
Hypertension
Diabetes
Head injury
Seizures or Spells
Substance use
Current Medications
Family history of neuropsychiatric disorder

Constitutional symptoms: fever, malaise, weight loss, pain complaints
Neurological symptoms:
- Headache
- CN1: Sensation of smell, abnormal smells
- CN2: Loss or blurring of vision
- CN3,4,6: Diplopia, squint
- CN5: Numbness of the face, tingling of face, difficulty chewing
- CN7: Slurring of speech, drooping of angle of mouth, drooling, stasis of food
- CN8: difficulty hearing, tinnitus, vertigo, dizziness
- CN9, 10: Dysarthria, swallowing disturbance
- weakness or sensory loss, clumsiness, gait disturbance, falls, alteration of urinary or defecatory function, altered sexual function, tremors, tics, spasms
Paroxysmal limbic phenomena:
- micropsia, macropsia, metamorphopsia
- déjà vu and jamais vu, déjà écouté and jamais écouté
- forced thoughts or emotions
- depersonalization/derealization
- autoscopy
- paranormal experiences such as clairvoyance or telepathy
Endocrine symptoms:
- heat or cold sensitivity
- constipation or diarrhea
- rapid heart rate
- alopecia or change in texture of hair
- change in skin pigmentation
- change in menses
Rheumatic disease symptoms:
- joint pain or swelling
- mouth ulcers, dry mouth or eyes, rash
- past spontaneous abortions

Neuropsych History Checklist