The medical history (history of illness) is an important component in the diagnosis of posttraumatic stress disorder (PTSD).
Family history
- What is the general health of your family members?
Social history
- What is your profession?
- Are you unemployed?
- Do you plan to retire early?
- Is there any evidence of psychosocial stress or strain due to your family situation?
- Have you experienced any traumatic stress in the past or recently?
Current medical history/systemic history (somatic and psychological complaints).
- Do you suffer from:
- Memory impairment, which is manifested by an impairment of memory in terms of time and/or content.
- Nervousness
- Physical and mental restlessness
- Concentration disorders
- Tension
- Startle reactions
- Anger outbursts and irritability
- Self-harming or self-injurious behavior
- Lack of ability to experience pleasure or positive emotions
Note: In children and adolescents, according to the current S3 guideline, a differentiated trauma history should be taken in the form of a self-report and a third-party report with validated PTSD survey instruments.
Vegetative anamnesis incl. nutritional anamnesis.
- Do you suffer from loss of appetite?
- Has your appetite changed?
- Are you drinking enough? How much have you drunk today?
- Do you suffer from insomnia?
- Difficulty falling asleep?
- Trouble sleeping through the night?
- Shortened sleep duration?
- Do you like to drink coffee, black or green tea? If so, how many cups per day?
- Do you drink other or additional caffeinated beverages? If so, how much of each?
- Do you smoke? If yes, how many cigarettes, cigars or pipes per day? If you are now a non-smoker: When did you quit smoking and how many years did you smoke?
- Do you drink alcohol? If so, what drink(s) and how many glasses of it per day?
- Do you use drugs? If yes, what drugs and how often per day or per week?
- Do you play any sports? If yes, which sport discipline(s) and how often weekly?
Self history including medication history.
- Pre-existing conditions
- Operations
- Radiotherapy
- Allergies
* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Information without guarantee)
