The medical history (history of illness) represents an important component in the diagnosis of stress.
Family history
Social history
- What is your occupation?
- Is there any evidence of psychosocial stress or strain due to your family situation?
- Do you currently have professional and / or private problems?
- Are you isolated professionally or privately?
- Do you carry high responsibility professionally?
- Are you being bullied?
- Do you feel overwhelmed professionally or personally?
- Do you work in a shift system?
- Are you bored?
- Are you financially secure?
- Are you exposed to increased noise?
Current medical history/systemic history (somatic and psychological complaints).
- Do you feel exhausted?
- Do you suffer from headaches or dizziness?
- Are you often irritable or nervous?
- Do you suffer from lack of sleep or other sleep disorders?
- Do you have gastrointestinal complaints?
- Do you feel exhausted?
Vegetative anamnesis including nutritional anamnesis.
- 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?
- Do you drink alcohol? If yes, 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?
Self history incl. medication history.
- Pre-existing conditions (chronic pain, sleep disorders).
- Operations
- Allergies
- Medication history
Medication history The following is a list of medications that can cause agitation (nervousness) (There is no claim to completeness!):
- Acetylcholinesterase inhibitors (donezepil, galantamine, rivastigmine).
- Alpha-sympatholytics (phenoxybenzamine).
- Anticholinergics (biperiden, metixen, trihexyphenidyl).
- Antidepressants
- COMT (catechol-O-methyl transferase) inhibitor – entacapone.
- Dopamine agonists (α-dihydroergocriptine, bromocriptine, cabergoline, lisuride, pergolide, pramipexole, ropinirole, rotigotine).
- Hormones
- Antiestrogens (clomiphene)
- Levodopa
- MAO inhibitors ((monoamine oxidase inhibitors) – rasagiline, selegiline
- N-methyl-D-aspartate recptor antagonist (amantadine, memantine).
- Phytotherapeutics (St. John’s wort).
- Rheologics (naftidrofuryl)
- Sympathomimetics (etilefrine, norephedrine)
- Antivirals (aciclovir, valaciclovir).