OSCE Checklist: Depression History Taking
Opening the consultation
1 Wash your hands and don PPE if appropriate
2 Introduce yourself to the patient including your name and role
3 Con rm the patient’s name and date of birth
4 Ask the patient if they'd be happy to talk with you about their current issues
Presenting complaint
5 Use open questioning to explore the patient's presenting complaint
Screening for depression
6 Ask the patient if they have felt low, depressed or hopeless in the last month
7 Ask the patient if they have had little interest or pleasure in doing things in the last month
Exploring symptoms of depression
8 Sleep cycle disruption
9 Low mood
10 Appetite change
11 Reduced libido
12 Reduced concentration
13 Negative perception of current/future situation
14 Negative perception of self
Assess suicide risk
15 Assess the patient’s risk of suicide
Screening for other psychiatric diagnoses
16 Screen for features of mania
17 Screen for features of schizophrenia
Past psychiatric history
18 Ask the patient if they have had previous episodes of depression
19 Ask the patient if they have been diagnosed with other mental health conditions
Past medical history
20 Ask if the patient has any medical conditions
Drug history
21 Ask if the patient is currently taking any prescribed medications or over-the-
counter remedies
22 Ask the patient if they’re currently experiencing any side e ects from their medication
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Family history
23 Ask the patient if there is any family history of psychiatric disease in rst-degree relatives
Social history
24 Explore the patient’s general social context
25 Assess the impact of patient's depressive symptoms on their relationships and work
26 Take a smoking history
27 Take an alcohol history
28 Ask about recreational drug use
29 Ask about gambling
Insight
30 Assess the patient's insight into their condition
Closing the consultation
31 Ask the patient if they have any questions or concerns that have not been addressed
32 Thank the patient for their time
33 Dispose of PPE appropriately and wash your hands.
Key communication skills
34 Active listening
35 Summarising
36 Signposting
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