# Psychiatry Module
ClinIT's psychiatry module provides structured tools for outpatient mental health practice, including MSE, risk assessment, mood tracking, and psychometric scoring.
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Mental State Examination (MSE)
In every psychiatry session, the MSE Panel opens alongside the session notes.
### MSE Fields
| Domain | Options |
|---|---|
| Appearance | Appropriate / Dishevelled / Neglected / Other |
| Behaviour | Cooperative / Agitated / Restless / Aggressive / Withdrawn |
| Speech | Normal rate/volume / Pressured / Slow / Muted / Circumstantial |
| Mood (subjective) | Patient's own words |
| Affect (objective) | Euthymic / Elevated / Depressed / Blunted / Flat / Labile / Incongruent |
| Thought Form | Linear / Tangential / Loose associations / Flight of ideas / Thought block |
| Thought Content | Normal / Obsessional / Paranoid / Delusions (type) / Suicidal ideation |
| Perceptions | No abnormal / Auditory hallucinations / Visual / Other |
| Cognition | Oriented ×3 / Memory intact / Attention intact |
| Insight | Full / Partial / None |
| Judgement | Intact / Impaired |
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Safety Assessment
If suicidal ideation, self-harm, or risk to others is noted in the MSE:
- A Safety Assessment panel opens (or can be opened manually).
- Record:
- Suicidal ideation: passive / active ideation / plan / intent / means access
- Self-harm history and current risk
- Risk to others
- Protective factors (family support, future plans, treatment engagement)
- Risk level: LOW / MODERATE / HIGH / VERY HIGH
- Safety plan (who to call, what to do in crisis)
- Clinician's action (continue outpatient / increase frequency / refer for admission / emergency intervention)
> ⚠️ Safety assessments are locked once the session is completed and cannot be edited without an addendum.
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Psychometric Scores
Record standardised psychiatric rating scales:
| Scale | Condition |
|---|---|
| PHQ-9 | Depression screening |
| GAD-7 | Anxiety screening |
| MADRS | Depression severity |
| PANSS | Psychosis |
| YMRS | Mania |
| PCL-5 | PTSD |
| OCI-R | OCD |
| CAGE / AUDIT | Alcohol use |
| DAST-10 | Drug use |
- Patient chart → Psychometric Scores → + Score.
- Select scale, enter item responses or total score.
- Severity band is calculated automatically.
- Trend charts track response to treatment.
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Mood Diary (Patient-Facing)
Patients can log their daily mood in the portal. Each entry records:
- Mood score (1–10).
- Sleep hours.
- Energy level.
- Significant events.
The doctor sees the mood diary in the patient chart as a time-series graph.
The AI Mood Trajectory Predictor generates a narrative from the mood diary data.
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Psychiatric Diagnoses
Record formal diagnoses with ICD-10 codes:
- Patient chart → Diagnoses → + Add Diagnosis.
- Select ICD-10 code from searchable list.
- Set status: Current / In Remission / Historical.
- Date of diagnosis.
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Medication Monitoring
For patients on psychotropic medications, the Medication Monitor tracks:
- Current psychotropic medications and doses.
- Side-effect checklist (EPS, metabolic, sexual, sedation).
- Adherence (self-reported).
- Dose change history.
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Treatment Package
For patients enrolled in structured therapy programmes (e.g. 12 sessions of CBT):
- Patient chart → Therapy Packages → + Enrol.
- Set therapy type, session count, frequency.
- Each completed session is tracked against the package.
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Brain Stimulation (TMS / ECT)
For clinics offering TMS or ECT:
- Patient chart → Brain Stimulation → + Session.
- Record: modality, session number, parameters, patient response, adverse events.