mh_psychiatry_interview

Jul 7th, 2016
Studypool Tutor
Boston Graduate School of Psychoanalysis Inc
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psychiatry interview made easy

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PSYCHIATRY INTERVIEW-history and mse-Interview is the most important tool in psychiatry-It is used to understand the patients problem, elicit signs and symptoms, make appropriatediagnosis, initiate treatment and predict outcome-It offers patients an opportunity to express themselves and others in a non judgmental and noncritical atmosphere-Clinicians should know what, how, when to ask and how to interpret responses of the patient.-History is obtained from patient, family, relatives or friends (coz in some cases the patient maynot be responsive or may be confused or may give inaccurate history eg in alcoholics, scz)-In very sick, agitated or confused patients, the observation and a brief history may be all neededto begin treatment. A more detailed history and MSE can be obtained later from relatives orpatient when s/he improvesGENERAL PRINCIPLES IN INTERVIEW1. Active observation and awareness of behavior- it begins from the moment patient walks into consultation room=gait, physical appearance,greetings, general attitude-focus on verbal and non verbal communication eg facial expression, hesitancy during interview,absence of eye contact, constant checking around the room2. Assessment and evaluation is two way process-clinician is assessing patient while patient is also evaluating your sensitivity and genuine desireto help-good rapport and shared feelings of mutual respect and understanding3. Acceptance of the behavior of patient- all behavior even if od

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