The Psychiatric Interview
Study online at https://quizlet.com/_5120if
1. What is the pur- Build rapport (harmonious relationship)
pose of the - Forms the foundation of a therapeutic alliance; a collaborative process with
psychiatric inter- patient; fosters compliance
view?
Gather data to inform diagnosis and treatment plan.
To assess psychodynamic factors contributing to physical and/or psychological
symptoms.
Improve patient insight about illness by providing education/knowledge
Negotiate a treatment plan with the patient.
2. Describe inter- Be a caring person, tolerate it, and offer a tissue
view approaches
for a patient that
is crying.
3. Describe inter- Patient often has exaggerated sense of guilt, extreme hopelessness and a dismal
view approaches outlook
for a patient that
is depressed. Collateral from others may disclose that things are not as bad as the person thinks.
While appropriate, reassurance or education that extreme negative cognitions are
the result of the depression may be met with skepticism.
It is not uncommon for the physician to see an improvement in the patient's clinical
status with treatment before the patient does.
4. Describe inter- Assess the nature and degree of delusional thoughts as well as how the patient
view approaches makes sense of them. The degree of conviction in the delusional beliefs may
for a patient that be followed to assess the course of and response to treatment. The physician
is psychotic. should not be confrontational in attempting to disprove false beliefs. A floridly
, The Psychiatric Interview
Study online at https://quizlet.com/_5120if
psychotic and agitated patient requires a more directive style, but the physician
should maintain an empathic, supportive approach. Paranoid patients should be
approached as being part of a "team" with the physician, to "look together" at what
is happening to the patient and how to approach treatment
5. Describe inter- Pay attention to your 'gut reaction' and overt clues of impending violence; attend
view approaches to safety first; acknowledge the patient's affect/feelings
for a patient that
is hostile.
6. Describe inter- indicate how much time is available for the interview, interrupt politely, redirect;
view approaches give a warning before end of interview
for a patient that
is talkative.
7. Describe inter- some patients have limited "psychological vocabulary" and communicate distress
view approaches with physical or somatic terms. Do not ignore physical complaints and do workup
for a patient that appropriately; attempt to have the patient agree to allow the physician time to
somatatizes. assess the nature of the problem, and not to pursue workups by other physicians
unless consent first obtained from the current physician.
8. Describe inter- give warnings that the end of the interview is approaching and if necessary, set
view approaches limits.
for a patient that
does not eant
to end the inter-
view.
9. What are "Have you been feeling sad or depressed?"
some psychiatric
screening ques- "How is your sleep, appetite, energy level?"
tions for depres-
"Are there things you enjoy doing?"
sion?
Study online at https://quizlet.com/_5120if
1. What is the pur- Build rapport (harmonious relationship)
pose of the - Forms the foundation of a therapeutic alliance; a collaborative process with
psychiatric inter- patient; fosters compliance
view?
Gather data to inform diagnosis and treatment plan.
To assess psychodynamic factors contributing to physical and/or psychological
symptoms.
Improve patient insight about illness by providing education/knowledge
Negotiate a treatment plan with the patient.
2. Describe inter- Be a caring person, tolerate it, and offer a tissue
view approaches
for a patient that
is crying.
3. Describe inter- Patient often has exaggerated sense of guilt, extreme hopelessness and a dismal
view approaches outlook
for a patient that
is depressed. Collateral from others may disclose that things are not as bad as the person thinks.
While appropriate, reassurance or education that extreme negative cognitions are
the result of the depression may be met with skepticism.
It is not uncommon for the physician to see an improvement in the patient's clinical
status with treatment before the patient does.
4. Describe inter- Assess the nature and degree of delusional thoughts as well as how the patient
view approaches makes sense of them. The degree of conviction in the delusional beliefs may
for a patient that be followed to assess the course of and response to treatment. The physician
is psychotic. should not be confrontational in attempting to disprove false beliefs. A floridly
, The Psychiatric Interview
Study online at https://quizlet.com/_5120if
psychotic and agitated patient requires a more directive style, but the physician
should maintain an empathic, supportive approach. Paranoid patients should be
approached as being part of a "team" with the physician, to "look together" at what
is happening to the patient and how to approach treatment
5. Describe inter- Pay attention to your 'gut reaction' and overt clues of impending violence; attend
view approaches to safety first; acknowledge the patient's affect/feelings
for a patient that
is hostile.
6. Describe inter- indicate how much time is available for the interview, interrupt politely, redirect;
view approaches give a warning before end of interview
for a patient that
is talkative.
7. Describe inter- some patients have limited "psychological vocabulary" and communicate distress
view approaches with physical or somatic terms. Do not ignore physical complaints and do workup
for a patient that appropriately; attempt to have the patient agree to allow the physician time to
somatatizes. assess the nature of the problem, and not to pursue workups by other physicians
unless consent first obtained from the current physician.
8. Describe inter- give warnings that the end of the interview is approaching and if necessary, set
view approaches limits.
for a patient that
does not eant
to end the inter-
view.
9. What are "Have you been feeling sad or depressed?"
some psychiatric
screening ques- "How is your sleep, appetite, energy level?"
tions for depres-
"Are there things you enjoy doing?"
sion?
