The Psychiatric Interview

The Psychiatric Interview.

What a state of well being in which an individual realizes his or her own abilities, can cope with normal
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stresses of life, can work productively, and make a contribution to his or her community? -
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(correct answer) - Mental Health
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What are factors that contribute to mental health? - (correct answer) - Biological - genes/
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brain chemistry gh




Life experiences - trauma or abuse
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Family history gh




What questions does the interviewer consider in evaluation the pt for predisposition and family history
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of pyschiatric illness? - (correct answer) -
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What kind of person was the pt before he or she became ill?
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What biopsychosocial stressors and weaknesses predisposed the pt to breakdown
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What are the goals of the psychiatric interview? - (correct answer) - collect data-
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current difficulties, HPI
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Understand - the pts personality, use of defense gh gh gh gh gh gh gh gh




Improve - pt's insight gh gh gh




Healing - foster healing gh gh gh gh




Diagnose

What are some pt related factors that make psych interviews difficult? - (correct answer) -
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Poor insight/judgement
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Shame

, Fear of being judged
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lack of awareness
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Cognitive deficits gh




Secondary gains - disability, avoiding certain penalties
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What are some interview related factors that make psych interviews difficult? - (correct answer) -
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Powerful feelings of like or dislike can affect objectivity
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Interviewer bias - language used in the question can affect the answer given
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lack of experience
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Lack of time or resources
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What should the interviewer obtain in the pt history for a psych evaluation? - (correct answer) - CC
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HPI gh




Past Psych and Medical Hx
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Fhx incl psych/neuro
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Lots of hx gh gh




What should the interviewer do when evaluating the Pt's ID and the setting? - (correct answer) -
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Basic ID: name DOB
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