Aug 27 - Psych Interview

Question 1

What are two keys to conducting a psychiatric interview?

Answer 1

1. multidimensional understanding of the biopsychosocial elements of the disorder
2. collaboration with the patient to develop a patient-centered treatment plan

Question 2

List 5 tips to conduct a good psychiatric interview.

Answer 2

1. Relax
2. Private interview space: private
3. Posture –> open and actively engaged
4. Be on level with patient and make eye contact
5. Touch may or may not be appropriate - Pt comfort

Question 3

What are 3 components of a good psychiatric HPI?

Answer 3

• OLD CARTS
• General ?’s: mood/sleep/appetite - changes?, Triggers?
• Medications and/or psychotherapy improving symptoms or adverse effects/adherence

Question 4

What in the past medical history may be relevant in the psychiatric interview?

Answer 4

Past psych/rehab admissions, treatment (which meds were effective and which were not), family Hx

Question 5

What in the patient’s developmental history may be relevant in the psychiatric interview?

Answer 5

prenatal/birth history, milestones (walking/talking), siblings/Hx of divorce, education, abuse/neglect

Question 6

What in the patient’s social history may be relevant in the psychiatric interview?

Answer 6

relationships/marital status, employment, living situation, military Hx, legal Hx, transportation status

Question 7

What questions are important to ask related to substance abuse?

Answer 7

Types of abuse, frequency, last use, withdrawal symptoms, impacts on relationships or employment, longest length of sobriety

Question 8

List the components of the SIG E CAPS acronym to identify depression.

Answer 8

S: Suicidal thoughts
I: Interests decreased
G: Guilt
E: Energy decreased
C: Concentration decreased
A: Appetite disturbance
P: Psychomotor changes
S: Sleep disturbance

Question 9

List the components of the Worry WARTS acronym to identify anxiety.

Answer 9

W: Wound up
W: Worn out
A: Absentminded
R: Restless
T: Touchy
S: Sleeples